Image Scale Research Articles

Let's talk about sex! Why should healthcare professionals address sexual distress in breast cancer patients and survivors?

PurposeSexual distress impacts the quality of life (QoL) of breast cancer patients but is often overlooked in standard care pathways. This study evaluated the prevalence and factors of sexual distress among Dutch breast cancer patients, compared them to the general population, and explored how sexual distress is discussed in clinical settings from the perspectives of patients and healthcare professionals (HCPs). MethodsQuestionnaires containing the Female Sexual Distress Scale (FSDS) and demographic variables were distributed to women with breast cancer. The effect of breast cancer on sexual distress was assessed with a Mann-Whitney U test. Multivariable linear regression was used to analyze variables associated with FSDS. The Sexuality Attitudes and Beliefs Survey (SABS) was sent to HCPs. ResultsBreast cancer patients reported significantly higher sexual distress compared to a Dutch non-breast cancer cohort, respectively 16.38 (SD 11.81) and 23.35 (SD 11.39). Factors associated with higher sexual distress were psychological comorbidities, the body image scale, and being diagnosed >10 years ago. Sexual distress was not discussed as often as patients needed. Barriers to addressing sexual distress were time constraints, HCPs’ confidence in their ability to address sexual distress, and uncertainty about who is responsible for initiation. ConclusionsBreast cancer patients showed significantly higher sexual distress compared to the Dutch population. However, it was not frequently addressed in the consultation room. While some barriers have been identified, this study highlights the importance of further exploring obstacles to integrating discussions about sexual distress into routine care to improve QoL of breast cancer patients.

A Quantitative Study Examining the Relationship Between Parental Socioeconomic Status, Body Image, Peer Influence, and Self-esteem Among Adolescents

People with high self-esteem are better able to take delight in life's little pleasures, handle difficult situations, overcome challenges, establish lasting relationships, and strengthen their weaknesses. This study examined socioeconomic status, body image, and peer influence on self-esteem among in-school adolescents in Ibadan, Nigeria. The descriptive survey design of the correlational type was used during the investigation. This study employed a multi-stage sampling technique. Three hundred and forty-five in-school adolescents made the study sample. Data was collected using reliable instruments: (Peer Influence Scale α = .78; Body image scale α =0.83; Parental Socioeconomic Status Scale α =0.89; Self-Esteem Inventory α=.71). From the results, socioeconomic status (r = .533; p.<05), body image (r =. 577; p.<05), and peer influence (r = .331; p.<05) had a significant relationship with (self-esteem). Body Image made the most significant contribution (β = .371; t = 7.555; p<0.05) followed by Peer influence (β = .316; t = 8.112; p<0.05) and Socioeconomic status (β = .312; t = 6.374; p<0.05). The study underscores the need for counseling and orientation programs for adolescents in all ramifications; this will help ease the psychological strain that could hamper their self-esteem.

The relationship between social withdrawal and problematic social media use in Chinese college students: a chain mediation of alexithymia and negative body image

This study explores the relationship between social withdrawal and problematic social media use among college students, with a focus on the mediating roles of alexithymia and negative body image. Using the University Student Social Withdrawal Questionnaire, Social Media Addiction Scale, Toronto Alexithymia Scale, and Negative Body Image Scale, 2582 college students (33.46% male, average age = 19.46 years, SD = 2.23) were surveyed. Social withdrawal, alexithymia, negative body image, and problematic social media use were significantly correlated with each other. Social withdrawal positively predicted problematic social media use, and both alexithymia and negative body image played a chain mediating role between social withdrawal and problematic social media use. The findings indicate that individual social withdrawal is associated with college students’ problematic use of social media. The results suggest that alexithymia and negative body image may mediate this association, highlighting a potential pathway through which social withdrawal influences social media use patterns.

