Image Scale Research Articles

Factors influencing the health-related quality of life among persons with lower limb amputation wearing a prosthesis

IntroductionLimb amputation is often an unavoidable process in many diseases and accidents, leading to several limitations in social, professional, and recreational activities.ObjectivesTo explore the perceptions of persons with lower limb amputation (PLLA) wearing a prosthesis regarding the health-related quality of life (HRQoL), and to examine the relationships between HRQoL, body image disturbance, and self-esteem.MethodsThe research sample consisted of 91 PLLA who were using a prosthesis. The data were collected through a questionnaire comprised of demographic information and the following scales: The Short Form Health Survey-12 (SF-12), the Amputee Body Image Scale (ABIS-R), and the Rosenberg scale (RSES), in order to assess HRQoL, body image disturbance, and self-esteem respectively. The SPSS statistical software (v.26) was used for the statistical analysis of the data.Results The mean SF-12 score of the participants was 70.31 (SD=16.74). The HRQoL was affected by the following sociodemographic factors: age, educational level, profession, income, marital status, and parenthood. It was also influenced by disability-related factors, such as amputation cause and years of prosthesis use. In particular, young participants reported a better level of HRQoL than the older participants (p<0.001). Participants with a higher education level presented better HRQoL than those with lower education level (p<0.001). Unemployed participants and students presented better HRQoL scores compared to all other professional categories (p=0.001). However, participants with lower incomes <10,000 € reported a lower level of HRQoL (p=0.028). Singles had the highest HRQoL score, while widowers had the lowest (p=0.001). Childfree participants experienced the highest level of HRQoL (p=0.001). Participants whose amputation resulted from an accident reported a better HRQoL compared to those who had an amputation due to Type 2 diabetes (p<0.001). As the years of prosthesis use increase, HRQoL decreases (p=0.001). Regarding the associations between HRQoL, body image disturbance, and self-esteem statistically significant relationships were recorded. More specifically, there is a significant positive relationship between RSES and SF-12 (p<0.001); as participants’ self-esteem increases, so does their HRQoL. Conversely, a statistically significant negative correlation emerged between SF-12 and ABIS-R (p<0.001); as HRQoL increases, body image disturbance decreases.ConclusionsThe aforementioned factors should be considered in the design and implementation of psychosocial interventions aimed at recovery. Qualitative studies are recommended to explore the lived experiences of PLLA in-depth.Disclosure of InterestNone Declared

The application of Hyperpixel segmentation algorithm in Chinese painting

Chinese painting, as an important component of traditional Chinese art, not only expresses Chinese culture and history, but also contains rich artistic connotations. Therefore, extracting and analyzing the main objects of Chinese painting is of great significance. The research introduces a fusion deep network based super pixel segmentation algorithm for image segmentation, and utilizes user marked segmentation target objects and backgrounds. The maximum similarity region merging idea is adopted to extract the main subject objects in Chinese painting, thereby achieving a deep understanding of the work. The results show that the boundary recall and segmentation accuracy of the Chinese painting subject object segmentation algorithm based on super pixels on the BuptPainting dataset are as high as 94.38% and 98.06%, respectively, with an undersegmentation error rate of only 7.69%. Meanwhile, the average accuracy value, optimal data scale value, and optimal image scale value of this method on the BuptPainting dataset are as high as 0.657, 0.541, and 0.529, respectively. The method proposed by the research institute has significant advantages in segmenting the main objects of Chinese painting, providing new ideas and methods for image analysis and processing of modern Chinese painting, and helping to further explore the artistic charm and cultural connotations of Chinese painting.

