Scopus İndeksli Yayınlar Koleksiyonu
Permanent URI for this collectionhttps://hdl.handle.net/20.500.14627/7
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Article Comparative Evaluation of Vision Transformers and Convolutional Networks for Breast Ultrasound Image Classification(Open Exploration Publishing Inc, 2026) Naral S.; Cakmak Y.; Pacal I.; Pacal, Ishak; Cakmak, Yigitcan; Naral, SuleymanAim: Interobserver variability continues to limit the consistency of breast ultrasound interpretation. This study compares two Vision Transformer (ViT) models and two Convolutional Neural Network (CNN) models for automated three-class breast ultrasound classification, with a specific focus on the tradeoff between predictive performance and computational efficiency. Methods: Swin Transformer Base and DeiT Base were evaluated alongside InceptionV3 and MobileNetV3 Large using the public Breast Ultrasound Images (BUSI) dataset, which contains 780 images labeled as benign, malignant, and normal. A consistent on-the-fly augmentation pipeline was applied during training to promote robustness and reduce sensitivity to incidental image variations. Results: Swin Transformer Base achieved the highest test accuracy (0.9167) and F1 score (0.8981). MobileNetV3 Large reached an accuracy of 0.8583 with substantially lower computational demand. The efficiency contrast was pronounced, with Swin requiring 30.33 GFLOPs versus 0.43 GFLOPs for MobileNetV3 Large. Conclusions: On this benchmark, ViT models can yield higher classification performance, while lightweight CNNs offer a strong efficiency profile that may better match deployment-constrained settings. These results suggest that model selection should be guided by both predictive accuracy and operational feasibility within the target clinical workflow. © The Author(s) 2026.Article Integrating 3D-Printed Task-Specific Terminal Devices with a Standard Myoelectric Prosthesis in a Patient with Systemic Scleroderma and Transradial Amputation: A Case Report(Lippincott Williams and Wilkins, 2025) Öztürk B.; Öztürk, BaşarABSTRACT – Objective – The aim of the study was to evaluate the effectiveness of personalized task-specific 3D-printed terminal devices integrated with a standard myoelectric prosthesis in improving functional independence and comfort in a patient with systemic scleroderma and transradial amputation. Methods – A 57-year-old female patient with systemic scleroderma and a left transradial amputation used the following three task-specific 3D-printed adaptive terminal devices—a sock aid, buttoning tool, and jar opener—developed using Tinkercad and fabricated with PLA via FDM printing. These devices were integrated into her pre-existing standard myoelectric prosthesis (Ottobock MyoFacil, four-channel transradial model), which the patient had already been using for daily activities. Functional outcomes were assessed using the Canadian Occupational Performance Measure, Functional Independence Measure (FIM), and visual analog scale (VAS) for pain. Results – Canadian Occupational Performance Measure scores increased from 2/10 to 7–8/10 in performance and satisfaction. Functional Independence Measure scores improved from 4 to 6, reflecting reduced need for assistance in self-care. VAS scores decreased from 7/10 to 3/10, indicating reduced pain during activities of daily living. Conclusions – The integration of low-cost, patient-specific 3D-printed terminal devices with an existing myoelectric prosthesis significantly improved function, independence, and comfort. This case supports further exploration of additive manufacturing as a complementary strategy to enhance prosthetic function in individuals with rare and complex impairments. Clinical Relevance – 3D printing offers a scalable, adaptable solution for task-specific 3D-printed terminal devices, particularly in patients with systemic comorbidities. © 2025 Lippincott Williams & WilkinsArticle Positioning School Readiness as Ecological Fit: The School Readiness Ecological Approach (SERA) for Occupational Therapy and Education(Routledge Journals, Taylor & Francis Ltd, 2026) Aydoner Bektas, SelenTraditional perspectives on school readiness have emphasized child-level competencies such as cognitive, language, and behavioral skills. While important, the narrow focus overlooks the ecological systems - families, teachers, and communities - that shape children's adaptation to school. The participation-oriented perspective of occupational therapy has also been largely absent from the discourse. The School Readiness Ecological Approach (SERA) reframes school readiness as a matter of ecological fit rather than merely a set of children's skills. Based on Bronfenbrenner's ecological systems theory and the Person - Environment - Occupation model, SERA conceptualizes readiness as the outcome of dynamic exchanges between children, families, educators, schools, and policy environments. SERA addresses key gaps by: (1) shifting focus from isolated child attributes to participation in real-life contexts; (2) integrating occupational therapy's holistic perspective into readiness; and (3) providing a multi-level framework to guide research, practice, and policy. SERA emphasizes four domains - child, family, educational environment, and community - as interconnected contributors to school readiness trajectories. As a conceptual bridge across education, health, and social systems, SERA will broaden theoretical scope, foster interdisciplinary collaboration, and promote inclusive, and sustainable strategies. Reconceptualizing school readiness as ecological fit will help move beyond deficit-based views and support more equitable and effective school transitions.Article Development and Psychometric Properties of the Self-Efficacy Scale for Symptom Management and Self-Care in Patients with Cardiac Surgery(Springer Publishing Co, 2025) Aksut, Rabia Saglam; Capik, Canturk; Elmas, Tugce BozkurtBackground and Purpose: Evaluating self-efficacy for symptom management and self-care is crucial for ensuring follow-up care after cardiac surgery. As there is not yet a validated measurement tool for this evaluation, the aim of this study was to develop the Self-Efficacy Scale for Symptom Management and Self-Care (SESMSC: Cardiac Surgery) in patients with cardiac surgery and to examine its psychometric properties. Methods: The Symptom Management Theory and Bandura's Self-Efficacy Theory were used as the theoretical background for scale development. A multiphase design was utilized. The initial development phase consisted of item generation and expert panel review. The second phase comprised a three-step validation process: (a) face and content analysis (CFA) for construct validity, and (c) Cronbach's alpha, test-retest, and item- total correlation analysis to assess internal consistency reliability. The sample (n = 401) was randomly divided into two subsamples for EFA and CFA (EFA group: n = 201; CFA group: n = 200). Results: EFA suggested a 20-item, two-factor structure with factor loadings of .342-.782. The two subscales of the scale were labeled symptom management self-efficacy and self-efficacy for ch's alpha, test-retest, and item-total correlation results demonstrated acceptable internal consistency reliability. Implications for Practice: The SESMSC: Cardiac Surgery may be a useful tool to evaluate self-efficacy for symptom management and self-care after cardiac surgery. Further evaluation in independent samples is needed to investigate its psychometric properties and usefulness in clinical practice.Article Psychological Effects of Robotic Rehabilitation in Individuals With Spinal Cord Injury: A Narrative Review(BMC, 2025) Ibrahim, Ismail A.; Mounir, Mennatallah M.; Hussein, Omar; Parnian, Nadieh; Sefertas, Ece; Ravanbod, Amin; Arican, Tuna ErenIntroductionSpinal cord injury (SCI) is associated with severe physical, psychological, and social burdens. Robotic rehabilitation, especially robotic-assisted gait training, is increasingly used to improve functional recovery. Nonetheless, its psychological effects which are key to motivation, compliance, and long-term prognosis have received little scrutiny.MethodsWe conducted a narrative review across five databases (PubMed, Web of Science, Scopus, Cochrane, Embase) from inception to January 2025. Studies were included if they evaluated robotic rehabilitation in SCI and reported psychological outcomes. Findings were synthesized thematically into domains of anxiety/technophobia, motivation/engagement, self-efficacy/dependence, and frustration/quality of life.ResultsRobotic systems frequently improved autonomy, motivation, and self-confidence, which corresponded to less depression and a better quality of life. Nevertheless, negative effects including technophobia, frustration from technological malfunction, and loss of self-efficacy from excessive dependence were found. Patient experiences ranged: empowerment and new optimism were reported by some patients, whereas others experienced the devices as complicated, emotionally alienating, or inadequately adjustable.DiscussionRobotic rehabilitation has a dual psychological effect. On one hand, it encourages engagement and emotional resilience; on the other, it carries risks of interdependence and diminished autonomy. There are ethical issues to be resolved access disparities, data protection, and preserving human connection that require careful management. The inclusion of psychological screening, education of patients, and specific goal-setting within protocols can maximize results.ConclusionRobotic rehabilitation is highly capable of promoting progress after SCI if psychological considerations are completely incorporated into rehabilitation interventions. A multimodal approach that is interdisciplinary and ethically solid is required to achieve optimized functional improvement as well as psychosocial health.Article Development and Psychometric Properties of the Home Programme Quality Evaluation Tool for Therapists, Clients and Caregivers: A Validity and Reliability Study(MA Healthcare Ltd, 2025) Akyurek, Gokcen; Bektas, Selen Aydoner; Sipahi, BusraBackground/Aims Home programmes - where rehabilitation activities are carried out in the client's home - are frequently used in the rehabilitation process but there are no standardised measurements to assess preparation, delivery and quality. The aim of this study was to determine the validity and reliability of two different