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1.
Cortex ; 176: 62-76, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38754211

ABSTRACT

Human visual experience of objects comprises a combination of visual features, such as color, position, and shape. Spatial attention is thought to play a role in creating a coherent perceptual experience, integrating visual information coming from a given location, but the mechanisms underlying this process are not fully understood. Deficits of spatial attention in which this integration process does not occur normally, such as neglect, can provide insights regarding the mechanisms of spatial attention in visual object recognition. In this study, we describe a series of experiments conducted with an individual with neglect, DH. DH presents characteristic lack of awareness of the left side of individual objects, evidenced by poor object and face recognition, and impaired word reading. However, he exhibits intact recognition of color within the boundaries of the same objects he fails to recognize. Furthermore, he can also report the orientation and location of a colored region on the neglected left side despite lack of awareness of the shape of the region. Overall, DH shows selective lack of awareness of shape despite intact processing of basic visual features in the same spatial location. DH's performance raises intriguing questions and challenges about the role of spatial attention in the formation of coherent object percepts and visual awareness.


Subject(s)
Attention , Awareness , Perceptual Disorders , Humans , Male , Perceptual Disorders/physiopathology , Attention/physiology , Awareness/physiology , Pattern Recognition, Visual/physiology , Visual Perception/physiology , Space Perception/physiology , Photic Stimulation/methods , Recognition, Psychology/physiology , Middle Aged , Form Perception/physiology , Aged
2.
J Cogn Neurosci ; 36(6): 1071-1098, 2024 06 01.
Article in English | MEDLINE | ID: mdl-38527084

ABSTRACT

We examined the initial stages of orthographic learning in real time as literate adults learned spellings for spoken pseudowords during fMRI scanning. Participants were required to learn and store orthographic word forms because the pseudoword spellings were not uniquely predictable from sound to letter mappings. With eight learning trials per word form, we observed changes in the brain's response as learning was taking place. Accuracy was evaluated during learning, immediately after scanning, and 1 week later. We found evidence of two distinct learning systems-hippocampal and neocortical-operating during orthographic learning, consistent with the predictions of dual systems theories of learning/memory such as the complementary learning systems framework [McClelland, J. L., McNaughton, B. L., & O'Reilly, R. C. Why there are complementary learning systems in the hippocampus and neocortex: Insights from the successes and failures of connectionist models of learning and memory. Psychological Review, 102, 419-457, 1995]. The bilateral hippocampus and the visual word form area (VWFA) showed significant BOLD response changes over learning, with the former exhibiting a rising pattern and the latter exhibiting a falling pattern. Moreover, greater BOLD signal increase in the hippocampus was associated with better postscan recall. In addition, we identified two distinct bilateral brain networks that mirrored the rising and falling patterns of the hippocampus and VWFA. Functional connectivity analysis revealed that regions within each network were internally synchronized. These novel findings highlight, for the first time, the relevance of multiple learning systems in orthographic learning and provide a paradigm that can be used to address critical gaps in our understanding of the neural bases of orthographic learning in general and orthographic word-form learning specifically.


Subject(s)
Brain Mapping , Magnetic Resonance Imaging , Humans , Male , Female , Young Adult , Adult , Learning/physiology , Reading , Verbal Learning/physiology , Oxygen/blood , Hippocampus/physiology , Hippocampus/diagnostic imaging , Cerebral Cortex/physiology , Cerebral Cortex/diagnostic imaging , Pattern Recognition, Visual/physiology
3.
Nat Rev Neurol ; 17(7): 394, 2021 07.
Article in English | MEDLINE | ID: mdl-34089014
4.
Nat Rev Neurosci ; 22(7): 385, 2021 07.
Article in English | MEDLINE | ID: mdl-34075222
5.
ChemSusChem ; 14(19): 4190-4197, 2021 Oct 05.
Article in English | MEDLINE | ID: mdl-33156562

