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Activation of the phonological lexicon for reading and object naming in deep dyslexia.

Poor oral reading in some cases of deep dyslexia could be due to difficulty in inhibiting the phonological lexical entries of words semantically related to the correct reading responses. If this is the case, then additional activation of the correct phonological entries should improve reading performance, whereas additional activation of competing entries should lead to errors. This should hold true for object naming as well as for reading, since both depend on a semantically mediated lexical route. These predictions were borne out with an "output" deep dyslexic patient, who made many semantic errors in both reading and naming. Providing phonetic cues (the initial portions of the correct responses) increased his reading and naming accuracy, and providing miscues (the initial portions of words related semantically to the correct responses) led to errors. Furthermore, when the patient was shown a printed word or pictured object and the examiner spoke a correct reading or naming response in isolation, the patient almost always accepted the response as correct, but he also judged that many semantically related foils were correct. Finally, a comparison of reading and naming errors suggested that "visual" errors may sometimes have a phonological basis.

Anomia↗

Open reading frames in the antisense strands of genes coding for glycolytic enzymes in Saccharomyces cerevisiae.

Open reading frames longer than 300 bases were observed in the antisense strands of the genes coding for the glycolytic enzymes phosphoglucose isomerase, phosphoglycerate mutase, pyruvate kinase and alcohol dehydrogenase I. The open reading frames on both strands are in codon register. It has been suggested that proteins coded in codon register by complementary DNA strands can bind to each other. Consequently, it was interesting to investigate whether the open reading frames in the antisense strands of glycolytic enzyme genes are functional. We used oligonucleotide-directed mutagenesis of the PGI1 phosphoglucose isomerase gene to introduce pairs of closely spaced base substitutions that resulted in stop codons in one strand and only silent replacements in the other. Introduction of the two stop codons into the PGI1 sense strand caused the same physiological defects as already observed for pgil deletion mutants. No detectable effects were caused by the two stop codons in the antisense strand. A deletion that removed a section from -31 bp to +109 bp of the PGI1 gene but left 83 bases of the 3' region beyond the antisense open reading frame had the same phenotype as a deletion removing both reading frames. A similar pair of deletions of the PYK1 gene and its antisense reading frame showed identical defects. Our own Northern experiments and those reported by other authors using double-stranded probes detected only one transcript for each gene. These observations indicate that the antisense reading frames are not functional. On the other hand, evidence is provided to show that the rather long reading frames in the antisense strands of these glycolytic enzyme genes could arise from the strongly selective codon usage in highly expressed yeast genes, which reduces the frequency of stop codons in the antisense strand.

Base Sequence↗

Information management and reading habits of German diabetologists: a questionnaire survey.

AIMS/HYPOTHESIS: Journals play an important part in continuing medical education and in influencing the prescription of drugs. Because little is known about reading habits and information management of specialists a questionnaire survey among German diabetologists was conducted. SUBJECTS AND METHODS: A non-randomised sample of 461 German diabetologists was selected from a database of German diabetologists ( n=1585). A questionnaire was developed (92 items) which consisted of eight sections: continuing education in general, decision making and problem solving, use of databases, reading habits, knowledge of technical terms and critical appraisal skills, personal data. RESULTS: The adjusted response rate was 57% (crude 52%). Most influential factors for therapeutic decision making were due to own experience, continuing education events, published material, and colleagues. The influence of industry related factors was perceived low. A relatively high rate of respondents (39%) perceived the influence by patients as rather low. Overall 90% had convenient access to the internet, MedLine or EMBASE but only 45% searched databases regularly (three searches per month). Median time for reading journals was 3 h a week. Five journals were read regularly, 25% of which were diabetological journals and 47% of the respondents did not read English written journals regularly. The methods section of an article was seldom read whereas the abstract and the discussion were almost always read. Most respondents had some understanding of technical terms but reported practices of appraising articles were inadequate. CONCLUSION/INTERPRETATION: It could be shown that reading expenditures and critical appraisal skills of diabetologists are slightly higher compared with non-specialists. But the concept of evidence-based medicine still does not seem to be incorporated in clinical practice.