forms - one for therapists and one for client and caregivers - that were developed as part of the Home Programme Quality Evaluation tool. Methods Initially, two 38-item forms were created based on a comprehensive literature review and expert panel evaluation. These forms were piloted with 30 participants from each target group to assess grammatical clarity, comprehensibility and cultural appropriateness. Based on the pilot feedback, minor linguistic adjustments were made, and the refined 38-item forms were then administered to 179 physiotherapists, occupational therapists and speech and language therapists, and 185 clients/caregivers (100 clients, 85 caregivers) for psychometric analyses. Psychometric analyses were conducted to evaluate validity and reliability, including exploratory and confirmatory factor analyses (chi-square/degree of freedom ratio, Goodness-of-Fit Index, Tucker-Lewis Index, Comparative Fit Index, Incremental Fit Index, root mean square error of approximation, standardised root mean square residual and internal consistency (Cronbach's alpha) and test-retest reliability (intraclass correlation coefficient and Pearson correlation). Results Exploratory and confirmatory factor analyses supported a one-factor structure for both forms, resulting in the final 11-item therapist form and 8-item client/caregiver form. The Home Programme Quality Evaluation tool demonstrated a good model fit for both forms (therapist form: chi(2)/df=2.66, goodness-of-fit index=0.909, Tucker-Lewis Index=0.886, standardised root mean square residual=0.060; client/caregiver form: chi(2)/df=3.37, goodness-of-fit index=0.929, Tucker-Lewis Index=0.950, standardised root mean square residual=0.027). Cronbach's alpha was 0.868 for the therapist form and 0.932 for the client/caregiver form. Test-retest reliability revealed strong positive correlations (r=0.994, P<0.001; r=0.998, P<0.001) and excellent stability over time (intraclass correlation coefficient=0.998 and 0.990, respectively). Conclusions The Home Programme Quality Evaluation's therapist and client/caregiver forms were found to have strong validity and reliability. The therapist form can enable therapists to monitor themselves, while the client and caregiver form can help clients or caregivers provide feedback on the home programme. Future studies can explore its application across different clinical populations and rehabilitation settings to further refine and optimise home-based interventions. Implications for practice For allied health professionals, the Home Programme Quality Evaluation tool serves as a practical tool for improving home programme design and implementation. By systematically assessing home programme quality, therapists can identify areas for improvement, ensuring that programmes are clear, feasible and well-integrated into the daily life of clients and their caregivers. Integrating the Home Programme Quality Evaluation tool into routine clinical practice can contribute to more effective rehabilitation outcomes, promoting structured, high-quality home programmes that align with the needs and capabilities of both clients and caregivers.Conference Object Psycho-Social Impact of the Disaster on Employees in Terms of Occupational Health and Safety: The Case of Turkey(Springer-Verlag Singapore Pte Ltd, 2025) Aytac, Sevinc Serpil; Akalp, Husre Gizem; Bilir, Burcu Ongen; Mamaci, MerveThe earthquakes that occurred in Maras, Turkey, on February 6, 2023, with intensities of 7.7 MW and 7.6 MW, deeply affected the lives of millions of people in economic, social and psychological terms within a few seconds and caused loss of life. The aim of this study is to examine the moderator role of disaster preparedness plans in workplaces on the relationship between post-traumatic stress levels and depression, anxiety, stress levels of people who are directly or indirectly exposed to these earthquakes and have an active work life. The data was obtained from a total of 206 blue-collar employees who were actively working in a private company and were directly and indirectly exposed to the effects of the earthquake. In data collection, demographic information form, The Impact of Event Scale-Revised (IES-R) and Depression Anxiety Stress Scale-21 (DASS-21) were used. According to the findings analyzed using structural equation modeling showed that having a disaster preparedness plan in workplaces weakens the strength of the relationship between post-traumatic stress level and depression, anxiety, stress levels.Article Re-Functioning of Pembe Yalı: Evaluation Within the Scope of Turkey Architectural Heritage Conservation Charter and Principles for the Conservation of Wooden Built Heritage(Abidin Temizer, 2025) Ural, A.G.It is known that Pembe Yalı, located in Beykoz District of Istanbul Province, was built in the 19th century. The building has the importance of being one of the 366 mansions in the Bosphorus, which are historical monuments. The aim of the study was to evaluate the project in the context of Icomos Turkey Architectural Heritage Conservation Charter. While preparing the study, the general scanning model and the documentary scanning model from qualitative research methods were used. By using the documentary