ABSTRACT

Solar-driven reforming uses sunlight and a photocatalyst to generate H2 fuel from waste at ambient temperature and pressure. However, it faces practical scaling challenges such as photocatalyst dispersion and recyclability, competing light absorption by the waste solution, slow reaction rates and low conversion yields. Here, the immobilisation of a noble-metal-free carbon nitride/nickel phosphide (CNx |Ni2 P) photocatalyst on textured glass is shown to overcome several of these limitations. The 1 cm2 CNx |Ni2 P panels photoreform plastic, biomass, food and mixed waste into H2 and organic molecules with rates comparable to those of photocatalyst slurries. Furthermore, the panels enable facile photocatalyst recycling and novel photoreactor configurations that prevent parasitic light absorption, thereby promoting H2 production from turbid waste solutions. Scalability is further verified by preparing 25 cm2 CNx |Ni2 P panels for use in a custom-designed flow reactor to generate up to 21 µmolH 2 m-2 h-1 under "real-world" (seawater, low sunlight) conditions. The application of inexpensive and readily scalable CNx |Ni2 P panels to photoreforming of a variety of real waste streams provides a crucial step towards the practical deployment of this technology.

6.
Proc Natl Acad Sci U S A ; 117(27): 16055-16064, 2020 07 07.
Article in English | MEDLINE | ID: mdl-32571942

ABSTRACT

Visual awareness is thought to result from integration of low- and high-level processing; instances of integration failure provide a crucial window into the cognitive and neural bases of awareness. We present neurophysiological evidence of complex cognitive processing in the absence of awareness, raising questions about the conditions necessary for visual awareness. We describe an individual with a neurodegenerative disease who exhibits impaired visual awareness for the digits 2 to 9, and stimuli presented in close proximity to these digits, due to perceptual distortion. We identified robust event-related potential responses indicating 1) face detection with the N170 component and 2) task-dependent target-word detection with the P3b component, despite no awareness of the presence of faces or target words. These data force us to reconsider the relationship between neural processing and visual awareness; even stimuli processed by a workspace-like cognitive system can remain inaccessible to awareness. We discuss how this finding challenges and constrains theories of visual awareness.


Subject(s)
Cognition/physiology , Evoked Potentials/physiology , Vision Disorders/metabolism , Visual Perception/physiology , Awareness/physiology , Brain/physiology , Electroencephalography , Evoked Potentials, Visual/physiology , Face , Female , Humans , Male , Middle Aged , Neurodegenerative Diseases , Photic Stimulation , Visual Cortex/physiology
7.
J Exp Psychol Learn Mem Cogn ; 45(1): 183-190, 2019 Jan.
Article in English | MEDLINE | ID: mdl-29683709

ABSTRACT

It is well-established that allographs like the uppercase and lowercase forms of the Roman alphabet (e.g., a and A) map onto the same "abstract letter identity," orthographic representations that are independent of the visual form. Consistent with this, in the allograph match task ("Are 'a' and 'A' the same letter?"), priming by a masked letter prime is equally robust for visually dissimilar prime-target pairs (e.g., d and D) and similar pairs (e.g., c and C). However, in principle this pattern of priming is also consistent with the possibility that allograph priming is purely phonological, based on the letter name. Because different allographic forms of the same letter, by definition, share a letter name, it is impossible to rule out this possibility a priori. In the present study, we investigated the influence of shared letter names by taking advantage of the fact that Japanese is written in two distinct writing systems, syllabic kana-that has two parallel forms, hiragana and katakana-and logographic kanji. Using the allograph match task, we tested whether a kanji prime with the same pronunciation as the target kana (e.g., - い, both pronounced /i/) produces the same amount of priming as a kana prime in the opposite kana form (e.g., イ- い). We found that the kana primes produced substantially greater priming than the phonologically identical kanji prime, which we take as evidence that allograph priming is based on abstract kana identity, not purely phonology. (PsycINFO Database Record (c) 2018 APA, all rights reserved).


Subject(s)
Pattern Recognition, Visual/physiology , Psycholinguistics , Recognition, Psychology/physiology , Adult , Female , Humans , Japan , Male , Young Adult
8.
Cogn Neuropsychol ; 35(8): 430-457, 2018 12.
Article in English | MEDLINE | ID: mdl-30452874

ABSTRACT

Post-graphemic writing processes transform abstract letter representations into representations of writing movements. We describe an individual with an acquired post-graphemic writing deficit. NGN is normal in spelling words aloud, but impaired in writing words to dictation, with most errors involving letter substitutions (e.g., RUMOR written as BUMOR). NGN's deficit affects graphic motor plans, which specify the writing strokes for producing letters. Analyses of writing speed, fluency, and stroke patterns suggest that NGN's errors result from incomplete motor-plan activation. NGN's error rate is high for the first letter in a word, and declines across subsequent positions. On the basis of this serial position effect and other results, we propose that post-graphemic writing mechanisms include a graphomotor buffer, a writing-specific working memory that holds activated graphic motor plans bound to specific serial positions. We suggest that NGN's graphomotor buffer is damaged such that early serial positions are affected most severely. Finally, we present results speaking to the roles and capabilities of the graphomotor buffer, and the structure of graphic motor plans.