Exploring idyllic healing: developing a multi-sensory image scale for idyllic life and its impact on restorative effects and travel intention

ABSTRACT Under the theme of “idyllic healing”, this article explores the sensory images of idyllic life and their impact on restorative effects and travel intention to reveal the potential for sensory attraction and restorative effects in idyllic tourism destinations. Moreover, research indicates that imagination possesses significant positive emotional and restorative effects. However, empirical validation within the field of tourism is limited, necessitating further scholarly investigation. The article contains two progressive studies. Study 1 constructed an idyllic life multi-sensory image scale containing seven dimensions: vision, audition, haptic sense, taste, olfaction, kinesthesia and atmospheric sense, based on online text data. Study 2 used structural equation modelling to investigate the relationship between sensory dimensions, verified the influence mechanism of sensory images on restorative effects and travel intention, and found that atmospheric sense and restorative effects played an important mediating role. Through the development of the idyllic life multi-sensory image scale, this paper visualises the sensory image of idyllic life and reveals the positive contributions of imagined sensory images associated with an idyllic life to recovery effects and travel intention, underscoring the significant role of imagination, expanding the field of research in cognitive psychology, providing literature support for the integration of mental health and tourism and recreation, and highlighting the potential of rural destinations as healing places. Moreover, the relationship between the sensory dimensions of idyllic life is verified, which enriches the theory of sensory marketing. This study identifies specific sensory elements that enhance restorative experiences and will help to their translation into measurable environmental variables using psychophysics. Building on this foundation, further research into tourism dosage, this approach aims to objectify perceptions and support the scientification and quantification of travel prescriptions. Additionally, the research is expected to facilitate the future quantification of sensory perceptions and establish optimal standards for physical environmental stimuli in rural tourism settings.

Pengaruh Citra Tubuh terhadap Kompetensi Interpersonal pada Remaja Laki-laki yang Mengikuti Member Gym di Kota Padang

This research aims to determine the influence of body image on interpersonal competence in young men who attend the gym in Padang City. This research uses quantitative methods with a correlational quantitative design. The data collection technique uses Accidental Sampling. The research sample consisted of 272 respondents. The research instrument uses an interpersonal competence scale which is based on aspects of interpersonal competence according to Buhrmester, et al (1998), as well as a body image scale based on aspects developed by Cash & Pruzinsky (2002). The results of the analysis used simple linear regression analysis and the results showed that body image had a positive and significant effect on interpersonal competence in teenage boys who attended the gym in Padang City.

Abstract PO5-11-03: Associations among BMI and patient-reported body image dissatisfaction after breast reconstruction

Abstract INTRODUCTION Breast reconstruction surgery helps women restore their physical appearance and contributes to overall well-being. We assessed body image concerns in the context of breast reconstruction using patient-reported outcome measures: Body Image Scale (BIS), Brief Symptom Inventory (BSI), Appearance Schemas Inventory (ASI-R), and BREAST-Q. Since obesity is known to be associated with body image dissatisfaction1, body size may influence a patient’s adjustment to bodily changes arising from breast cancer and its treatment. Thus, we investigated the associations among BMI and patient-reported body image dissatisfaction after immediate autologous breast reconstruction. MATERIAL AND METHODS Patients undergoing breast reconstruction surgery were enrolled in an IRB approved study from 2011 to 2014 at The University of Texas MD Anderson Cancer Center. Participants (N=44) included patients who underwent immediate autologous (DIEP/TRAM) reconstruction and completed the BIS, BSI, ASI-R, and BREAST-Q, both preoperatively and postoperatively at 12+ months. Descriptive statistics including means, standard deviations, and medians were used to summarize continuous variables, while frequencies and percentages were used to summarize the categorical clinical and demographic characteristics. Univariate analyses were conducted to identify potential factors among preoperative variables for subsequent multivariable regression analysis: age, race, ethnicity, BMI, laterality, BIS, BSI, ASI-R, BREAST-Q psychosocial wellbeing score (PWBS), and BREAST-Q satisfaction with breast score (SWBS). Factors with a t test p-value≤0.2 were considered potential predictive variables for the postoperative dependent variables BIS, BREAST-Q PWBS, and BREAST-Q SWBS. Multivariable linear regression models were used to assess the relationship between the dependent and the selected predictive variables. A multivariable linear regression model was fitted using stepwise selection procedure, and the model with the highest adjusted R-squared value and the lowest Akaike information criterion (AIC) was chosen. All tests were two-sided with p-value< 0.05 considered statistically significant, and for each significant predictor, we report the unstandardized coefficient β. Analyses were performed using SPSS 29.0.0 and SAS 9.4. RESULTS Results from the selected models are summarized in Table 1. Age and BMI were significant predictors for postoperative BIS score. Older patients and those with BMI categorized as overweight and obese tend to feel less dissatisfied with their body image after immediate autologous breast reconstruction compared to patients with healthy BMI. Preoperative BSI anxiety was identified as significant predictor for postoperative BREAST-Q PWBS, i.e., patients with higher preoperative anxiety scores tend to have lower postoperative BREAST-Q PWBS. Preoperative BSI anxiety and laterality were significant predictors for postoperative BREAST-Q SWBS. Patients with higher preoperative anxiety scores tend to be less satisfied with their breasts after immediate autologous reconstruction and patients who underwent unilateral reconstruction tend to be less satisfied with their breasts postoperatively compared to patients with bilateral reconstruction. CONCLUSION Women with higher BMI may experience improved body image after undergoing immediate autologous breast reconstruction, as compared to women with healthy BMI. The use of BIS may provide more insight to plastic surgeons compared to relying solely on the body image correlates provided by the BREAST-Q. Moreover, body image counseling can be beneficial for individuals across all BMI categories, including those with healthy BMI. REFERENCES 1. Weinberger, N.A., et al., Body Dissatisfaction in Individuals with Obesity Compared to Normal-Weight Individuals: A Systematic Review and Meta-Analysis. Obes Facts, 2016. 9(6): p. 424-441. Table 1: Table for reporting selected multivariable linear regression models; (a) Postoperative BIS with explanatory variables age and BMI category, (b) Postoperative BREAST-Q PWBS with explanatory variable Preoperative BSI anxiety score, (c) Postoperative BREAST-Q SWBS with explanatory variables Preoperative BSI anxiety score and laterality. Citation Format: Sara Bouhali, Nassima Noufail, Tzuan Chen, Mary Catherine Bordes, Greg Reece, Mia Markey, Fatima Merchant, Deepti Chopra. Associations among BMI and patient-reported body image dissatisfaction after breast reconstruction [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO5-11-03.

