Standardized Pictures Research Articles

Blood on the drapes: A multispecialty comparison of blood spill estimates.

Estimated blood loss (EBL) is an important part of the perioperative process. This project aims to determine the accuracy of perioperative team members to estimate blood volume on drapes and the operating room floor. Aliquots of unused human blood were used to create surgical scenarios, and standardized pictures and videos were taken. Physicians, residents, nurses, medical students, and surgical technicians were surveyed and asked to estimate the blood volume for each series. Accuracy and consistency of responses was analyzed. One hundred and forty five responses were recorded: 57 attending physicians, 36 residents, 27 registered nurses, 17 medical students, and seven circulating surgical techs. Median percent error (PE) for all cases was 211.11%, demonstrating a global overestimation of blood volume. PE for the 150mL images was statistically significantly lower than that of the 50 and 100mL images. Circulating Surgical Technicians were the most accurate group, with a median PE of 125%, followed closely by Medical Students (PE=158.33%). The most accurate specialty was Orthopedics (PE=168.06%). The least accurate groups were Attending Physicians (PE=286.11%) and General surgery (GSGY) (PE=327.78%). The most accurate orthopedic surgery and GSGY subspecialties were Hand (PE=237.64%) and Vascular (PE=108.33%), respectively. Statistical analyses showed no significant differences by clinical role, surgical specialty, or subspecialty. This study demonstrates a global overestimation of blood volume when using the visual method, with improved accuracy at higher volumes. Our findings highlight the limitations of visual estimation methods for EBL.

Social cues tip the scales in emotional processing of complex pictures.

Perception of a picture is influenced by the social information and emotional value it carries for the viewer. There are still many unanswered questions about how social and emotional processing are related, but it is clear they involve overlapping brain areas and are cognitively interconnected. Yet studies of emotion processing using standardized picture datasets typically leave the social content in the pictures free to vary. In a few studies where the social content has been measured, it correlated with emotional arousal and valence. Here we tested the association between social and emotional content orthogonally, by selecting a similar number of pictures in four categories varying in presence of nonverbal social cues (e.g., gestures, facial expression, body language) and emotional content (neutral, negative). Across two studies, participants (N = 698 in total) provided three ratings for each picture: social relevance (defined as the self-reported use of social cues to understand the picture), valence, and arousal. Despite our best effort to balance the presence of social cues between negative and neutral pictures, ratings of social relevance were strongly associated with ratings of arousal and, to a lesser extent, with valence. These findings likely reflect the intertwined nature of social and emotional processing, which has implications for the neurobiology underlying them, how these systems develop, and how picture databases are used in research.

Pattern Analysis of Benign and Malignant Atypical Melanocytic Skin Lesions of Palms and Soles: Variations of Dermoscopic Features According to Anatomic Site and Personal Experience.