Scale for Body Image Concerns During the Perinatal Period – Adaptation and validation

IntroductionThe perinatal period may intensify weight and body image concerns. Due to its specifics, the traditional body image scales are inaccurate in the perinatal period (Fuller-Tyszkiewicz et al. 2013). The Body Image Concerns During Pregnancy (Uçar et al. 2018) was developed to measures this cognitive-emotional variable in pregnancy.ObjectivesTo analyze the psychometric properties of the Portuguese adapted (both for pregnancy and postpartum) version of the Body Image Concerns during the Perinatal Period (BICPP), namely its construct validity and the internal consistency.MethodsA sample of 346 women recruited through social media and Family Health Units, assessed in the second trimester of pregnancy (mean gestational age=28.11±7.67 weeks) and after delivery (baby’s age 4.37±2.87 months), completed a survey including the Portuguese BICPP.The total sample was randomly divided into two sub-samples: sample A (n=173) was used to perform an exploratory factor analysis/EFA; sample B (n=173) to perform a confirmatory factor analysis/CFA.ResultsEFA resulted in four components. CFA revealed that the second-order model with four factors presented good fit indexes (X2/df=2.4141; CFI=.9195; GFI=.948; TLI=.9028; GFI=.8181; RMSEA=.0807). BICPP Cronbach alphas was α=.936; for F1 Concern about future weight and image, F2 Concern with the new body image, F3 Social avoidance and concern and F4 Concern with appearance were .922, .930, .809, .807, respectively.ConclusionsThis psychometric study provides evidence for the validity and reliability of the Portuguese version of BIC-Perinatal Period, which will be used in an ongoing research project on the relationship between eating, depressive and anxiety disorders in the perinatal period.Disclosure of InterestNone Declared

Perception of medical tourism image from the perspective of healthcare professionals: The case of Turkey

The study aims to reveal Türkiye’s medical tourism destination image and its determinants from the perspective of healthcare professionals. The cross-sectional study population consists of healthcare professionals working in public hospitals in Türkiye (N=1.142.469). The research data were collected using a questionnaire consisting of two parts. The first part of the questionnaire consisted of statements aiming to reveal the socio-demographic characteristics of the participants. The “medical tourism image scale” was used in the second part of the questionnaire. The study data were collected online between July 1, 2022, and March 31, 2023. Of the participants, 64.9% were female, 58.1% were married, 37.7% were between the ages of 18-29, and 31.7% were physicians. 76.7% of the participants chose their profession willingly, 80.2% were dissatisfied with their lives in general, 23.9% were working in the Black Sea Region, and 56.9% stated that economic instability was the biggest obstacle to medical tourism. As a result of the study, the total score on the medical tourism scale was 94.270±12.751. According to the results of the correlation analysis, there was a relationship between service quality, safety and security, cost, tourism opportunities, hygiene, and accessibility (p<0.001). Türkiye’s medical tourism destination image is high, according to healthcare professionals. However, healthcare professionals think that economic instability is the biggest obstacle to medical tourism. The most important conclusion of the study is that service quality, safety and security, cost, tourism opportunities, hygiene level, and accessibility are essential factors in forming a medical tourism image.

Rethinking Multi-Scale Representations in Deep Deraining Transformer

Existing Transformer-based image deraining methods depend mostly on fixed single-input single-output U-Net architecture. In fact, this not only neglects the potentially explicit information from multiple image scales, but also lacks the capability of exploring the complementary implicit information across different scales. In this work, we rethink the multi-scale representations and design an effective multi-input multi-output framework that constructs intra- and inter-scale hierarchical modulation to better facilitate rain removal and help image restoration. We observe that rain levels reduce dramatically in coarser image scales, thus proposing to restore rain-free results from the coarsest scale to the finest scale in image pyramid inputs, which also alleviates the difficulty of model learning. Specifically, we integrate a sparsity-compensated Transformer block and a frequency-enhanced convolutional block into a coupled representation module, in order to jointly learn the intra-scale content-aware features. To facilitate representations learned at different scales to communicate with each other, we leverage a gated fusion module to adaptively aggregate the inter-scale spatial-aware features, which are rich in correlated information of rain appearances, leading to high-quality results. Extensive experiments demonstrate that our model achieves consistent gains on five benchmarks.

