Publications by authors named "Jessica De Leon"

Based on historic observations that children with reading disabilities were disproportionately both male and non-right-handed, and that early life insults of the left hemisphere were more frequent in boys and non-right-handed children, it was proposed that early focal neuronal injury disrupts typical patterns of motor hand and language dominance and in the process produces developmental dyslexia. To date, these theories remain controversial. We revisited these earliest theories in a contemporary manner, investigating demographics associated with reading disability, and in a subgroup with and without reading disability, compared structural imaging as well as patterns of activity during tasks of verb generation and non-word repetition using magnetoencephalography source imaging.

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Frontotemporal dementia (FTD) is one of the leading causes of young-onset dementia before age 65, typically manifesting as abnormal behavior (in behavioral variant FTD) or language impairment (in primary progressive aphasia). Although FTD affects all populations across the globe, knowledge regarding the pathophysiology and genetics derives primarily from studies conducted in North America and Western Europe. Globally, biomedical research for FTD is hindered by variable access to diagnosis, discussed in this group's earlier article, and by reduced access to expertise, funding, and infrastructure.

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Cross-linguistic studies with healthy individuals are vital, as they can reveal typologically common and different patterns while providing tailored benchmarks for patient studies. Nevertheless, cross-linguistic differences in narrative speech production, particularly among speakers of languages belonging to distinct language families, have been inadequately investigated. Using a picture description task, we analyze cross-linguistic variations in connected speech production across three linguistically diverse groups of cognitively normal participants-English, Chinese (Mandarin and Cantonese), and Italian speakers.

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Article Synopsis
  • Semantic dementia (SD) patients, particularly those with semantic variant primary progressive aphasia (svPPA) and semantic behavioral variant frontotemporal dementia (sbvFTD), exhibit challenges in identifying faces due to atrophy in the anterior temporal lobe (ATL).
  • The study involved 74 SD patients and 36 healthy controls, who underwent various face recognition and semantic processing tests, alongside structural MRI scans to assess neural correlates.
  • Findings indicated that while both patient groups struggled with semantic face tasks, they performed similarly on perceptual face tests, suggesting that perceptual deficits may not arise until later stages of the disease with more extensive ATL atrophy.
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Developmental dyslexia is typically associated with difficulties in basic auditory processing and in manipulating speech sounds. However, the neuroanatomical correlates of auditory difficulties in developmental dyslexia (DD) and their contribution to individual clinical phenotypes are still unknown. Recent intracranial electrocorticography findings associated processing of sound amplitude rises and speech sounds with posterior and middle superior temporal gyrus (STG), respectively.

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  • * Researchers used automated speech analysis on audio-recorded picture descriptions from 40 FTD patients and 22 healthy controls to identify linguistic features that could help distinguish between the two types of atrophy associated with each variant.
  • * The analysis revealed key speech features that could differentiate between FTD patients and healthy controls as well as between the two variants of FTD, suggesting potential for a non-invasive diagnostic tool that correlates with specific brain areas involved in language and
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  • Semantic dementia (SD) patients, including those with semantic variant primary progressive aphasia (svPPA) and semantic behavioral variant frontotemporal dementia (sbvFTD), struggle with identifying faces and known individuals due to right anterior temporal lobe (ATL) atrophy, but the presence of perceptual deficits in face recognition is still uncertain.
  • A study involving 74 SD patients and 36 cognitively healthy controls used a series of face processing tests and MRI scans to investigate the relationship between face recognition performance and brain structure.
  • Results showed that both svPPA and sbvFTD patients had significant impairments in semantic face processing tasks, but they performed well on perceptual face recognition tests, indicating that perceptual abilities
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  • Bilingualism is believed to enhance executive functioning and may delay dementia symptoms, but its effects on cognitive reserve in frontotemporal dementia (FTD) haven't been widely studied.
  • The researchers hypothesized that bilingual individuals with behavioral variant FTD would show an older age of symptom onset compared to monolinguals but didn't expect this for other types of primary progressive aphasia (PPA).
  • Contrary to expectations, the study found no significant differences in age at symptom onset or neuropsychological performance between bilingual and monolingual patients across all FTD variants, suggesting bilingualism does not provide the expected protective effect in this group.
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  • The study explores the impact of Primary Progressive Aphasia (PPA) variants—nonfluent/agrammatic (nfvPPA), logopenic (lvPPA), and semantic (svPPA)—on non-verbal cognitive abilities, specifically processing speed, using a non-verbal task called Match.
  • Results show that lvPPA and nfvPPA patients performed worse on the task compared to healthy controls and svPPA patients.
  • Neuroimaging revealed that poorer task performance correlated with reduced gray and white matter volumes in key brain regions associated with processing speed and executive control.
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  • The study investigates whether primary progressive apraxia of speech (PPAOS) and progressive agrammatic aphasia (PAA) are distinct conditions or part of a larger non-fluent aphasia spectrum.
  • Using a group of 98 patients, the research examined speech and language characteristics, alongside disease severity, to identify meaningful clinical subgroups and potential shared pathologies.
  • Findings indicated that most participants fit known clinical categories, but the overall data showed low clustering tendencies, suggesting that these speech disorders may not form clear, distinct syndromic entities.
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Introduction: Filipino Americans are one of the largest Asian American and Pacific Islander (AAPI) populations in the United States (US). Previous studies suggest that Filipino Americans have one of the highest incidence rates of Alzheimer's disease and related dementias (ADRD) among AAPI subgroups. Despite the expected increase in Filipino Americans with ADRD, no studies to-date have validated neuropsychological measures in the United States for speakers of Tagalog, a major language spoken by Filipino Americans.