Background: The differential diagnosis of atypical melanocytic skin lesions localized on palms and soles represents a diagnostic challenge: indeed, this spectrum encompasses atypical nevi (AN) and early-stage melanomas (EN) displaying overlapping clinical and dermoscopic features. This often generates unnecessary excisions or delayed diagnosis. Investigations to date were mostly carried out in specific populations, focusing either on acrolentiginous melanomas or morphologically typical acquired nevi. Aims: To investigate the dermoscopic features of atypical melanocytic palmoplantar skin lesions (aMPPLs) as evaluated by variously skilled dermatologists and assess their concordance; to investigate the variations in dermoscopic appearance according to precise location on palms and soles; to detect the features with the strongest association with malignancy/benignity in each specific site. Methods: A dataset of 471 aMPPLs-excised in the suspect of malignancy-was collected from 10 European Centers, including a standardized dermoscopic picture (17×) and lesion/patient metadata. An anatomical classification into 17 subareas was considered, along with an anatomo-functional classification considering pressure/friction, (4 macroareas). A total of 156 participants (95 with less than 5 years of experience in dermoscopy and 61 with ≥than 5 years) from 17 countries performed a blinded tele-dermoscopic pattern analysis over 20 cases through a specifically realized web platform. Results: A total of 37,440 dermoscopic evaluations were obtained over 94 (20%) EM and 377 (80%) AN. The areas with the highest density of EM compared to AN were the heel (40.3% EM/aMPPLs) of the sole and the "fingers area" (33%EM/aMPPLs) of the palm, both characterized by intense/chronic traumatism/friction. Globally, the recognition rates of 12 dermoscopic patterns were non statistically different between 95 dermatology residents and 61 specialists: aMPPLs in the plantar arch appeared to be the most "difficult" to diagnose, the parallel ridge pattern was poorly recognized and irregular/regular fibrillar patterns often misinterpreted. Regarding the aMPPL of the "heel area", the parallel furrow pattern (p = 0.014) and lattice-like pattern (p = 0.001) significantly discriminated benign cases, while asymmetry of colors (p = 0.002) and regression structures (p = 0.025) malignant ones. In aMPPLs of the "plantar arch", the lattice-like pattern (p = 0.012) was significant for benignity and asymmetry of structures, asymmetry of colors, regression structures, or blue-white veil for malignancy. In palmar lesions, no data were significant in the discrimination between malignant and benign aMPPLs. Conclusions: This study highlights that (i) the pattern analysis of aMPPLs is challenging for both experienced and novice dermoscopists; (ii) the histological distribution varies according to the anatomo-functional classification; and (iii) different dermoscopic patterns are able to discriminate malignant from benign aMPPLs within specific plantar and palmar areas.

Prenatal maternal Inflammation, childhood cognition and adolescent depressive symptoms

BackgroundAccumulating evidence indicates that higher prenatal maternal inflammation is associated with increased depression risk in adolescent and adult-aged offspring. Prenatal maternal inflammation (PNMI) may increase the likelihood for offspring to have lower cognitive performance, which, in turn, may heighten risk for depression onset. Therefore, this study explored the potential mediating role of childhood cognitive performance in the relationship between PNMI and adolescent depressive symptoms in offspring. MethodsParticipants included 696 mother-offspring dyads from the Child Health and Development Studies (CHDS) cohort. Biomarkers of maternal inflammation [interleukin (IL)-6, IL-8, IL-1 receptor antagonist (IL-1RA) and soluble TNF receptor-II (sTNF-RII)] were assayed from first (T1) and second trimester (T2) sera. Childhood (ages 9–11) cognitive performance was assessed via standardized Peabody Picture Vocabulary Test (PPVT), a measure of receptive vocabulary correlated with general intelligence. Adolescent (ages 15–17) depressive symptoms were assessed via self-report. ResultsThere were no significant associations between T1 biomarkers and childhood PPVT or adolescent depressive symptoms. Higher T2 IL1-RA was directly associated with lower childhood PPVT (b = -0.21, SE = 0.08, t = -2.55, p = 0.01), but not with adolescent depressive symptoms. T2 IL-6 was not directly associated with childhood PPVT, but higher T2 IL-6 was directly associated at borderline significance with greater depressive symptoms in adolescence (b = 0.05, SE = 0.03, t = 1.96, p = 0.05). Lower childhood PPVT predicted significantly higher adolescent depressive symptoms (b = -0.07, SE = 0.02, t = -2.99, p < 0.01). There was a significant indirect effect of T2 IL-1RA on adolescent depressive symptoms via childhood PPVT (b = 0.03, 95 % CI = 0.002–0.03) indicating a partially mediated effect. No significant associations were found with T2 sTNF-RII nor IL-8. ConclusionsLower childhood cognitive performance, such as that indicated by a lower PPVT score, represents a potential mechanism through which prenatal maternal inflammation contributes to adolescent depression risk in offspring.