MFIFusion: An infrared and visible image enhanced fusion network based on multi-level feature injection

Infrared and visible image fusion aims to integrate complementary information from both types of images. Existing deep learning-based fusion methods rely solely on the final output of the feature extraction network, which may overlook valuable information presented in the middle layers of the network, ultimately reducing the richness of the fusion results, i.e., detailed texture information might not be fully extracted and integrated into the fused image. This study proposes a multi-level feature injection method based on an image decomposition model for infrared and visible image fusion, termed as MFIFusion. On the one hand, we introduce an attention-guided multi-level feature injection module designed to mitigate information loss during the feature extraction stage of the image scale decomposition process. More specifically, the proposed method integrates multiple fusion branches in the encoder network and employs an attention mechanism to guide the feature fusion process. On the other hand, based on the characteristics that superficial features retain image detail information and profound features are more suitable for extracting semantic information from images, we use distinct fusion strategies in these two phases to adaptively control the intensity distribution of the salient targets and to preserve the texture information in the background region. Qualitative and quantitative results demonstrate that our proposed approach produces fused images that are more visually salient to the target and contain richly detailed textures.

Object-Oriented and Visual-Based Localization in Urban Environments.

In visual-based localization, prior research falls short in addressing challenges for the Internet of Things with limited computational resources. The dominant state-of-the-art models are based on separate feature extractors and descriptors without consideration of the constraints of small hardware, the issue of inconsistent image scale, or the presence of multi-objects. We introduce "OOPose", a real-time object-oriented pose estimation framework that leverages dense features from off-the-shelf object detection neural networks. It balances between pixel-matching accuracy and processing speed, enhancing overall performance. When input images share a comparable set of features, their matching accuracy is substantially heightened, while the reduction in image size facilitates faster processing but may compromise accuracy. OOPose resizes both the original library and cropped query object images to a width of 416 pixels. This adjustment results in a 2.4-fold improvement in pose accuracy and an 8.6-fold increase in processing speed. Moreover, OOPose eliminates the need for traditional sparse point extraction and description processes by capitalizing on dense network backbone features and selecting the detected query objects and sources of object library images, ensuring not only 1.3 times more accurate results but also three times greater stability compared to real-time sparse ORB matching algorithms. Beyond enhancements, we demonstrated the feasibility of OOPose in an autonomous mobile robot, enabling self-localization with a single camera at 10 FPS on a single CPU. It proves the cost-effectiveness and real-world applicability of OOPose for small embedded devices, setting the stage for potential markets and providing end-users with distinct advantages.

A fast gangue detection algorithm based on multi-head self-attention mechanism and anchor frame optimization strategy

ABSTRACT Because of the problem of difficult identification, model acceleration, and localization for coal gangue detection, a fast coal gangue detection algorithm based on a multi-head self-attention mechanism and anchor frame optimization strategy is designed. Firstly, the multi-head self-attention mechanism MHSA is combined with the CNN backbone structure of YOLOv5s, which is used to enhance the algorithm’s ability to perceive global information to strengthen the model’s recognition of coal and gangue; Secondly, the lightweight Ghost module will be used to reconfigure the backbone of YOLOv5s and the feature fusion layer to reduce the complexity of the model and increase the speed of the coal gangue image detection; And lastly, the selection of an appropriate strategy of input image scale and anchor frame size to improve the performance of the detection algorithm to solve the problem of localization of coal and gangue. Experiments show that the average accuracy of the improved MYL model mAP_0.5 reaches 91.8%, the detection accuracy of mAP_0.5 is improved by 3.6%, and the detection speed is 80 FPS. The improved MYL model can show stronger robustness and superior performance in the detection of coal gangue and can meet the requirements of effective industrial detection.