Diabetes Mellitus↗

[Reading ability after photodynamic therapy (PDT) for age-related macular degeneration (AMD) and for high myopia].

BACKGROUND: A prospective uncontrolled follow-up of changes in reading ability after PDT with Verteporfin in patients with predominantly classic subfoveal choroidal neovascularization (CNV) due to AMD or high myopia was carried out. PATIENTS AND METHODS: A follow-up time of at least 6 months is documented for 48 patients with AMD and for 22 patients with high myopia. In addition to the usual clinical parameters the need for magnification was measured using standardized reading charts provided by the SZB.A need for magnification higher than 3.2-fold was defined as a severe loss in reading ability.PDT's were repeated every 3 months according to the usual guidelines. RESULTS: Before treatment, the mean reading acuity for patients with AMD was between 20/200 and 20/100. The average need for magnification was between 2.5-fold and 3.2-fold.Reading acuity, need for magnification and the percentage of patients with a need for magnification of 3.2-fold or less remained stable over a 6-12 months follow-up period. High myopic patients initially had a mean reading acuity of 20/200 and a need for magnification of 2.5-fold. After 9 months follow-up, reading acuity showed a mean improvement from 0.2 up to 0.3 ( p<0.05). There was also a trend towards improvement in the need for magnification and the percentage of patients with a need for magnification of 3.2-fold or less improved significantly from 68% to 78% ( p<0.05). CONCLUSION: Reading ability could be stabilized with PDT for predominantly classic subfoveal CNV in patients with high myopia or AMD for at least 9-12 months. The risk of developing a severe loss in reading ability (need for magnification >3.2-fold) was significantly reduced in high myopia and was stable over time in AMD.

Aged↗

Low vision reading with sequential word presentation.

Individuals with scotomas in the center of their visual fields usually read much more slowly than visually impaired individuals without central scotomas. This study determines the extent to which inefficient eye movements could account for this difference. Using a technique described previously [Rubin and Turano (1992) Vision Research, 32, 895-902] text was presented sequentially, one word at a time at the same location in the visual field. Reading performance for rapid serial visual presentation (RSVP) was compared to conventional text presentation (PAGE) in 14 subjects with dense central scotomas (central field loss, CFL) and 9 without central scotomas (noCFL). Reading rates were faster with RSVP compared to PAGE, but CFL subjects improved less (by a factor of 1.5 +/- 0.41) than noCFL subjects (by a factor of 2.1 +/- 0.38). When reading rate (words/min) was converted to average word duration (msec/word) the reduction in word duration for RSVP compared to PAGE text averaged 150 msec for normal subjects, 171 msec for noCFL subjects, and 250 msec for CFL subjects. We hypothesized that the reduction in word duration was attributable to a reduced number of saccades/word. We confirmed this hypothesis by measuring the number of saccades during RSVP and PAGE reading using a scanning laser ophthalmoscope in four subjects with CFL. All of the subjects made fewer saccades during RSVP than PAGE reading (average reduction = 1.3 +/- 0.5 saccades/word). But even with the reduced number of saccades, CFL subjects required longer word durations than noCFL subjects. These results indicate that inefficient eye movements account for only part of the reduction in reading speed caused by CFL. An additional and potentially more important factor is the limited rate at which peripheral retina can perform the pattern decoding tasks required for reading.

Aged↗

Evidence of a highly specific relationship between rapid automatic naming of digits and text-reading speed.

This paper explores the specificity of the relationship between rapid automatic naming and reading fluency. Reading accuracy, rate, and fluency was measured among a sample of 67 children, the majority of whom were very poor readers. Regression analyses revealed that phonological processing tasks predicted reading accuracy and comprehension whereas rapid digit (but not picture) naming predicted reading accuracy and rate. After further controlling reading accuracy, digit naming was still a significant predictor of reading rate. This suggests that rapid alphanumeric naming is a highly specific predictor of reading rate and that rapid digit naming and phonological processing are distinct contributors to different aspects of reading in poor readers.