scanning method, the old and new projects and photographs of the Pembe Yalı, which is the subject of the research, were accessed. The restoration process of the building, whose projects were prepared by the author and her team, was compiled from project and application experiences. Using the documentary scanning model, the Turkey Architectural Heritage Conservation Charter was examined and the Principles for the Conservation of Wooden Built Heritage were also taken into consideration. The findings were evaluated using the content analysis method. In the research, it is aimed to evaluate the structural problems, the methods used and the analysis and the refunctioning process of the Pink Mansion in the design phase. © 2025 Elsevier B.V., All rights reserved.Article Comparison of HLA-G Levels for Cord Blood Derived-MSC and Wharton's Jelly Derived-MSC(Walter de Gruyter GmbH, 2025) Abatay Sel, Figen; Erol Bozkurt, Ayse; Karatas, Sule; Suleymanoglu, Mediha; Yasa, Beril; Yasa, Cenk; Savran Oguz, Fatma; Oǧuz, Fatma Savran; Sel, Figen Abatay; Bozkurt, Ayşe ErolObjectives: A special group of stem cells with multipotent and immunomodulatory properties are mesenchymal stem cells (MSCs). Many modulatory factors are thought to mediate immunomodulatory properties of MSCs. One of these modulatory factors is thought to be HLA-G, one of human leukocyte antigens (HLA). This study aimed to compare HLA-G levels in both stimulated and unstimulated of peripheral blood mononuclear cell (PBMC) cultures with "cord blood-MSC" (CB-MSC) and "Wharton's jelly-MSC" (WJ-MSC) at different rates and different incubation periods. Methods: WJ-MSCs were obtained by explant method, and CB-MSCs using Ficoll-paque. They were characterized by flow cytometry. MSCs and PBMCs were directly co-cultured for 24 and 72 h at 1:5 and 1:10, respectively. After incubations, the media were collected and HLA-G levels were measured by ELISA. Results: In the unstimulated group, the highest HLA-G level was found in the PBMC:WJ-MSC-72-1:5 group, while the lowest HLA-G level was found in the PBMC:CB-MSC-72-1:5. When 24-1:5 and 72-1:5 groups were examined, the HLA-G level decreased significantly in CB-MSC groups compared to WJ-MSC, while it increased significantly in the 24-1:10 and 72-1:10 groups (p<0.05). In stimulated groups, the highest HLA-G level was observed in the PBMC:CB-MSC-24-1:5. Conclusions: Our study aimed to evaluate the immunomodulatory effect of MSCs via HLA-G molecule. HLA-G levels changed with different incubation times of two different MSC sources. In this study, we suggest that MSCs as a cell therapy, in particular for immune system-related disease, may be a preliminary in vitro approach to evaluate the immunomodulatory effect via HLA-G.Article Advances in Ferritin Biosensors: Rapid and Cost-Effective Iron Level Assessment(Field Crops Central Research Institute, 2025) Vonalioglu, Sena; Okur, Muhammed Daghan; Üstünsoy, Recep; Ertaş, Tahsin; Dinç, BircanIron is an essential element crucial for oxygen transport in the bloodstream; however, deviations from its normal physiological levels can result in health complications. Iron deficiency is a widespread condition and a leading cause of anemia globally. Conversely, excessive iron accumulation can cause severe liver damage, such as cirrhosis, by exacerbating oxidative stress. Consequently, assessing iron status through biomarkers like ferritin, which is a protein that reflects the body’s iron stores, is critical for diagnosing iron-related disorders accurately. The ferritin test, which measures the concentration of ferritin protein in the blood, is a standard method for iron analysis. However, frequent hospital visits for such testing can be both time-intensive and expensive. This has driven significant interest in developing rapid and cost-effective methods for ferritin detection. To meet this demand, a variety of biosensors have been designed using diverse techniques to enable convenient ferritin analysis. Despite considerable advancements in biosensor technologies, a comprehensive classification and analysis of these devices remain lacking, leaving researchers without a unified understanding of their comparative strengths and limitations. This review addresses this gap by systematically categorizing ferritin biosensors based on their underlying mechanisms. The review explores electrochemical biosensors, such as those based on graphene, microfluidics, and ZnO–Mn<inf>3</inf>O<inf>4</inf> nanocomposites, as well as electrical biosensors using quantum dots or gold nanorods. Additionally, optical biosensors, including photonic crystal sensors, surface plasmon resonance systems and magnesium sulfide nanosheets are discussed in detail. Unconventional and immunoassay-based biosensors, such as nanodiamond-based magnetic sensors and nanowire FETs, are also examined to highlight the breadth of detection strategies available. With the rising prevalence of iron-related disorders and the limitations of traditional diagnostic tools, this review underscores the critical need for portable, rapid, and cost-effective ferritin biosensing technologies, offering insights relevant to both clinical practice and future research. © 2025 Elsevier B.V., All rights reserved.