The standardization of a new Explicit Pornographic Picture Set (EPPS)

Pictures with affective content have been extensively used in scientific studies of emotion and sexuality. However, only a few standardized picture sets have been developed that offer explicit images, with most lacking pornographic pictures depicting diverse sexual practices. This study aimed to fill this gap through developing a standardized affective set of diverse pornographic pictures (masturbation, oral sex, vaginal sex, anal sex, group sex, paraphilia) of same-sex and opposite-sex content, offering dimensional affective ratings of valence, arousal, and dominance, as well as co-elicited discrete emotions (disgust, moral and ethical acceptance). In total, 192 pornographic pictures acquired from online pornography platforms and 24 control IAPS images have been rated by 319 participants (Mage = 22.66, SDage = 4.66) with self-reported same- and opposite-sex sexual attraction. Stimuli were representative of the entire affective space, including positively and negatively perceived pictures. Participants showed differential affective perception of pornographic pictures according to gender and sexual attraction. Differences in affective ratings related to participants’ gender and sexual attraction, as well as stimuli content (depicted sexual practices and sexes). From the stimuli set, researchers can select explicit pornographic pictures based on the obtained affective ratings and technical parameters (i.e., pixel size, luminosity, color space, contrast, chromatic complexity, spatial frequency, entropy). The stimuli set may be considered a valid tool of diverse explicit pornographic pictures covering the affective space, in particular, for women and men with same- and opposite-sex sexual attraction. This new explicit pornographic picture set (EPPS) is available to the scientific community for non-commercial use.

Development and validation of an artificial intelligence-powered acne grading system incorporating lesion identification.

The management of acne requires the consideration of its severity; however, a universally adopted evaluation system for clinical practice is lacking. Artificial intelligence (AI) evaluation systems hold the promise of enhancing the efficiency and reproducibility of assessments. Artificial intelligence (AI) evaluation systems offer the potential to enhance the efficiency and reproducibility of assessments in this domain. While the identification of skin lesions represents a crucial component of acne evaluation, existing AI systems often overlook lesion identification or fail to integrate it with severity assessment. This study aimed to develop an AI-powered acne grading system and compare its performance with physician image-based scoring. A total of 1,501 acne patients were included in the study, and standardized pictures were obtained using the VISIA system. The initial evaluation involved 40 stratified sampled frontal photos assessed by seven dermatologists. Subsequently, the three doctors with the highest inter-rater agreement annotated the remaining 1,461 images, which served as the dataset for the development of the AI system. The dataset was randomly divided into two groups: 276 images were allocated for training the acne lesion identification platform, and 1,185 images were used to assess the severity of acne. The average precision of our model for skin lesion identification was 0.507 and the average recall was 0.775. The AI severity grading system achieved good agreement with the true label (linear weighted kappa = 0.652). After integrating the lesion identification results into the severity assessment with fixed weights and learnable weights, the kappa rose to 0.737 and 0.696, respectively, and the entire evaluation on a Linux workstation with a Tesla K40m GPU took less than 0.1s per picture. This study developed a system that detects various types of acne lesions and correlates them well with acne severity grading, and the good accuracy and efficiency make this approach potentially an effective clinical decision support tool.

Social and sexual consequences of facial femininity in a non-human primate

In humans, femininity shapes women's interactions with both genders, but its influence on animals remains unknown. Using 10 years of data on a wild primate, we developed an artificial intelligence-based method to estimate facial femininity from naturalistic portraits. Our method explains up to 30% of the variance in perceived femininity in humans, competing with classical methods using standardized pictures taken under laboratory conditions. We then showed that femininity estimated on 95 female mandrills significantly correlated with various socio-sexual behaviors. Unexpectedly, less feminine female mandrills were approached and aggressed more frequently by both sexes and received more male copulations, suggesting a positive valuation of masculinity attributes rather than a perception bias. This study contributes to understand the role of femininity on animal's sociality and offers a framework for non-invasive research on visual communication in behavioral ecology.

Esthetical Properties of Single-Shade and Multishade Composites in Posterior Teeth.