Automatism↗

Reading performance depending on the type of cataract and its predictability on the visual outcome.

PURPOSE: To investigate the influence of various types of cataract on reading performance in a standardized reading test setting. SETTING: Department of Ophthalmology, University of Vienna, Vienna, Austria. METHODS: The reading performance of 94 eyes with age-related cataract and normal macular function was evaluated with the Radner Reading Charts preoperatively and 4 weeks after cataract surgery. Distance visual acuity was tested with the ETDRS charts. Cataracts were graded using the Lens Opacities Classification System (LOCS) III, on which NO is nuclear opalescence and NC is nuclear color. RESULTS: Patients with pure nuclear cataracts (LOCS III: NO/NC 2.1-5) achieved a normally high MRS (99.84% +/- 7.65% of their postoperative MRS): preoperative MRS(1): 190.6 +/- 30.74 words per minute (wpm); postoperative MRS(2): 191.21 +/- 29.36 wpm. Patients with mixed nuclear-cortical cataracts (LOCS III: NO/NC 2.1-5; C>2) preoperatively achieved 96.96% +/- 5.6% of their postoperative MRS (MRS(1): 175.77 +/- 31.54 wpm; MRS(2): 181.34 +/- 30.56 wpm). In dense nuclear cataracts (LOCS III: NO/NC>5), the MRS was significantly reduced, achieving only 72.64 +/- 19.19% of the postoperative MRS (MRS(1): 133.06 +/- 39.43 wpm; MRS(2): 185.76 +/- 40.18 wpm). In posterior subcapsular cataracts, the preoperative MRS (134.1 +/- 33.72 wpm) was significantly lower than postoperatively (191.14 +/- 27.08 wpm). CONCLUSIONS: In contrast to dense nuclear cataracts and posterior subcapsular cataracts, the preoperative reading speed of patients with pure nuclear or nuclear-cortical cataracts was normal at large print sizes. The preoperative evaluation of reading acuity and speed with standardized reading tests can therefore be used to estimate the postoperative reading performance in the latter 2 types of cataract.

Aged↗

Reading with the ears.

We studied the cortical networks of Morse code reading with functional magnetic resonance imaging (fMRI). Four expert radio telegraphists performed two closely matched reading experiments, one in binaurally presented high speed Morse code and one in print. Performance was equal for both conditions. Reading single nouns in Morse code resulted in predominantly left-sided activation of the frontal and temporal perisylvian language areas, prefrontal cortex, and premotor cortex. In a within-subject comparison between reading Morse code and reading print, the activation pattern in the left temporoparietal association cortex was similar for both forms of reading, suggesting that reading Morse code shares part of its cortical networks with reading print.

Acoustic Stimulation↗

Right hemisphere reading mechanisms in a global alexic patient.

We investigated the implicit, or covert, reading ability of a global alexic patient (EA) to help determine the contribution of the right hemisphere to reading. Previous studies of alexic patients with left hemisphere damage have suggested that the ability to derive meaning from printed words that cannot be read out loud may reflect right hemisphere reading mechanisms. Other investigators have argued that residual left hemisphere abilities are sufficient to account for implicit reading and moreover do not require the postulation of a right hemisphere system that has no role in normal reading processes. However, few studies have assessed covert reading in patients with lesions as extensive as the one in EA, which affected left medial, inferior temporal-occipital cortex, hippocampus, splenium, and dorsal white matter. EA was presented with lexical decision, semantic categorization, phonemic categorization, and letter matching tasks. Although EA was unable to access phonology and could not overtly name words or letters, she was nevertheless capable of making lexical and semantic decisions at above chance levels, with an advantage for concrete versus abstract words. Her oral and written spelling were relatively intact, suggesting that orthographic knowledge is retained, although inaccessible through the visual modality. Based on her ability to access lexical and semantic information without contacting phonological representations, we propose that EA's implicit reading emerges from, and is supported, by the right hemisphere. Finally, we conclude that her spelling and writing abilities are supported by left hemisphere mechanisms.