Abstract PS04-04: Adverse effects (AEs) reported via Patient Reported Outcome Measures (PROMs): A longitudinal analysis of the IMPORT HIGH breast radiotherapy trial (CRUK/06/003)

Abstract Background IMPORT HIGH is a multicentre phase III randomised controlled trial showing efficacy and safety of appropriately-dosed simultaneous integrated boost (SIB) in terms of local control, patient and clinician reported AEs among women with early breast cancer (BC)[1]. The PROMs sub-study collected baseline demographics and quality of life over 5 years. This exploratory analysis details the patient experience over time. Methods Women with higher-than-average risk of local relapse (≥18 years, breast conserving surgery, T1-3, pN0-pN3a, M0 invasive BC) were eligible. Randomisation (1:1:1) was between 40Gy whole breast and 16Gy sequential boost radiotherapy (control) and, 36Gy whole breast, 40Gy partial breast with either 48Gy SIB (test group 1), or 53Gy SIB (test group 2) radiotherapy. AEs from EORTC QLQ-BR23[2]; Body Image Scale (BIS)[3]; and protocol-specific (PS) items used in previous breast radiotherapy trials[4] were reported by patients at baseline (pre-randomisation), 6 months, and years 1, 3, 5. 24 AEs[4] were included in the analysis, dichotomised as none/mild versus moderate/marked. Anxiety and depression were measured over 5 years using Hospital Anxiety and Depression Scale. Surgical deficit was scored from baseline photographs. Multivariable generalized estimating equation models were fitted for each AE. Potential baseline predictors included those used previously[4] plus ethnicity, smoking, deprivation, employment, cardiovascular disease history, post-operative infection, haematoma, post-surgery complication. Backwards selection and Quasi-likelihood criterion were used for model selection. Results Between 2009-2013, 1338 patients were offered the PROMs sub-study and 1078 (81%) participated. Median age was 48.8 years (IQR 44.0-54.9). 17% reported ‘Borderline’ or 14% ‘Case’ anxiety at baseline. 11% reported ‘Borderline’ or 7% ‘Case’ depression at baseline. 747/1015 (74%), 686/986 (70%), 604/916 (66%), 532/845 (63%), 461/709 (65%) of participants reported at least 1 moderate/marked AE at baseline, 6 months, 1, 3 and 5 years. Number of moderate/marked AEs reported per person reduced over time after year 1 (p < 0.005). BIS reported moderate/marked AEs (except dissatisfaction with scar) decreased, whereas individual items from BR23 and PS items showed mixed patterns of reporting (increased, decreased, stayed the same) over time (Table 1). From multivariable analysis, ‘Borderline’ or ‘Case’ depression or anxiety (time-varying) was associated with increased reports for almost all AEs. Chemotherapy and younger age were associated with increased reports of moderate/marked AEs for items in BIS, and large surgical deficit predicted more breast symptoms. Conclusion Change of overall breast appearance was the most reported moderate/marked AE that persisted over time.Although patients reported fewer moderate/marked AEs over time, trends in individual moderate/marked AEs showed mixed patterns. This study identified factors associated with increased risks of patient-reported moderate/marked AEs. Early identification of patients more likely to report AEs could facilitate implementation of targeted support.