This study aimed to compare the aesthetic properties of posterior composite restorations made with a multishade (MS) or single-shade (SS) material. For that, 23 extracted human molars were used. The shade determination was performed, and the occlusal anatomy was registered by a custom-made stamp. Then, class I preparations were made, and each tooth was restored twice, using two different composites of MS/opacity layering material (Admira Fusion-Voco) and an SS/opacity bulk-fill composite (Admira Fusion X-tra-Voco). After finishing the first restoration with the MS material, a standardized picture was taken, and the restoration was removed. Then, the preparation was restored again with the other composite, obtaining a new picture. The pictures were randomly analyzed by 10 calibrated evaluators regarding color match using the FDI criteria. The evaluators were blinded to the restorative material used. Data were analyzed using an unpaired t-test and Wilcoxon test. The significance level adopted in the study was 5%. As a result, there were nonsignificant differences between the composites evaluated for color match, as well nonsignificant differences were obtained related to which restorative technique produced the best aesthetic results. Only for darker shades (A4, B4, and C4), most of the evaluators considered the restorations made with the MS material more aesthetic than with the SS, while for the other shades, nonsignificant differences were observed. Therefore, the choice of the SS and the MS/opacity composites does not influence the aesthetic outcome of posterior restorations for the lighter shades. However, the use of bulk fill material for dark shades is less favorable than the MS layering ones.

Shedding light on trophic interactions: A field experiment on the effect of human population between latitudes on herbivory and predation patterns.

Interactions between species within an ecosystem (e.g. predation and herbivory) play a vital role in sustaining the ecosystem functionality, which includes aspects like pest control and nutrient cycling. Unfortunately, human activities are progressively disrupting these trophic relationships, thereby contributing to the ongoing biodiversity decline. Additionally, certain human activities like urbanization may further impact the intensity of these trophic interactions, which are already known to be influenced by latitudinal gradients. The aim of this study was to test the hypothesis of whether the impact of human population, used as a proxy for human pressure, differs between latitudes. To test it, we selected 18 study sites at two latitudes (i.e. ~53°N and ~50°N) with varying human population density (HPD). We used artificial caterpillars placed on European beech branches to assess bird predation and took standardized pictures of the leaves to estimate insect herbivory. Remote sensing techniques were used to estimate human pressure. We found that the intensity of bird predation varied in response to HPD, with opposite trends observed depending on the latitude. At our upper latitude, bird predation increased with HPD, while the opposite was observed at the lower latitude. Herbivory was not affected by urbanization and we found higher levels of herbivory in the lower compared to the higher latitude. At the lower latitude, certain species may experience a disadvantage attributed to the urban heat island effect due to their sensitivity to temperature fluctuations. Conversely, at the higher latitude, where minimum temperatures can be a limitation, certain species may benefit from milder winters. Overall, this study highlights the complex and dynamic nature of trophic relationships in the face of human-driven changes to ecosystems. It also emphasizes the importance of considering both human pressure and latitudinal gradients when assessing the ecological consequences of future climate change scenarios, especially in urban environments.

Do categorically distinct stressors alter the attention to visual food cues?

Stressor exposure affects food intake as well as the preference for high or low palatability foods, but little is known about how stressor types impact the visual attention to food images. We used eye tracking methodology in humans to determine if activation of the hypothalamus–pituitary-adrenal (HPA) axis and sympathetic nervous system is associated with changes in attention to food images as determined by measuring changes in oculomotor activity. Specifically, we tested two questions: 1) Do categorically distinct stressors alter aspects of visual attention to food images as determined by oculomotor activity (i.e., saccade latency, gaze duration, and saccade bouts)? 2) Do categorically distinct stressors differentially affect visual attention to food images of high or low palatability? A total of sixty participants were randomly divided into one of three test groups: controls, an anticipatory stressor group, or a reactive stressor group. We measured salivary cortisol and salivary alpha-amylase (sAA) before and after stressor exposure to confirm activation of the HPA axis and sympathetic nervous system, respectively. Following stressor exposure participants performed an eye-tracking test using a standardized food picture database (Food-pics). We analyzed saccade latency, gaze duration, and saccade bouts in balanced pairs of food and non-food images. Salivary cortisol was elevated by both stressors, although the elevation in salivary cortisol to the reactive stressor was driven by women only. sAA was elevated only by the anticipatory stressor. There were main effects of image type for all three eye-tracking variables, with initial saccades of shorter latency to food images and longer gaze duration and more saccade bouts with food images. Participants exposed to the reactive stressor reduced gaze duration on food images relative to controls, and this affect was not linked to palatability or salivary cortisol levels. We conclude that the reactive stressor decreased time spent looking at food, but not non-food, images. These data are partly consistent with the idea that reactive stressors reduce attention to non-critical visual signals.