Subject(s)
Agraphia/diagnosis , Aged , Agraphia/pathology , Humans , Male , Writing
9.
Mem Cognit ; 46(6): 1010-1021, 2018 08.
Article in English | MEDLINE | ID: mdl-29736757

ABSTRACT

The presence of abstract letter identity representations in the Roman alphabet has been well documented. These representations are invariant to letter case (upper vs. lower) and visual appearance. For example, "a" and "A" are represented by the same abstract identity. Recent research has begun to consider whether the processing of non-Roman orthographies also involves abstract orthographic representations. In the present study, we sought evidence for abstract identities in Japanese kana, which consist of two scripts, hiragana and katakana. Abstract identities would be invariant to the script used as well as to the degree of visual similarity. We adapted the cross-case masked-priming letter match task used in previous research on Roman letters, by presenting cross-script kana pairs and testing adult beginning -to- intermediate Japanese second-language (L2) learners (first-language English readers). We found robust cross-script priming effects, which were equal in magnitude for visually similar (e.g., り/リ) and dissimilar (e.g., あ/ア) kana pairs. This pattern was found despite participants' imperfect explicit knowledge of the kana names, particularly for katakana. We also replicated prior findings from Roman abstract letter identities in the same participants. Ours is the first study reporting abstract kana identity priming (in adult L2 learners). Furthermore, these representations were acquired relatively early in our adult L2 learners.


Subject(s)
Concept Formation/physiology , Learning/physiology , Multilingualism , Pattern Recognition, Visual/physiology , Perceptual Masking/physiology , Psycholinguistics , Adult , Female , Humans , Japan , Male , Young Adult
10.
Cortex ; 103: 302-315, 2018 06.
Article in English | MEDLINE | ID: mdl-29684750

ABSTRACT

How are reading and writing related? In this study, we address the relationship between letter identification and letter production, uncovering a link in which production information can be used to identify letters presented dynamically. By testing an individual with a deficit in letter identification, we identified a benefit which would be masked by ceiling effects in unimpaired readers. In Experiment 1 we found that letter stimuli defined by the direction of dot motion (tiny dots within letter move leftward, background dots move rightward) provided no advantage over static letters. In Experiment 2, we tested dynamic stimuli in which the letter shapes emerged over time: drawn as they would be written, drawn in reverse, or with the letter shape filled in randomly. Improved identification was observed only for letters drawn as they are typically written. These results demonstrate that information about letter production can be integrated into letter identification, and point to bi-directional connections between stored letter production information (used for writing) and abstract letter identity representations (used in both reading and writing). The links from stored production information to abstract letter identities allow the former to activate the latter. We also consider the implications of our results for remediation of acquired letter identification deficits, including letter-drawing treatments and the underlying cause of their efficacy.


Subject(s)
Dyslexia/psychology , Knowledge , Pattern Recognition, Visual/physiology , Reading , Writing , Female , Humans , Male
11.
Q J Exp Psychol (Hove) ; 71(3): 642-656, 2018 Mar.
Article in English | MEDLINE | ID: mdl-28093020

ABSTRACT

Nonwords created by transposing two non-adjacent orthographic consonants (CONDISER) have been reported to produce more priming for their baseword (CONSIDER), and to be classified as a nonword less readily than nonwords created by transposing two orthographic vowels (CINSODER). We investigate the origin of this difference and its relevance for theories of letter position coding. In the unprimed versions of the lexical decision and same-different tasks, a consonant-vowel difference was found in the transposition condition, not when those letters are substituted (Experiment 1). We found that when transpositions involved the disruption of a consonant cluster (OPMITAL), reaction times were slowed compared to when transpositions involved only letters that are separated (CHOLOCATE; Experiment 2). As transpositions more frequently disrupt in consonant clusters than vowel clusters, this introduces a confound in studies investigating consonant and vowel transposition effects. Consistent with the idea that letter order is harder to resolve in clusters, the difference between consonants and vowels was eliminated when transpositions involve singleton consonants or vowels rather than those in clusters (Experiment 3). These results suggest that the precision of position coding does not differ between consonants and vowels, but that consonant-vowel status plays a role in structuring orthographic representations.