PENGARUH SELF COMPASSION DAN SELF IMAGE TERHADAP IDE BUNUH DIRI PADA MAHASISWA DI KOTA SEMARANG

Suicide is one of the causes of death in the world. According to WHO, the number of deaths due to suicide is about 800,000 people each year, or about 1 person every 40 seconds. Indonesia ranks fourth from countries in ASIA with suicides. Suicide is prevalent among teenagers. In this case, it can be said that college students are also classified into late adolescence to go into early adulthood. Adolescence is the most important period for personality development and integration. The importance of Self Compassion and Self Image influences the emergence of Suicidal Ideation. The population in this study is students in Semarang City. Sample using Purposive Sampling. This type of research is quantitative research, which uses 3 scales, namely the Self Compassion scale, the Self Image scale and the Suicide Ideation scale. Data analysis techniques using SPSS. The results showed that the value of F Value calculated = 85.726 > Ftable = 8.562, this means that Self Compassion (X1) simultaneously affects Suicide Ideation (Y). F value count = 126.646 > Ftable = 8.562, This means that Self Image (X2) simultaneously affects Suicide Ideation (Y).
 Keywords: Self Compassion, Self Image, Suicide Ideation, Student

The Relationship Between Body Image Perception, Quality of Life and Patient Satisfaction in Medical Tourısts Undergoing Obesity Surgery

Aim: This study was aimed at determining the relationship between and determinants of the perceived body image, patient satisfaction and quality of life of individuals who preferred Turkey to undergo Bariatric Metabolic Surgery within the scope of medical tourism. 
 Methods: The population of the study consisted of 329 medical tourists who underwent bariatric surgery between 2015 and 2022 in private hospitals having health tourism authorization certificate in Samsun. Data were collected between September 01, 2021 and November 31, 2022 using the Personal Information Form, Body Image Scale, Quality of Life Scale and Patient Satisfaction Scale. 
 Results: Of the participants, 37.4% were men and 62.6% were women. Their mean age was 39.74±10.063 years. According to the results obtained from the present study, patient satisfaction was affected by the variables such as age, education level, family type, monthly income, income status, exercise status, chronic disease status and perceived body image (p

An investigation of the effect of mindfulness-integrated cognitive behavior therapy on demoralization, body image, and sexual function in Iranian women with breast cancer: a randomized controlled trial

BackgroundBreast cancer is an extremely unpleasant and unbearable experience that can have a profound impact on a person’s life. Compared to other types of cancer, breast cancer has a more severe psychological impact on women.PurposeThis study aimed to investigate the effect of mindfulness-integrated cognitive behavior therapy on demoralization, body image, and sexual function in Iranian women with breast cancer.MethodA sample of 30 women with breast cancer were randomly divided into intervention and control groups. The research was conducted in the oncology division of Imam Reza Hospital in Kermanshah by the clinical trial method with a two-group pretest–posttest design and a 2 month follow-up. Participants in the intervention group received Mindfulness-integrated cognitive behavior therapy for eight sessions. The intervention was carried out individually in weekly 60 min sessions. While the control group received self-help treatment (through an educational book). A demographic questionnaire, Demoralization Scale (DS-II), Body Image Scale (BIS), and Female Sexual Function Index (FSFI) were used to collect data. For data analysis, means and standard deviations were calculated and repeated measures and the Bonferroni test was conducted using SPSS 26.ResultsThe results showed the effectiveness of mindfulness-integrated cognitive behavior therapy on demoralization, body image, and sexual function (p < 0.05). Concerning demoralization in the intervention group, the pre-test mean was 16.73 ± 3.33, and it reduced to 11.93 ± 1.49 in the post-test. The body image mean score showed a decreasing trend in the intervention group, from 12.47 ± 1.88 in the pre-test to 8.80 ± 3.21 in the post-test. The mean score for sexual function showed an increasing trend, increasing from 18.06 ± 2.29 in the pre-test to 23.07 ± 0.91 in the post-test. There was no significant difference in the mean score of the post-test compared to the pre-test and follow-up in the control group (p < 0.05).ConclusionMICBT can be used in conjunction with pharmaceuticals and medical treatments to improve the psychological symptoms of women with breast cancer, according to this study’s results.Trial registration (IRCT20160103025817N6). 2022-04-06.