A novel high-precision fiber tractography for nuclear localization in transcranial magnetic resonance-guided focused ultrasound surgery: a pilot study.

In transcranial MR-guided focused ultrasound (TcMRgFUS), fiber tractography using diffusion tensor imaging (DTI) has been proposed as a direct method to identify the ventral intermediate nucleus (Vim), the ventral caudal nucleus (Vc), and the pyramidal tract (PT). However, the limitations of the DTI algorithm affect the accuracy of visualizing anatomical structures due to its low-quality fiber tractography, whereas the application of the generalized q-sampling imaging (GQI) algorithm enables the visualization of high-quality fiber tracts, offering detailed insights into the spatial distribution of motor cortex fibers. This retrospective study aimed to investigate the usefulness of high-precision fiber tractography using the GQI algorithm as a planning image in TcMRgFUS to achieve favorable clinical outcomes. This study included 20 patients who underwent TcMRgFUS. The Clinical Rating Scale for Tremor (CRST) scores and MR images were evaluated pretreatment and at 24 hours and 3-6 months after treatment. Cases were classified based on the presence and adversity of adverse events (AEs): no AEs, mild AEs without additional treatment, and severe AEs requiring prolonged hospitalization. Fiber tractography of the Vim, Vc, and PT was visualized using the DTI and GQI algorithm. The overlapping volume between Vim fibers and the lesion was measured, and correlation analysis was performed. The relationship between AEs and the overlapping volume of the Vc and PT fibers within the lesions was examined. The cutoff value to achieve a favorable clinical outcome and avoid AEs was determined using receiver operating characteristic curve analysis. All patients showed improvement in tremors 24 hours after treatment, with 3 patients experiencing mild AEs and 1 patient experiencing severe AEs. At the 3- to 6-month follow-up, 5 patients experienced recurrence, and 2 patients had persistent mild AEs. Although fiber visualization in the motor cortex using the DTI algorithm was insufficient, the GQI algorithm enabled the visualization of significantly higher-quality fibers. A strong correlation was observed between the overlapping volume that intersects the lesion and Vim fibers and the degree of tremor improvement (r = 0.72). Higher overlapping volumes of Vc and PT within the lesion were associated with an increased likelihood of AEs (p < 0.05); the cutoff volume of Vim fibers within the lesion for a favorable clinical outcome was 401 mm3, while the volume of Vc and PT within the lesion to avoid AEs was 99 mm3. This pilot study suggests that incorporating the high-precision GQI algorithm for fiber tractography as a planning imaging technique for TcMRgFUS has the potential to enhance targeting precision and achieve favorable clinical outcomes.

Investigation Of The Relationship Between Body Appreciation And Sleep Quality

Sleep causes many psychological effects in individuals. A person's body image, which is their subjective evaluation of their physical appearance, can have a significant impact on their emotions, behaviors, and overall well-being. In order to investigate the effect of sleep on body image, 395 female participants aged between 18-27 years, who were evaluated subjectively and objectively using the sleep assessment and body image scale, were included. The primary outcome of the study are the determination of the relationship between objective and subjective results of sleep quality and body appreciation. Secondary outcome are the determination of the relationship between exercise and body appreciation, which is an effective factor in determining body appreciation. After missing data scanning, 34 participants were excluded from the study and analysis were performed on 361 people (Age 20,76+1,62; Height 163,65+5,81; Weight 57,78+ 10,42; Cronbach's Alpha ,92). Body Appreciation Scale-2 and Sleep Quality Scale were applied to the participants. While there was no statistical significance in the sleep hygiene values according to the subjective sleep evaluations of the participants, a significant difference was found between very poor sleep and very good sleep in the subjective sleep evaluations. In addition, a statistical significance was found between women's body image and subjective sleep evaluations (p

An Aerial Image Detection Algorithm Based on Improved YOLOv5.