Anomia↗

Letter-recognition and reading speed in peripheral vision benefit from perceptual learning.

Visual-span profiles are plots of letter-recognition accuracy as a function of letter position left or right of the midline. Previously, we have shown that contraction of these profiles in peripheral vision can account for slow reading speed in peripheral vision. In this study, we asked two questions: (1) can we modify visual-span profiles through training on letter-recognition, and if so, (2) are these changes accompanied by changes in reading speed? Eighteen normally sighted observers were randomly assigned to one of three groups: training at 10 degrees in the upper visual field, training at 10 degrees in the lower visual field and a no-training control group. We compared observers' characteristics of reading (maximum reading speed and critical print size) and visual-span profiles (peak amplitude and bits of information transmitted) before and after training, and at trained and untrained retinal locations (10 degrees upper and lower visual fields). Reading speeds were measured for six print sizes at each retinal location, using the rapid serial visual presentation paradigm. Visual-span profiles were measured using a trigram letter-recognition task, for a letter size equivalent to 1.4x the critical print size for reading. Training consisted of the repeated measurement of 20 visual-span profiles (over four consecutive days) in either the upper or lower visual field. We also tracked the changes in performance in a sub-group of observers for up to three months following training. We found that the visual-span profiles can be expanded (bits of information transmitted increased by 6 bits) through training with a letter-recognition task, and that there is an accompanying increase (41%) in the maximum reading speed. These improvements transferred, to a large extent, from the trained to an untrained retinal location, and were retained, to a large extent, for at least three months following training. Our results are consistent with the view that the visual span is a bottleneck on reading speed, but a bottleneck that can be increased with practice.

Analysis of Variance↗

Accommodative state of young adults using reading spectacles.

We examined the accommodative state of young adults wearing +2D and +3D reading spectacles under normal conditions and with the elimination of accommodative cues. Subjects' refractions were measured with an infrared PowerRefractor. Power of the vertical meridian was recorded for subjects viewing far and near targets in free space and through a Badal lens apparatus with and without reading spectacles. Additionally, refractive measurements were taken after subjects wore +2D reading spectacles for 30 min (post-adaptation). In free viewing and viewing through the Badal lens, subjects uniformly over-accommodated relative to the target while wearing reading spectacles (i.e., with the spectacles, they focused at a plane in front of the target). Subjects in the first post-adaptation test showed no significant difference in accommodation between viewing a near target with and without +2D spectacles after having read with them for 30 min, though they had without post-adaptation. Subjects in the second post-adaptation test were not significantly differently accommodated before and after reading when binocularly viewing a near target with +2D reading spectacles. The results imply that no adaptation of the subjects' accommodative postures while viewing visual targets occurred as a result of a 1/2 h near work task with the spectacles. The over-accommodation of subjects using reading spectacles while they are performing visual tasks shows the necessity of measurement if their true accommodative posture is to be determined.

Accommodation, Ocular↗

Improving phonological awareness and word reading in a later learned alphabetic script.

This study examines the effects of phonological skill training on consonantal phoneme deletion and word reading performance in two groups of adolescent Chinese readers who were also literate in English. The research questions were: (1) whether training would promote segmentation skills over and above years of contact with the alphabetic (English) writing system, given an initial logographic (Chinese) reading background; (2) whether improvements in segmentation skills due to training would enhance word reading in the alphabetic script. The participants were trained on phoneme counting, phoneme blending and rime judgement with English materials over a period of two months. Resultant changes in consonantal phoneme deletion and English word reading performance were examined. Significant improvements in both activities due to training were observed for the younger (mean age 12.7 years) but not the older (mean age 15.8 years) participants. Follow-up analyses showed that language proficiency might be the factor underlying this age effect. Individual differences in phoneme deletion uniquely predicted word reading for both age groups, although the relationship tended to be stronger for the less proficient than the more proficient members. These findings suggest that beyond years of normal reading instruction in the alphabetic system, specialized segmentation training could still contribute to promoting consonantal phonemic analysis that is not supported by the logographic first-learned script. Moreover, improved phonological skills do lead to better word reading in the later-learned writing system. Implications of the present findings for second script reading instruction are considered.