Affect Intensity and Subjective Ratings of Emotional Pictures and Sounds

Affect intensity refers to the intensity with which people experience their emotional response. Individual differences in affect intensity are supposed to be related to the strength of the response to emotional stimuli. Previous studies showed that participants with high affect intensity responded to emotional stimuli with stronger or more intense affective reactions than participants scoring low in affect intensity However, previous studies are mainly limited to the impact of affect intensity on consumer responses to advertising appeals or are limited to the use of life events descriptions as emotional stimuli. No previous studies used behavioural measures of the emotional response to standardized stimuli, varying in terms of arousal. In the present study the predictive value of affect intensity, measured by a self-report questionnaire, the Affect Intensity Measure (AIM), on the emotional response to standardized pictures and sounds has been investigated. In particular, the predictive value of affective intensity measured by the AIM, using both the total AIM total score and the four subscales scores, on subjective arousal ratings of different categories of standardized emotional pictures and sounds was assessed on a nonclinical sample. The total AIM score has been found to be predictive for subjective arousal scores for low unpleasant pictures while, using the AIM subscales scores, results showed that the Negative Reactivity subscale was predictive for arousal scores to high negative pictures and sounds. These findings seem to show that the use of the total AIM score can obscure the relationships between specific features of affect intensity and other variables. Moreover, the present results didn’t show a general effect of affect intensity on behavioural responses to emotional standardized stimuli but an emotion specific effect for high negative stimuli.

Electrophysiological normative responses to emotional, neutral, and cigarette-related images.

To create reproducible emotional probes, affective scientists rely on sets of standardized pictures that are normed using subjective ratings of valence and emotional arousal. However, when emotional responses are investigated using neurophysiological measures, it might be more appropriate to select pictures integrating information from normative subjective reports and normative neurophysiological responses. Here, we provide electrophysiological normative responses for 323 emotional pictures (215 from the IAPS) covering a wide range of categories (erotica, romantic, appetizing foods, landscapes, people engaged in mundane activities, household objects, disgusting objects, accidents, sad people, violence, mutilations, and cigarette-related contents). Event-related potentials (ERPs) and subjective ratings of pleasure and emotional arousal were collected from 763 individuals (52% females, 41% white) aged between 18 and 65 (mean=43). For each image, the mean amplitude of the late positive potential (LPP, an electrophysiological index of motivational relevance) and the mean subjective ratings of valence and arousal were calculated. We validated our procedure by showing that the subjective ratings of valence and arousal from this sample were highly correlated to the IAPS' published norms (Pearson r=.97 for pleasure and r=.82 for emotional arousal). LPP responses and subjective ratings of emotional arousal also were correlated (Pearson r=.61), but some categories reported being significantly more arousing than neutral (i.e., food, landscapes, and unpleasant objects) did not evoke LPPs significantly different from those evoked by neutral pictures. Researchers interested in probing the brain's affective systems can use these electrophysiological normative responses to create emotional probes that evoke reliable neuroaffective responses.

Anger regulation choice-The role of age and habitual reappraisal.