To enhance aerial image detection in complex environments characterized by multiple small targets and mutual occlusion, we propose an aerial target detection algorithm based on an improved version of YOLOv5 in this paper. Firstly, we employ an improved Mosaic algorithm to address redundant boundaries arising from varying image scales and to augment the training sample size, thereby enhancing detection accuracy. Secondly, we integrate the constructed hybrid attention module into the backbone network to enhance the model's capability in extracting pertinent feature information. Subsequently, we incorporate feature fusion layer 7 and P2 fusion into the neck network, leading to a notable enhancement in the model's capability to detect small targets. Finally, we replace the original PAN + FPN network structure with the optimized BiFPN (Bidirectional Feature Pyramid Network) to enable the model to preserve deeper semantic information, thereby enhancing detection capabilities for dense objects. Experimental results indicate a substantial improvement in both the detection accuracy and speed of the enhanced algorithm compared to its original version. It is noteworthy that the enhanced algorithm exhibits a markedly improved detection performance for aerial images, particularly under real-time conditions.

The effect of creative drama on nursing image: Randomized controlled study

AimThis study aimed to examine the effects of the creative drama method on first-year nursing students’ perceptions of the image of nursing. BackgroundNursing students’ perceptions of professional image can be affected by many processes during their transition to professional life. Therefore, supporting their development of a positive professional image at the beginning of their careers is necessary. DesignThis was a randomized controlled trial with a pre-test/post-test design and a control group. MethodsThe study was carried out at a nursing school located in the Eastern Black Sea region of Türkiye. The sample of this study consisted of 77 participants, with 38 in the experimental group and 39 in the control group. The subjects of professional image and the image of nursing were explained to the control group using presentations and case analysis and to the experimental group using the creative drama method. Research data were collected with the Student Information Form and Nursing Image Scale. ResultsThe post-test scores obtained by the control group after receiving traditional education were higher than the pre-test scores. The post-test scores obtained by the experimental group after receiving education based on creative drama were higher than the pre-test scores. The scores of the experimental group were significantly higher after the educational intervention. ConclusionCreative drama is far more effective in nursing image education for first-year nursing students than presentation and case analysis, which are conventional education methods. Creative drama can be used as an effective method to develop positive perceptions of nursing.

In-Season Cotton Yield Prediction with Scale-Aware Convolutional Neural Network Models and Unmanned Aerial Vehicle RGB Imagery.

In the pursuit of sustainable agriculture, efficient water management remains crucial, with growers relying on advanced techniques for informed decision-making. Cotton yield prediction, a critical aspect of agricultural planning, benefits from cutting-edge technologies. However, traditional methods often struggle to capture the nuanced complexities of crop health and growth. This study introduces a novel approach to cotton yield prediction, leveraging the synergy between Unmanned Aerial Vehicles (UAVs) and scale-aware convolutional neural networks (CNNs). The proposed model seeks to harness the spatiotemporal dynamics inherent in high-resolution UAV imagery to improve the accuracy of the cotton yield prediction. The CNN component adeptly extracts spatial features from UAV-derived imagery, capturing intricate details related to crop health and growth, modeling temporal dependencies, and facilitating the recognition of trends and patterns over time. Research experiments were carried out in a cotton field at the USDA-ARS Cropping Systems Research Laboratory (CSRL) in Lubbock, Texas, with three replications evaluating four irrigation treatments (rainfed, full irrigation, percent deficit of full irrigation, and time delay of full irrigation) on cotton yield. The prediction revealed that the proposed CNN regression models outperformed conventional CNN models, such as AlexNet, CNN-3D, CNN-LSTM, ResNet. The proposed CNN model showed state-of-art performance at different image scales, with the R2 exceeding 0.9. At the cotton row level, the mean absolute error (MAE) and mean absolute percentage error (MAPE) were 3.08 pounds per row and 7.76%, respectively. At the cotton grid level, the MAE and MAPE were 0.05 pounds and 10%, respectively. This shows the proposed model's adaptability to the dynamic interplay between spatial and temporal factors that affect cotton yield. The authors conclude that integrating UAV-derived imagery and CNN regression models is a potent strategy for advancing precision agriculture, providing growers with a powerful tool to optimize cultivation practices and enhance overall cotton productivity.