Adolescent↗

Reading skills and family planning knowledge and practices in a low-income managed-care population.

OBJECTIVE: To examine the relationship between reading ability and family planning knowledge and practices among Medicaid managed care enrollees. METHODS: A total of 406 women age 19-45 years enrolled in TennCare and members of Prudential HealthCare Community Plan in Memphis, Tennessee were interviewed to determine their methods of contraception, desire for additional information about contraceptives, and knowledge about the time in menstrual cycle they are at highest risk for pregnancy. Patient reading ability was assessed by an abbreviated version of the Test of Functional Health Literacy of Adults. The independent associations between reading ability, desire for additional contraceptive information, and knowledge about the highest risk time for pregnancy were assessed with logistic regression. RESULTS: Almost 10% of the respondents had low reading skills. Women who had used an intrauterine device, douching, rhythm, or levonorgestrel implants as methods of birth control had higher rates of low reading skills than women who used other methods of birth control. Compared with women with good reading skills, women with low reading skills were 2.2 times (95% confidence interval [CI] 1.1, 4.4) more likely to want to know more about birth control methods and 4.4 times (95% CI 2.2, 9.0) more likely to have incorrect knowledge about when they were most likely to get pregnant. These relationships were significant even after controlling for age, race, and marital status. CONCLUSION: Health providers and organizations that serve historically underserved populations must understand that some individuals have a low level of reading ability that limits family planning education.

Adult↗

The effect of reading and near-work on the development of myopia in emmetropic boys: a prospective, controlled, three-year follow-up study.

This study aimed to investigate the effect of reading and near work on myopic development in emmetropic boys in school age. It involved totally 114 children in two groups. Right eyes of 67 randomly selected students (mean age=12.93) with mean 6 h of reading and near work (Group 1) were compared with the right eyes of 47 apprentices (mean age=12.96) working as skilled laborers (Group 2). Cycloplegic refraction, keratometric readings and biometric measurements including anterior chamber depth (ACD), lens thickness (LT), vitreous chamber depth (VCD) and axial length (AL) were performed for 3 years at 18 month intervals. Two analyses were conducted: (1) for subjects in both groups with baseline refractive error from +0.50 to -0.50 D; (2) for all subjects in both groups with baseline refractive error from +1.00 to -1.00 D. For subjects with baseline refractive error of +/-0.50 D, myopic shift was present in 20 of 41 (48.8%) in group 1 and in seven of 37 (18.9%) in group 2 at the end of the study. The magnitude of the myopic shift was 0.56 and 0.07 D in group 1 and 2, respectively. For subjects with a baseline refractive error of +/-1.00 D, myopic progression was present in 40 of 67 (59.7%) in group 1 and in 10 of 47 (21.3%) in group 2 at the last readings. In this larger refractive range, the magnitude of the myopic shift was 0.61 and 0.12 D in group 1 and 2, respectively. The mean ACD, VCD and AL were significantly higher in the last readings after 36 months than in the first readings (for each, P=0.0001) in group 1. There was no statistically significant difference between two measurements of these parameters in group 2. The final keratometric dioptric readings were lower than the first values (for each, P=0.0001) in both groups at the end of the study. This prospective and controlled study suggested that reading and near work, important environmental factors, might cause refractive myopic shifts in emmetropic students. The myopic shift was primarily related to significant increases in ACD, VCD and AL in this young age group.

Anterior Chamber↗

Image enhancement improves reading performance in age-related macular degeneration patients.