The Effectiveness of Group Compassion-Focused Therapy on Body Image and Interpersonal Stress among Women with Breast Cancer: A Randomized Controlled Trial

Background: Breast cancer ranks as the most common cancer among women globally, with over 6% of deaths annually attributed to this disease. Compassion-focused therapy (CFT) alters existing emotional patterns, empowering individuals to enhance their self-care and support. It diminishes self-criticism and emotional issues while fostering self-acceptance, thereby improving individuals' ability to handle their own well-being and interpersonal relationships more effectively in difficult circumstances like breast cancer. Objectives: This study aimed to examine the impact of group CFT on body image and interpersonal stress among women with breast cancer. It sought to assess the average scores for body image and interpersonal stress, along with their respective subscales, within the CFT and control groups before, after the intervention, and during the follow-up phase. Methods: The study included 44 women diagnosed with breast cancer, referred to hospitals in Kashan, Iran, in 2022. With informed consent obtained, participants were randomly allocated to the CFT group (n = 22) or the control group (n = 22). They completed the Body Image Scale (BIS) and the Interpersonal Stress Scale (ISS) before treatment, after treatment, and at a 2-month follow-up. Results: The findings indicated no significant differences in demographic variables (such as age, marital status, employment status, number of children, and education level) between the two groups. Repeated measures of analysis of variance (ANOVA) analysis demonstrated that CFT significantly improved body image and reduced interpersonal stress among women with breast cancer. Conclusions: Compassion-focused therapy proves to be a potentially effective therapeutic strategy for women with breast cancer. Further studies are necessary to comprehensively explore the benefits of CFT for breast cancer patients and its integration into conventional care practices.

The Relationship Between Body Image and Psychological Well-Being with Post-traumatic Growth in Women with Breast Cancer and a History of Mastectomy

Background: Despite the challenging nature of cancer, research has indicated that the battle against this illness can lead to positive transformations following diagnosis and treatment, a phenomenon known as post-traumatic growth. Objectives: This study aimed to explore the association between body image and mental well-being and post-traumatic growth among women who have undergone breast cancer treatment and mastectomy surgery. Methods: Employing a correlational research design, this study sampled 276 participants, focusing on married women in Tehran who have experienced mastectomy. The instruments used included McKinley and Hyde's Body Image Scale (1996), the Ryff Scale of Psychological Well-Being 1989 (RSPWB-18), and the Post-traumatic Growth Inventory (PTGI) by Tedeschi. Results: Data analysis was conducted using Pearson's correlation test and multivariate regression analysis. The findings revealed a significant association between psychological well-being and post-traumatic growth in women (P &lt; 0.01). Conclusions: The results underscore the importance of incorporating an understanding of the relationship between these variables into the development of educational and psychological interventions, integrating them with treatment plans for patients post-breast cancer surgery.

The Effect of Information Motivation Behavioural Skills (IMB) Model Based Postpartum Sexual Counselling on Sexual Health of Women

Aim: The aim of this study was to determine the effect of postpartum sexual counseling provided using the Information-Motivation-Behavior (IMB) model on women's sexual health.&#x0D; Materials and Method: This semi-experimental study was completed with 105 people, including 55 postpartum women in the experimental group and 50 people in the control group. Postpartum sexual counseling based on Information-Motivation-Behavioral skills was given to the women in the experimental group.The Female Sexual Function Questionnaire Index (IFSF), Edinburgh Postpartum Depression Scale (EPDS), and Body Image Scale (BCS) were used to obtain the data.&#x0D; Results: In the repeated measurements of the experimental group made in the 2nd and 4th months postpartum; It was determined that the IFSF total score and Sexual Satisfaction subscale scores were higher than the control group and the difference between them was statistically significant. In the 4th month postpartum, the EPDS scores of the experimental group were significantly lower. BCS scores were found to be lower in the experimental group than the control group at the 2nd and 4th months.&#x0D; Conclusion: It was determined that postpartum sexual counseling using the IMB model positively affected women's sexual health.