Adaptation and Validation of the MapMe Body Image Scales in Spanish Parents of Schoolchildren.

Childhood overweight and obesity is a worldwide problem and to treat it parents' detection has to be improved. The MapMe Body Image Scales (BIS) are a visual tool developed to improve parental perception of child weight in the United Kingdon (UK) based on British growth reference criteria. The aim of this study was to make a transcultural adaptation and validation of the MapMe BIS in Spain based on International Obesity Task Force (IOTF) cut offs A descriptive cross-sectional study was done. First, a translation and cultural adaptation was carried out. A total of 155 10-11-year-old children and their parents participated in this study. Children were measured to calculate their weight status, Body Mass Index (BMI), Body Fat Percentage (BFP) and Waist Circumference (WC), and their parents completed a purpose designed questionnaire about their perception and satisfaction of child's body weight status using the adapted BIS. Test-retest reliability, criterion validity and concurrent validity of the adapted BIS were analyzed. This study shows that the adapted MapMe BIS has good psychometric properties and is a suitable visual scale to assess parental perception of weight status in 10 and 11-year-old children in Spain.

An In Vivo Study to Evaluate and Compare Anxiety and Behavior Management of Pediatric Patients Using Distraction Techniques.

To compare the efficacy of virtual reality (VR) glasses and on-screen distraction techniques in managing anxiety and behavior in children receiving dental treatments. Forty patients aged 4-8 years requiring restoration were divided into two groups: group I with 20 members using audio-visual distraction aid in the form of VR glasses and group II with 20 participants utilizing on-screen distraction techniques. Each child underwent two appointments one week apart; their anxiety and behavior levels were assessed at each visit using the Facial Image Scale and Frankel's Behavior rating scale. The Wilcoxon signed-rank and Chi-squared test were utilized to assess the correlation between two categorical variables, with VR demonstrating a notable divergence from on-screen distraction. Both on-screen distraction and VR applications decreased anxiety levels and improved behavior. However, VR was substantially more effective in managing these areas.

The fundamental beliefs held by individuals living with HIV and university students during the challenges posed by the second wave of the COVID-19 pandemic in Russia

IntroductionBaseline beliefs, as conceptualized by R. Janoff-Bulman in her cognitive theory of mental trauma, represent an inherent internal framework that shapes how individuals perceive and assess traumatic events. It is widely acknowledged that the pandemic has had a profound impact on the global economy and the living conditions of individuals. Consequently, it is reasonable to assume that during a pandemic, one’s ability to adapt to these altered circumstances is influenced by their foundational beliefs. Consequently, exploring these fundamental beliefs in two at-risk groups, namely university students and individuals with confirmed HIV, becomes a subject of significant interest.ObjectivesThis study aims to examine the fundamental beliefs of patients with HIV and university students in the context of the second wave of the new coronavirus pandemic in Russia.MethodsData collection took place from January to July 2021 using a custom-developed Google form. The study involved 35 Russian university students majoring in humanities and 59 HIV-positive patients. We employed the WAS-37 methodology, adapted for use in Russia, to assess their baseline beliefs.ResultsWe found that on the scales “Fairness” (M = 21.00±3.73 - students, M = 20.53±4.63 - patients, p = 0.616), “Luck” (M = 31.74±5.06 vs M = 29.59±7.33, p = 0.129) and “Control beliefs” (M = 26.66±4.80 vs M = 27.12±4.42, p = 0.636) students did not differ from patients. Scores on the Environment Benevolence scale were higher in students (M = 35.46±7.33 vs M = 30.50±7.09, p = 0.002) and on the Self Image scale were higher in HIV patients (M = 26.63±6.97 vs M = 30.03±5.41, p = 0.010).ConclusionsDuring the latter stages of the COVID-19 pandemic in Russia, individuals living with HIV, when compared to students, tended to perceive the world around them as being more perilous and unfriendly, while simultaneously viewing themselves as possessing greater integrity. From our perspective, this latter observation could be interpreted as a means of self-defence against the perceived hostility of the external world. In such pandemic circumstances, it may be advisable to consider the use of supportive psychotherapy for individuals living with HIV.Disclosure of InterestNone Declared