We wanted to determine whether the 2- to 4-fold increases in reading speed found for patients with age-related macular degeneration (ARMD) when reading filtered text, presented one word at a time in the middle of the display would also be found when filtered text was scrolled across the screen. Reading speeds for filtered text that compensates for an observer's reduced contrast sensitivity function (CSF) were compared with the reading speeds for unfiltered text, when continuous, non-repeating text was scrolled across the display. The reading speeds of the ARMD observers tested were 1.7-4.5-times faster when reading filtered text, than when reading unfiltered text that was scrolled across the screen. The largest increments, over a 4-fold increase, were obtained in those subjects with the lowest unfiltered reading rates and the greatest loss of central vision. This study illustrates the usefulness of individualized text filtering for image enhancement in digitally based viewing devices to provide low vision remediation.

Aged↗

The effects of simulated cataract on reading with normal vision and simulated central scotoma.

Reading rates are slower for persons with low vision than for normally-sighted persons. This study investigated the change in reading performance and reading eye movements when we simulated the two most common causes of low vision--central field loss and cataract--and their combination (scotoma + cataract). Three subjects read sentences with each of these simulated impairments at five different letter sizes. They required larger letters to read with the cataract or scotoma than they did with normal vision, and larger still to read with scotoma + cataract; the change in eye movements relative to normal vision was similar across conditions. When reading large letters (1.61 degrees), the cataract had almost no effect, while the scotoma and scotoma + cataract reduced reading rate for two of the subjects. The cataract had a greater impact on performance relative to normal vision for these same two subjects, while for the third subject the cataract had a greater impact with the scotoma in place. Cataract extraction tends to be postponed in patients with central field loss because it is not perceived to be beneficial. The findings from this study, as well as others, suggest that patients with central field loss would benefit from cataract extraction.

Adult↗

Number-word reading as challenging task in dyslexia? An ERP study.

The aim of the present study was to evaluate processes of lexical access, selection and early semantic access in young native Hungarian students as well as in dyslexics compensating successfully for their reading problems of developmental origin. The present study made use of the well-known lexical decision paradigm in which event-related potentials (ERPs) elicited by words, number-words and pseudowords were measured. Subjects had to judge whether the letter strings seen were meaningful or meaningless. Our results suggest that in good readers additional activity occurs in the sensory or selection stage of lexical access when words of low sight frequency, e.g. number-words are read. Significant processing differences for words vs. number-words were found in the later stage of processing. Based on our ERP data we do not suggest number-words for judging general features of lexical processing, especially when developmental dyslexia is the focus of study. Our results show that young adults may develop a particular compensation strategy for reading words of different frequency. We found that: (1) Lexical access is fast and accurate in good readers and the early components elicited by words and number-words do not differ. (2) Attentional effort is reflected by enhanced early components to number-words. (3) Dyslexics may compensate for the weakness of sight word vocabulary, characteristic for frequent words as well, during lexical selection and at a later stage of processing. (4) Dyslexic adults, who compensate well for reading difficulties, differ significantly in this later stage when words have to be read. (5) The late positive component of ERPs reflects additional activation allocated to word reading when low frequency words such as number-words are read. Good readers show this effect as well, therefore, the largest difference found between dyslexics and controls is found for frequent words. (6) The early semantic access is absent in dyslexics when pseudowords are read and this process may be one of the strategies used by dyslexics in a transparent orthography.

Adolescent↗

The role of nasals in reading: a normative study in French.

Dual-route models of reading assume that reading can be done in two ways. A most common lexical route, on the one hand, allows regular and irregular words to be read while a second sublexical route allows nonwords and novel words to be read. A graphemic processing stage in sublexical reading is assumed to assemble the individual letters of a word or a nonword into multiletter graphemes prior to grapheme-phoneme conversion. The purpose of this study was to determine whether vowel/nasal clusters required as much time to be processed asvowel/vowel and consonant/consonant clusters in sublexical nonword reading in French. Results indicate that nonwords that contain vowel/nasal clusters are read significantly faster than nonwords comprising vowel/vowel and consonant/consonant clusters. Furthermore, nonwords that contain single-letter graphemes are read significantly faster than nonwords comprising vowel/nasal clusters and nonwords comprising vowel/vowel and consonant/consonant clusters. These results taken as a whole support the idea that nasals act as diacritic marks rather than being processed by means of a graphemic parsing procedure.

Humans↗