Women with disabilities, body image, and wellbeing: Assessing the effectiveness of dance sessions

IntroductionThere is growing research evidence on bodily discourses and body image issues of women with disabilities. Within the art-based intervention repertoire for persons with disabilities, dance and movement-based therapies and interventions are gaining prominence. The aim of this study was to examine the impact of dance sessions (delivered online) on body image, body satisfaction/dissatisfaction, and wellbeing of women with disabilities. MethodA quasi-experimental waitlist control design study was conducted with data collected at two time points: baseline or pre-test and five-months later or post-test. Outcomes were measured using the Body Image Scale and the WHO-5-Wellbeing Index. ResultsThe dance sessions were effective (Hedges’ g = −0.56 –0.88; p < 0.01) and post-test body dissatisfaction scores were lower and wellbeing scores were higher for participants with a college degree or postgraduate degree, self-employed or students, and whose intervention compliance was above threshold (>50% dance sessions attended and corresponding homework sessions completed). Tobit regression models indicated that it was possible to estimate post-test outcomes due to dance sessions alone, controlling for significant socio-demographics. DiscussionThe domain knowledge of non-pharmacological art-based interventions for persons with disabilities, particularly women, is supported. ConclusionsFindings commend dance sessions as effective psychotherapeutic mechanisms to mitigate body dissatisfaction, improve body image and wellbeing of women with disabilities. Future research may focus on large-scale cross-sectional trials, variations in the repertoire for women with different disability types and histories, and qualitative narratives.

국제영화제 이미지가 개최 도시 이미지와 관광객의 관광지 평가에 미치는 영향

This study aims to confirm through the case of the Busan International Film Festival (BIFF) how the image of the international film festival affects the image of the host city and the evaluation of tourist destinations through prior research. And the results of this study will give the necessary implications for improving the image of Busan. The results of this study are as follows. First, the image of the Busan International Film Festival had a significant impact on the image of the host region. Among the image factors of an international film festival, the event contents has a significant impact on the regional image. Second, the image of the Busan International Film Festival had a significant Among the factors of the international film festival image, event contents and event information have a significant impact on tourist destination evaluation. Third, regional image had a significant impact on tourists’ evaluation of touristdestinations. Regional image factors such as emotional image, cognitive image, and infrastructure all have a significant impact on tourist destination evaluation. As a tool to measure the experience of cultural tourists, the International Film Festival Image Scale has practical utility for successful festivals and stimulating the cultural desires of potential cultural tourists, and the influence relationship with regional image is significant as an attempt to understand the direction of regional economic revitalization through festivals.

Self‐Calibrated Flexible Holographic Curvature Sensor

AbstractOptical curvature sensors find regular use in deformation analysis, typically requiring pre‐calibration and post‐processing of the gathered data. In this work, a self‐calibrated curvature sensor based on flexible holographic metasurfaces operating in the visible range is presented. In contrast to existing solutions, the sensor can be fabricated independently from the target objects and provides an immediate readout of their curvature. The sensor consists of distinct patterned areas that create images of a reference scale and of a position indicator, which shift with respect to each other, as the metasurface is deformed. The results of this sensor are validated with an external calibration and critically discuss the types of deformations that the sensor can detect. This feature makes the sensor particularly attractive for applications where real‐time curvature monitoring is essential, such as in robotics, biomechanics, and structural health monitoring.

Decision regret, and other mental health outcomes, following fertility preservation in the transgender individual compared to the cisgender woman.

