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How do screen readers render html (can layout of page be implied from screen reader presentation)

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From: Birkir Rúnar Gunnarsson
Date: Aug 28, 2010 1:18PM

Hello listers

I am wondering if anyone can give me a link or overview on how a
screen reader, in the absence of specific techniques such as tab
order, renders an html page.
Is it always from left to right, top to bottom of the page?
If I see a group of links at the beginning of my Jaws page, can I
reasonably assume it is in the top left corner of the page as
renderred on the screen in my favorite web browser?
I am trying to Google this but find nothing concrete about it.
If anyone has an article or knowledge about this it'd be very valuable.
Thank you
-Birkir