Comparative Investigation of Genital Self-image and Sexual Function in Women with and Without a History of Female Genital Cosmetic Procedures: A Cross-sectional Study.

Despite the increasing growth of female genital cosmetic procedures, the long-term effects of these procedures are not clearly understood. This study was conducted to compare the genital self-image and sexual function in women with and without female genital cosmetic procedures. This cross-sectional study was conducted on 315 participants (210 women without a history of genital cosmetic surgery and 105 women with it) in Alborz province, Iran, from early February 2023 to mid-May 2023. The sampling was done conveniently. Data collection instruments were Female Genital Self Image Scale and Female Sexual Function Index. Statistical analysis was done in SPSS 16 software using t-test, chi-square, and logistic regression, and P<0.05 was considered statistically significant. The use of laser to tighten the vagina with 77.77% and Perineoplasty with 29.2% were the main cosmetic procedures. The mean duration passed from the surgical procedures was 4.79±3.60 years, while it was 1.13±0.74 years for non-surgical procedures. Women with a history of genital procedures had a higher mean age (39.45±10.38, P=0.023). However, they were lower regarding the level of education (P<0.001), family income (P<0.001), and exercise (P<0.001). Also, they showed a higher number of pregnancies (P<0.001), deliveries (P<0.001), vaginal delivery (P<0.001), episiotomy (P<0.001), and neonates with a weight of ≥3.5 kg (P=0.002). In both groups, midwives and doctors were the most important sources of information about the appearance and function of reproductive system. However, the genital self-image and sexual function of the two groups did not differ significantly (P>0.05). No difference in sexual self-image and lack of difference in sexual function after cosmetic procedures show the need to pay attention to recommending and selecting these procedures. Public awareness about the diverse and natural forms of the female genitalia, education about the variety of the factors affecting sexual function, reduction of unnecessary interventions, increase in physiological births, retraining doctors and midwives, and multidimensional counseling can help to choose more appropriate candidates for cosmetic procedures.

Associations Between Body Image, Kinesiophobia, and Pain in Women Post-Breast Cancer Treatment

Background: The purpose of this study was to evaluate factors associated with body image, kinesiophobia, pain severity, and pain interference in women following breast cancer (BrCA) treatment. Methods: A convenience sample of women (n = 160) post-BrCA treatment participated in this cross-sectional study. They completed demographic and clinical questionnaires and performed left/right judgment tasks (LRJTs). Regression analyses evaluated factors associated with the Body Image Scale, Tampa Kinesiophobia Scale, Brief Pain Inventory (BPI) pain severity subscale, and BPI pain interference subscale. Results: Higher quality of life (QoL) and older age were associated with better body image, while mastectomy and greater kinesiophobia were associated with worse body image. Higher QoL, better body image, more exercise time (minutes/week), and mastectomy were associated with less fear of movement. Slower chest LRJT response time, higher pain interference, and reconstructive surgery were associated with greater kinesiophobia. Higher QoL was associated with lower pain severity, while more exercise time was associated with higher pain severity. Higher QoL and slower chest LRJT response time were associated with lower pain interference. More exercise time and greater kinesiophobia were associated with greater pain interference. Conclusion: Poor body image and kinesiophobia are common in women after unilateral BrCA treatment. This study provides evidence on positive and negative associations between several factors associated with body image, fear of movement, pain severity, and pain interference in women following BrCA treatment. There is benefit to including assessment of these predictors and outcomes in research and clinical settings.

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&lt;0.001). Participants with a higher education level presented better HRQoL than those with lower education level (p&lt;0.001). Unemployed participants and students presented better HRQoL scores compared to all other professional categories (p=0.001). However, participants with lower incomes &lt;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&lt;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&lt;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&lt;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