The ability to choose emotion regulation strategies in accordance to contextual demands, known as emotion regulation flexibility, is key to healthy adaptation. While recent investigations on spontaneous emotion regulation choice tested the effects of emotional intensity and age using standardized negative pictures with no particular emotional quality, we elicited the discrete emotion of anger with personally relevant autobiographical memories in a sample of 52 younger and 41 older adults. In addition, we included habitual reappraisal as a predictor of emotion regulation choice. Our main hypothesis was that, compared with younger adults, older adults prefer less resource-demanding emotion regulation strategies (i.e., distraction) over more resource-demanding strategies (i.e., reappraisal), particularly if older adults' habitual reappraisal is low and the to-be-regulated anger is of high intensity. Surprisingly, our findings suggest that only older adults' emotion regulation choices depend on the emotional intensity of the autobiographical memory and habitual reappraisal. Only older adults with high habitual reappraisal preferred to reappraise their anger in situations of low anger intensity but switched to the less demanding strategy of distraction in high anger memories, indicating emotion regulation flexibility. This study extends previous research by testing emotion regulation choices in natural contexts and considering regulation habits. Although we replicate previous findings of emotion regulation flexibility according to emotional intensity in anger memories for older adults with high habitual reappraisal only, our findings illustrate the relevance of reappraisal habits to emotion regulation choice in age-comparative research. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Evaluating Web-Based Automatic Transcription for Alzheimer Speech Data: Transcript Comparison and Machine Learning Analysis.

BackgroundSpeech data for medical research can be collected noninvasively and in large volumes. Speech analysis has shown promise in diagnosing neurodegenerative disease. To effectively leverage speech data, transcription is important, as there is valuable information contained in lexical content. Manual transcription, while highly accurate, limits the potential scalability and cost savings associated with language-based screening.ObjectiveTo better understand the use of automatic transcription for classification of neurodegenerative disease, namely, Alzheimer disease (AD), mild cognitive impairment (MCI), or subjective memory complaints (SMC) versus healthy controls, we compared automatically generated transcripts against transcripts that went through manual correction.MethodsWe recruited individuals from a memory clinic (“patients”) with a diagnosis of mild-to-moderate AD, (n=44, 30%), MCI (n=20, 13%), SMC (n=8, 5%), as well as healthy controls (n=77, 52%) living in the community. Participants were asked to describe a standardized picture, read a paragraph, and recall a pleasant life experience. We compared transcripts generated using Google speech-to-text software to manually verified transcripts by examining transcription confidence scores, transcription error rates, and machine learning classification accuracy. For the classification tasks, logistic regression, Gaussian naive Bayes, and random forests were used.ResultsThe transcription software showed higher confidence scores (P<.001) and lower error rates (P>.05) for speech from healthy controls compared with patients. Classification models using human-verified transcripts significantly (P<.001) outperformed automatically generated transcript models for both spontaneous speech tasks. This comparison showed no difference in the reading task. Manually adding pauses to transcripts had no impact on classification performance. However, manually correcting both spontaneous speech tasks led to significantly higher performances in the machine learning models.ConclusionsWe found that automatically transcribed speech data could be used to distinguish patients with a diagnosis of AD, MCI, or SMC from controls. We recommend a human verification step to improve the performance of automatic transcripts, especially for spontaneous tasks. Moreover, human verification can focus on correcting errors and adding punctuation to transcripts. However, manual addition of pauses is not needed, which can simplify the human verification step to more efficiently process large volumes of speech data.

A modified procedure for naming 332 pictures and collecting norms: Using tangram pictures in psycholinguistic studies.

Tangram pictures are abstract pictures which may be used as stimuli in various fields of experimental psychology and are often used in the field of dialogue psychology. The present study provides the first norms for a set of 332 tangram pictures. These pictures were standardized on a set of variables classically used in the literature on cognitive processes, such as visual perception, language, and memory: name agreement, image agreement, familiarity, visual complexity, image variability, and age of acquisition. Furthermore, norms for concreteness were also provided owing to the influence of this variable on the processes involved in lexical production. Correlational analyses on all variables were performed on the data collected from French native speakers. This new set of standardized pictures constitutes a reliable database for researchers when they select tangram pictures. Given the abstract nature of tangram pictures, this paper also discusses the similarities and differences with the literature online drawings, and highlights their value for dialogue psychology studies, for psycholinguistics studies, and for cognitive psychology in general.