Subject(s)
Decision Making , Perception/physiology , Psycholinguistics , Recognition, Psychology/physiology , Vocabulary , Female , Humans , Male , Photic Stimulation , Reaction Time/physiology , Students , Universities
12.
J Exp Child Psychol ; 162: 163-180, 2017 10.
Article in English | MEDLINE | ID: mdl-28605697

ABSTRACT

Letter recognition and digit recognition are critical skills for literate adults, yet few studies have considered the development of these skills in children. We conducted a nine-alternative forced-choice (9AFC) partial report task with strings of letters and digits, with typographical symbols (e.g., $, @) as a control, to investigate the development of identity and position processing in children. This task allows for the delineation of identity processing (as overall accuracy) and position coding (as the proportion of position errors). Our participants were students in Grade 1 to Grade 6, allowing us to track the development of these abilities across the primary school years. Our data suggest that although digit processing and letter processing end up with many similarities in adult readers, the developmental trajectories for identity and position processing for the two character types differ. Symbol processing showed little developmental change in terms of identity or position accuracy. We discuss the implications of our results for theories of identity and position coding: modified receptive field, multiple-route model, and lexical tuning. Despite moderate success for some theories, considerable theoretical work is required to explain the developmental trajectories of letter processing and digit processing, which might not be as closely tied in child readers as they are in adult readers.


Subject(s)
Child Development/physiology , Pattern Recognition, Visual/physiology , Reading , Child , Cross-Sectional Studies , Female , Humans , Male
13.
Neuropsychologia ; 95: 136-155, 2017 01 27.
Article in English | MEDLINE | ID: mdl-27979744

ABSTRACT

Beginning with Dejerine's report of pure alexia in 1892, numerous researchers have noted that individuals with acquired impairments of reading may show spared digit identification performance. This digit advantage has also been found in unimpaired adult readers across a number of tasks, and five main hypotheses have been proposed to explain how it arises. In this paper I consider these hypotheses in the context of recent theories of a unified alphanumeric character identification system, and evaluate them according to relevant empirical evidence. Despite some promising findings, none of the hypotheses currently provide a sufficient explanation of the digit advantage. Rather than developing new hypotheses to explain a categorical difference between digit and letter performance, I argue that future work should consider factors that affect identification performance specific to individual characters.


Subject(s)
Dyslexia, Acquired/psychology , Mathematical Concepts , Pattern Recognition, Visual , Reading , Dyslexia, Acquired/diagnostic imaging , Dyslexia, Acquired/physiopathology , Humans , Models, Psychological , Pattern Recognition, Visual/physiology
14.
Dyslexia ; 22(3): 233-44, 2016 Aug.
Article in English | MEDLINE | ID: mdl-27194598

ABSTRACT

In 2008 Christian Boer, a Dutch artist, developed a special font ("Dyslexie") to facilitate reading in children and adults with dyslexia. The font has received a lot of media attention worldwide (e.g., TheGuardian.com, Slate.com, TheAtlantic.com, USA Today, and io9.com). Interestingly, there is barely any empirical evidence for the efficacy of Dyslexie. This study aims to examine if Dyslexie is indeed more effective than a commonly used sans serif font (Arial) and, if so, whether this can be explained by its relatively large spacing settings. Participants were 39 low-progress readers who were learning to read in English. They were asked to read four different texts in four different font conditions that were all matched on letter display size (i.e., x-height), but differed in the degree to which they were matched for spacing settings. Results showed that low-progress readers performed better (i.e., read 7% more words per minute) in Dyslexie font than in standardly spaced Arial font. However, when within-word spacing and between-word spacing of Arial font was matched to that of Dyslexie font, the difference in reading speed was no longer significant. We concluded that the efficacy of Dyslexie font is not because of its specially designed letter shapes, but because of its particular spacing settings. Copyright © 2016 John Wiley & Sons, Ltd.