This study aimed to (1) determine differences in depression, anxiety, body image, quality-of-life (QOL), and decision regret scale (DRS) scores in transgender individuals undergoing fertility preservation (FP) compared to those who decline and (2) determine if DRS score following FP varies between transgender individuals and cisgender women. Sixteen transgender birth-assigned (BA) females and 13 BA males, undergoing FP consultation at an academic center between January 2016 and November 2019, were compared to each other and cisgender cohorts with pre-existing data: 201 women undergoing elective oocyte cryopreservation (EOC) between 2012 and 2016 and 44 women with cancer undergoing FP between 1993 and 2007. Outcomes included demographics; validated scales for depression, anxiety, body image, QOL (see below) in the trans cohort; DRS score in all three cohorts. Of 29 transgender individuals participating, 10 BA females (62%) and 12 BA males (92%) underwent FP. Beck Depression Inventory II, Hospital Anxiety and Depression Scale, Body Image Scale for Transsexuals, Satisfaction with Life Scale, Short Form Health Survey-36, and DRS scores were not significantly different between trans individuals who underwent FP and those who declined. On univariate modeling, regret was significantly lower in transpeople undergoing FP compared to those who did not (OR 0.118, p = 0.03). BA female and BA male transpatients undergoing FP reported DRS median scores 5 (mean 9) and 7.5 (mean 15), respectively, both were not significantly different from cisgender women (p = 0.97, p = 0.25) nor from each other (p = 0.43). Depression, anxiety, body image, and QOL, in a group of individuals presenting for FP consultation, appear similar between transpeople undergoing FP and not, while regret is significantly lower in those choosing FP. FP is an option for transgender individuals without significant differences in regret compared to cisgender women.

Effectiveness of telerehabilitation-based structured exercise program in individuals with unilateral transtibial amputation: a randomized controlled study

Purpose The study aimed to compare the effects of home exercise alone and telerehabilitation combined with home exercise in individuals with transtibial amputation. Materials and methods The telerehabilitation group (n = 24) received telerehabilitation combined with home exercise, while the control group (n = 24) received home exercise alone. Outcomes included the timed up-and-go (TUG) test and the 30-second chair-stand test (30CST), the Activities-specific Balance Confidence (ABC) Scale, the Trinity Amputation and Prosthesis Experience Scales (TAPES), the Amputee Body Image Scale (ABIS), and the Nottingham Health Profile (NHP). The analysis used a 2 × 2 mixed repeated measures ANOVA. Results The group-by-time interactions were significant for TUG (p = 0.002, F[1;41] = 10.74) and 30CST (p = 0.001, F[1;41] = 11.48). The mean difference (6th week-baseline) was −0.49 for TUG and 0.95 for 30CST in the telerehabilitation group and −0.14 for TUG and 0.13 for 30CST in the control group. There were statistically meaningful group-by-time interactions on the ABC (p = 0.0004, F[1;41] = 14.47), the TAPES-activity restriction (p = 0.0001, F[1;41] = 28.96), TAPES-prosthesis satisfaction (p = 0.004, F[1;41] = 9.19), and the NHP (p = 0.0002, F[1;41] = 16.07) favoring the telerehabilitation group. Conclusions Telerehabilitation combined with home exercise can offer greater benefits in improving gait, muscle strength, balance confidence, activity restriction, prosthesis satisfaction, and quality of life compared to home exercise alone for individuals with transtibial amputation. Implications for rehabilitation Exercise helps individuals with lower limb amputation overcome their physical limitations and enables them to use their prostheses effectively. Physiotherapy and rehabilitation after amputation are not at the desired level, and individuals with lower limb amputation encounter various difficulties in accessing physiotherapy. Telerehabilitation has great potential to facilitate access to physiotherapy for individuals with amputation and reduce resource utilization. In a relatively small sample of amputees, this study shows that telerehabilitation-based exercise improves physical health and quality of life.

The Intermediary Role of Corporate Communication in the Effect of Customer Relations Management on Brand Image

In this study, customer relationship management, brand image and corporate communication concepts were examined. Concepts were discussed and detailed information was obtained through a literature review. In the research part, the mediating role of corporate communication in the effect of customer relationship management on brand image was studied. The study sample consisted of 253 participants within the research population and was reached by convenience sampling. In the study, data was collected by survey method, and customer relationship management, brand image and corporate communication scales and sub-dimensions were analyzed. In the study, data analysis was done using the SPSS 22.0 program. According to the results of the analysis, corporate communication has a mediating role in the effect of customer relationship management on brand image.