Discrepancy of the subjective perception of the nasal appearance between independent individuals and patients undergoing functional rhinoplasty (fRPL)

PurposeSatisfaction with the nasal appearance is a crucial outcome parameter in functional rhinoplasty (fRPL). The visual analogue scale is a suitable instrument not only for the preoperative patient assessment, but also as a patient-reported outcome measure in fRPL. In this study, we analyzed whether a high discrepancy in the preoperative subjective perception of the nasal appearance between patients and other individuals predicts a lower level of satisfaction with the postoperative result and hence a worse outcome of fRPL.MethodsStandardized facial pictures of patients (n = 80) who underwent fRPL were taken preoperatively, 3 and 12 months postoperatively. In addition, patients were asked to complete the German version of the Utrecht Outcome Assessment Questionnaire in Aesthetic Rhinoplasty (D-OAR). The standardized facial pictures of the patients were presented to surgeons as well as to examiners without a medical background, and they were asked to evaluate the patients’ nasal appearance using the visual analogue scale.ResultsThe external evaluation of patient’s nasal appearance was 1.7 points higher in median than the patient’s subjective perception (range −5.7–7.00). A large discrepancy between self- and external estimation significantly correlates with higher D-OAR values (r = 0.539, p < 0.001). Patients with high scores in the D-OAR trick questions, indicating a body dysmorphic disorder, show a significant larger discrepancy between the external- and the self-assessment (2.8 ± 0.5 vs. 1.4 ± 0.3, mean ± SEM, p = 0.017).ConclusionsLarge discrepancies between the self and external assessment of the nasal appearance are associated with a high-perceived influence of the appearance of the nose on the quality of life in patients undergoing functional rhinoplasty. That might be an indicator for unrealistic expectations concerning the postoperative outcome. Knowledge about this factor helps to identify the need for intensive discussion about possibilities and limitations of the planned procedure to avoid postoperative dissatisfaction.

Pictorial Databases for the Assessment of Affective Flexibility: A Systematic Review

The present paper attempted to analyze the existing task-based measures of affective flexibility and to provide a strong database for further development and validation of culturally relevant task-based measures of affective flexibility. The Articles in which affective tasks were developed are included in this review. Only those articles which had been transcribed in English and published in peer-reviewed journals from the year 1995-to 2021, with a sample of youth (15-35 years) were included. Key terms were effective flexibility, emotional flexibility, assessment of affective flexibility, and measures of affective flexibility. A systematic search of multiple computerized databases including Science Direct, Pub Med, Google scholar, and Psyc INFO was accomplished to find out the relevant articles. Both keyword search and citation search was performed for the current review. A total of 116 relevant articles were initially evaluated, 101 of them were excluded due to not meeting the inclusion criteria, and finally, 15 articles were retained. Analysis revealed that utilization, psychometric properties, and measurement accuracy were higher for several databases. Most of the studies have used standardized picture databases as stimulus material using a switching paradigm predominately. Correlation and t-tests were predominately performed for statistical analyses of the data. Strengths, limitations, and implications of the databases for affective flexibility had also been discussed.