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In the field of neurodegeneration, speech and language assessments are useful for diagnosing aphasic syndromes and for characterizing other disorders. As a complement to classic tests, scalable and low-cost digital tools can capture relevant anomalies automatically, potentially supporting the quest for globally equitable markers of brain health. However, this promise remains unfulfilled due to limited linguistic diversity in scientific works and clinical instruments.

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  • * Researchers identified key brain regions where the disease begins and examined how atrophy spreads by analyzing MRI data from individuals with lvPPA and healthy controls.
  • * Findings revealed two separate brain networks linked to language skills that predict how atrophy advances in lvPPA, highlighting potential differences in patient symptoms and outcomes.
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The logopenic variant of primary progressive aphasia (lvPPA) is a neurodegenerative syndrome characterized linguistically by gradual loss of repetition and naming skills, resulting from left posterior temporal and inferior parietal atrophy. Here, we sought to identify which specific cortical loci are initially targeted by the disease (epicenters) and investigate whether atrophy spreads through pre-determined networks. First, we used cross-sectional structural MRI data from individuals with lvPPA to define putative disease epicenters using a surface-based approach paired with an anatomically-fine-grained parcellation of the cortical surface (i.

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Article Synopsis
  • Frontotemporal dementia (FTD) is a major cause of dementia in people under 65, showing symptoms like unusual behavior or language difficulties depending on the variant.
  • The symptoms and presentation of FTD can differ significantly across cultures and socioeconomic backgrounds, but most current research is based on Western populations.
  • The paper discusses how global diversity influences FTD's diagnosis and treatment, and suggests changes to improve the understanding and management of FTD worldwide.
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America's unique response to the global COVID-19 pandemic has been both criticized and applauded across political and social spectrums. Compared to other developed nations, U.S.

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Frontotemporal dementia (FTD) is an umbrella term covering a plethora of progressive changes in executive functions, motor abilities, behavior, and/or language. Different clinical syndromes have been described in relation to localized atrophy, informing on the functional networks that underlie these specific cognitive, emotional, and behavioral processes. These functional declines are linked with the underlying neurodegeneration of frontal and/or temporal lobes due to diverse molecular pathologies.

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Objective: This study reports on food insecurity (FI) amidst the COVID-19 pandemic.

Participants And Methods: College students in four regions of the US completed the two-item validated Hunger Vital Sign™ screening tool on Qualtrics.

Results: FI increased significantly after March 2020 among US students (worry about food running out: 25% to 35%; food did not last: 17% to 21%) with significant regional increase in the Midwest and South.

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  • Researchers are trying to use electronic health records (EHR) to study how to help young people living with HIV more effectively.
  • They talked to experts and people working in HIV services to understand the challenges and benefits of using these EHR systems.
  • The study found 17 different EHR systems and identified ways to improve their use for better HIV care and prevention.
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Background And Objectives: Curriculum addressing racism as a driver of inequities is lacking at most health professional programs. We describe and evaluate a faculty development workshop on teaching about racism to facilitate curriculum development at home institutions.

Methods: Following development of a curricular toolkit, a train-the-trainer workshop was delivered at the 2017 Society of Teachers of Family Medicine Annual Spring Conference.

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Only half of patients with hypertension (HTN) respond to any given antihypertensive medication. Heterogeneity in pathophysiologic pathways underlying HTN is a major contributor. Personalizing antihypertensive therapy could improve blood pressure (BP) reduction.

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Background: Semantic variant primary progressive aphasia (svPPA), a clinical syndrome characterized by loss of semantic knowledge, is associated with neurodegeneration that starts in the anterior temporal lobe (ATL) and gradually spreads towards posterior temporal and medial frontal areas. At the earliest stages, atrophy may be predominantly lateralized to either the left or right ATL, leading to different clinical profiles with greatest impairment of word comprehension or visual/social semantics, respectively.

Methods & Procedures: We report the in-depth longitudinal investigation of cognitive and neuroanatomical features of JB, an unusual case of ATL neurodegeneration with relative sparing of left lateral ATL regions.

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Introduction: The effect of bilingualism on age at onset has yet to be examined within different clinical variants of Alzheimer's disease.

Methods: We reviewed the research charts of 287 well-characterized participants with either amnestic Alzheimer's dementia or logopenic variant primary progressive aphasia (lvPPA) and identified bilingual speakers based on regular use of two or more languages and/or ability to communicate with native speakers in two or more languages. We evaluated whether bilingual speakers demonstrated a delay in age of symptom onset relative to monolingual speakers while controlling for other variables known to influence cognitive reserve.

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Objective: To understand whether the clinical phenotype of nonfluent/agrammatic primary progressive aphasia (nfvPPA) could present differences depending on the patient's native language.

Methods: In this cross-sectional study, we analyzed connected speech samples in monolingual English (nfvPPA-E) and Italian speakers (nfvPPA-I) who were diagnosed with nfvPPA and matched for age, sex, and Mini-Mental State Examination scores. Patients also received a comprehensive neuropsychological battery.

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A 66-year-old woman presented with agrammatism and apraxia of speech, meeting criteria for non-fluent/agrammatic variant primary progressive aphasia (nfvPPA). However, three years later, she developed frontal/executive, short-term phonological memory, visuospatial, and visual memory deficits suggesting involvement of multiple brain networks. Multimodal neuroimaging showed damage of both fronto-striatal and posterior brain regions.

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