Subject(s)
Dyslexia/psychology , Language , Reading , Spatial Processing , Adolescent , Adult , Australia , Child , Female , Humans , Learning , Male , Young Adult
15.
Cogn Neuropsychol ; 32(2): 80-8, 2015.
Article in English | MEDLINE | ID: mdl-25885676

ABSTRACT

The task of recognition of oral spelling (stimulus: "C-A-T", response: "cat") is often administered to individuals with acquired written language disorders, yet there is no consensus about the underlying cognitive processes. We adjudicate between two existing hypotheses: Recognition of oral spelling uses central reading processes, or recognition of oral spelling uses central spelling processes in reverse. We tested the recognition of oral spelling and spelling to dictation abilities of a single individual with acquired dyslexia and dysgraphia. She was impaired relative to matched controls in spelling to dictation but unimpaired in recognition of oral spelling. Recognition of oral spelling for exception words (e.g., colonel) and pronounceable nonwords (e.g., larth) was intact. Our results were predicted by the hypothesis that recognition of oral spelling involves the central reading processes. We conclude that recognition of oral spelling is a useful tool for probing the integrity of the central reading processes.


Subject(s)
Dyslexia, Acquired/physiopathology , Language , Reading , Aged , Agraphia/complications , Agraphia/physiopathology , Case-Control Studies , Cognition , Dyslexia, Acquired/complications , Female , Humans , Stroke/complications , Stroke/physiopathology , Writing
16.
Cogn Neuropsychol ; 32(7-8): 431-41, 2015.
Article in English | MEDLINE | ID: mdl-27355609

ABSTRACT

In this paper, we describe a case of nonlinear spelling and its implications for theories of the graphemic buffer. C.T.J., an individual with an acquired deficit of the graphemic buffer, often wrote the letters of his responses in a nonlinear temporal order when writing to dictation. The spatial ordering of the letters was maintained: Letters in the later positions of the words were written towards the right side of the response, even when written before letters in earlier positions. This unusual phenomenon has been briefly reported in three prior cases but this study provides the most detailed analysis of the phenomenon to date. We specifically contend that the decoupling of the temporal and spatial aspects of spelling is difficult to reconcile with competitive queuing accounts of the graphemic buffer.


Subject(s)
Agraphia/physiopathology , Language , Models, Neurological , Writing , Adult , Humans , Male , Models, Psychological , Movement , Spatio-Temporal Analysis
17.
Cogn Neuropsychol ; 31(5-6): 437-60, 2014.
Article in English | MEDLINE | ID: mdl-24404944

ABSTRACT

Letters and digits, although similar in many respects, also differ in potentially significant ways. Most importantly, letters are elements of an alphabetic writing system, whereas digits are logographs. In this article, we explore whether letters and digits are identified by a single character identification process that makes no fundamental distinction between the two types of characters, or whether instead letter and digit identification processes diverge at least in some respects. We present evidence from an acquired dyslexic patient, L.H.D., who is impaired in both letter and digit identification. Working within a theoretical framework specifying the levels of representation implicated in letter identification, we systematically compare L.H.D.'s letter and digit processing. The results provide evidence that letter and digit identification implicate the same levels of representation, and further that L.H.D.'s identification errors for both letters and digits arise at the same point in processing. On the basis of these results, we argue for a shared process that mediates identification of both letters and digits. Finally, we discuss relevant previous results in light of this conclusion.


Subject(s)
Dyslexia, Acquired/physiopathology , Mathematical Concepts , Pattern Recognition, Visual/physiology , Reading , Visual Perception/physiology , Adult , Comprehension , Humans , Male , Mental Processes , Photic Stimulation/methods , Reaction Time/physiology , Symbolism
18.
Cogn Neuropsychol ; 30(6): 360-95, 2013.
Article in English | MEDLINE | ID: mdl-24512594

ABSTRACT

We report a detailed and extensive single-case study of an acquired dyslexic patient, L.H.D., who suffered a left-hemisphere lesion as a result of a ruptured aneurysm. We present evidence that L.H.D.'s reading errors stem from a deficit in visual letter identification, and we use her deficit as a basis for exploring a variety of issues concerning prelexical representations and processes in reading. First, building on the work of other researchers, we present evidence that the prelexical reading system includes an allograph level of representation that represents each distinct visual shape of a letter (e.g., a, A, etc., for the letter A). We extend a theory proposed by Caramazza and Hillis [Caramazza, A., & Hillis, A. (1990a). Spatial representation of words in the brain implied by studies of a unilateral neglect patient. Nature, 346, 267-269] to include an allograph level, and we probe the nature of the allograph representations in some detail. Next, we explore the implications of visual similarity effects and letter perseverations in L.H.D.'s reading performance, arguing that these effects shed light on activation dynamics in the prelexical reading system and on the genesis of L.H.D.'s errors. We also probe the processing of letter case in the visual letter identification process, proposing that separate abstract letter identity and case representations are computed. Finally, we present evidence that the allograph level as well as the abstract letter identity level implement a word-based frame of reference.