Understanding Children’s Attention to Dental Caries through Eye-Tracking

Visual attention is a significant gateway to a child’s mind, and looking is one of the first behaviors young children develop. Untreated caries and the resulting poor dental aesthetics can have adverse emotional and social impacts on children’s oral health-related quality of life due to its detrimental effects on self-esteem and self-concept. Therefore, we explored preschool children’s eye movement patterns and visual attention to images with and without dental caries via eye movement analysis using hidden Markov models (EMHMM). We calibrated a convenience sample of 157 preschool children to the eye-tracker (Tobii Nano Pro) to ensure standardization. Consequently, each participant viewed the same standardized pictures with and without dental caries while an eye-tracking device tracked their eye movements. Subsequently, based on the sequence of viewed regions of interest (ROIs), a transition matrix was developed where the participants’ previously viewed ROI informed their subsequently considered ROI. Hence, an individual’s HMM was estimated from their eye movement data using a variational Bayesian approach to determine the optimal number of ROIs automatically. Consequently, this data-driven approach generated the visual task participants' most representative eye movement patterns. Preschool children exhibited two different eye movement patterns, distributed (78%) and selective (21%), which was statistically significant. Children switched between images with more similar probabilities in the distributed pattern while children remained looking at the same ROI than switching to the other ROI in the selective pattern. Nevertheless, all children exhibited an equal starting fixation on the right or left image and noticed teeth. The study findings reveal that most preschool children did not have an attentional bias to images with and without dental caries. Furthermore, only a few children selectively fixated on images with dental caries. Therefore, selective eye-movement patterns may strongly predict preschool children’s sustained visual attention to dental caries. Nevertheless, future studies are essential to fully understand the developmental origins of differences in visual attention to common oral health presentations in children. Finally, EMHMM is appropriate for assessing inter-individual differences in children’s visual attention.

Event-related potential studies of emotion regulation: A review of recent progress and future directions

Event-related potentials (ERPs) bring many strengths to the study of emotion regulation, including: direct measurement of neural activity, high temporal resolution, affordability and suitability to a wide range of participants. Research using ERPs to study emotion regulation began approximately two decades ago, but has grown exponentially over the last 10 years. Here, we highlight progress in this body of work throughout the past decade, as well as emerging themes, novel approaches and paradigms that will likely shape the field in the coming years. While standardized picture sets are still the most commonly used stimuli in these studies, new types of stimuli (e.g., mental imagery, autobiographical memories) have become increasingly common throughout the past decade, with the potential for improved ecological validity. Cognitive reappraisal is still seen by many as the gold standard of emotion regulation, yet mixed findings suggest that its utility might be better understood by taking into account the type of stimuli and context to which it is applied. Moreover, other emotion regulation techniques, particularly for the upregulation of positive emotion (e.g., savoring), have been relatively unexamined in the ERP literature to-date, as have associations between controlled, lab-based measures of emotion generation and regulation in everyday life (e.g., as assessed using ambulatory techniques). In sum, the past decade has seen progress in a more granular understanding of emotion regulation, with ongoing and future work aimed at increasing understanding of the boundary conditions of emotion regulation; novel techniques and emotion regulation's application to everyday life.

Hidradenitis suppurativa: Morphologic and vascular study of nodular inflammatory lesions by means of optical coherence tomography.

Hidradenitis suppurativa (HS) is an inflammatory disease characterized by a recurrent-remission trend and clinical lesions that range from asymptomatic to inflamed, deep-seated nodules with scarring and suppuration. The aim of our study was to identify morphologic and vascular features of HS nodules by means of dynamic optical coherence tomography (D-OCT) and to define if they are correlated to patient endotype and risk of disease progression. A set of standardized clinical pictures and D-OCT images were acquired from 57 inflammatory nodules of 40 patients affected by HS. A set of 20 clinical and D-OCT images were acquired from 20 healthy volunteers as a control group. The comparison of D-OCT features among HS and control group was analysed. The correlation between HS patient endotype and D-OCT features of the lesions was calculated. D-OCT enabled to identify vascular and morphological aspects characterizing HS nodular inflammatory lesions. In addition, several D-OCT features were significantly different among distinct disease endotypes. The characterization of HS nodular inflammatory lesions through D-OCT, corresponding to blood vessel dilation and inflammatory associated hyper-vascularization, may have important clinical consequences in the assessment of HS risk of progression, therapeutic decisions and treatment efficacy monitoring.