Subject(s)
Brain/pathology , Brain/physiopathology , Dyslexia, Acquired/etiology , Dyslexia, Acquired/psychology , Neuropsychological Tests , Reading , Aged , Aneurysm, Ruptured/complications , Anomia , Comprehension , Dyslexia, Acquired/pathology , Dyslexia, Acquired/physiopathology , Female , Humans , Intracranial Aneurysm/complications , Magnetic Resonance Imaging
19.
Cogn Neuropsychol ; 30(6): 396-428, 2013.
Article in English | MEDLINE | ID: mdl-24512595

ABSTRACT

Visual word recognition requires information about the positions as well as the identities of the letters in a word. This study addresses representation of letter position at prelexical levels of the word recognition process. We present evidence from an acquired dyslexic patient, L.H.D., who perseverates letters in single-word reading tasks: Far more often than expected by chance, L.H.D.'s reading responses include letters from preceding responses (e.g., SAILOR read as SAILOG immediately after FLAG was read correctly). Analyses carried out over two large data sets compared the positions of perseverated letters (e.g., the G in SAILOG) with the positions of the corresponding "source" letters (e.g., the G in FLAG). The analyses assessed the extent to which the perseverations preserved source position as defined by various theories of letter position representation. The results provided strong evidence for graded both-edges position representations, in which the position of each letter is encoded coarsely relative to both the beginning and the end of the word. Alternative position representation schemes, including letter-context and orthosyllabic schemes, were not supported.


Subject(s)
Aneurysm, Ruptured/complications , Brain/pathology , Dyslexia, Acquired/etiology , Hematoma, Subdural, Intracranial/complications , Intracranial Aneurysm/complications , Reading , Accidents, Traffic , Aged , Aneurysm, Ruptured/pathology , Aneurysm, Ruptured/physiopathology , Aneurysm, Ruptured/psychology , Brain/blood supply , Brain/physiopathology , Dyslexia, Acquired/pathology , Dyslexia, Acquired/physiopathology , Dyslexia, Acquired/psychology , Female , Hematoma, Subdural, Intracranial/etiology , Humans , Intracranial Aneurysm/pathology , Intracranial Aneurysm/physiopathology , Intracranial Aneurysm/psychology , Magnetic Resonance Imaging , Posterior Cerebral Artery/pathology
20.
Arch Neurol ; 68(7): 932-7, 2011 Jul.
Article in English | MEDLINE | ID: mdl-21747034

ABSTRACT

OBJECTIVE: To evaluate whether enlarged substantia nigra hyperechogenicity (SN+) is associated with an increased risk for Parkinson disease (PD) in a healthy elderly population. DESIGN: Longitudinal 3-center observational study with 37 months of prospective follow-up. SETTING: Individuals 50 years or older without evidence of PD or any other neurodegenerative disease. PARTICIPANTS: Of 1847 participants who underwent a full medical history, neurological assessment, and transcranial sonography at baseline, 1535 could undergo reassessment. MAIN OUTCOME MEASURE: Incidence of new-onset PD in relation to baseline transcranial sonography status. RESULTS: There were 11 cases of incident PD during the follow-up period. In participants with SN+ at baseline, the relative risk for incident PD was 17.37 (95% confidence interval, 3.71-81.34) times higher compared with normoechogenic participants. CONCLUSIONS: In this prospective study, we demonstrate for the first time a highly increased risk for PD in elderly individuals with SN+. Transcranial sonography of the midbrain may therefore be a promising primary screening procedure to define a risk population for imminent PD.


Subject(s)
Parkinson Disease/pathology , Substantia Nigra/pathology , Aged , Aged, 80 and over , Brain Mapping , Female , Humans , Longitudinal Studies , Male , Middle Aged , Neurologic Examination , Parkinson Disease/diagnostic imaging , Parkinson Disease/etiology , Risk Factors , Substantia Nigra/diagnostic imaging , Ultrasonography, Doppler, Transcranial/methods
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