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.Article Citation - WoS: 1Citation - Scopus: 1A Comparative Study of Biochemical, Antimicrobial Effects and Phytochemical Composition Analysis of Glycyrrhiza Glabra L. Varieties Root Extracts(Marmara University, 2025) Sen, Ali; Servı, Hüseyın; Barak, Timur Hakan; Tekin, Fethullah; Şener, Azize; Marzi, Mahdi; Gülmez, GizemPlants are the significant global interest as alternative treatment sources with their biologically activecompounds. This study compares the chemical composition and the antioxidant, antidiabetic, and antimicrobialproperties of ethanol extracts of G. glabra L. two different varieties from different regions. The phytochemicalcompositions was determined using GC-MS. Additionaly, total phenolic (TPC), flavonoid (TFC) and triterpene (TTC)contents were determined. Glycyrrhizic acid contents were analysed by HPLC. G. glabra var. glandulifera (GF1) showedthe highest antioxidant activity. All extracts had strong antidiabetic effects, besides GF1 showing the highest effect. TheMIC values was determined against 8 bacterial and 1 yeast strain and values ranged from 2.500 to 0.500; 2.500 to 0.714;2.500 to 0.714 for G. glabra var. glabra (GB), GF1, G. glabra var. glandulifera (GF2) respectively. Phytochemical studies haveshown that TPC was 100.60±5.06, 127.90±0.30, 69.01±0.30 mg GAE /g extract; TFC was 80.07±0.15, 25.35±0.0, 16.58±0.31mg KE/g and TTC was 217.30±6.05,172.40±2.17, 126.30±4.50 mg OE/g extract for GB, GF1, GF2, respectively. GF1 inparticular has the highest glycyrrhizic acid content. This study will contribute to the creation of new treatment strategiesand potential therapeutic agents in addition to the use of G. glabra L. in traditional treatments. Our study is also apreliminary study for future studies.Article Tsunami Awareness: A Case Study Of Hasköy, Beyoğlu, İstanbul(Afet ve Acil Durum Yönetimi Başkanlığı (AFAD), 2025) Taskin, H.; Gunaydin, D.H.; Yücel, G.An earthquake-triggered tsunami, originating from seismic activity in seas and oceans, poses a significant threat to coastal settlements within its impact zone. As part of risk reduction efforts, enhancing public awareness of tsunamis is crucial for mitigating potential disaster-related damages. Accordingly, this study emphasizes the importance of tsunami awareness initiatives by assessing the pre-disaster knowledge levels of the community. The study aims to measure the tsunami-related knowledge and awareness levels of residents in a settlement exposed to tsunami hazards. In this qualitative research, data were collected through semi-structured interviews conducted with business owners and employees in a purposively selected settlement. The study was carried out in the Piripaşa neighborhood of the Hasköy district in Istanbul’s Beyoğlu region, specifically within the coastal area parallel to the shoreline of the Golden Horn. Data were obtained from 22 active commercial enterprises out of 50 located along this coastal road. During the interviews, five key questions were posed to assess the respondents’ basic knowledge of tsunami awareness. The questionnaire also included images of tsunami evacuation route signs. The questions covered demographic characteristics, business activity sector, knowledge of tsunami hazards, awareness of the region’s tsunami risk, familiarity with tsunami evacuation procedures, and knowledge of relevant institutions and organizations involved in tsunami preparedness. The findings of the study indicate that the majority of the surveyed enterprises predominantly operate within the service sector. Furthermore, the results reveal a notably low level of awareness among participants regarding tsunami hazards, as well as limited knowledge of appropriate response behaviors during such events. While 50% of participants believe that the region is not at risk of tsunamis, 59% reported being aware of tsunami warning signs, which is a notable observation. Enhancing awareness of tsunami hazards and the region’s tsunami risk level is both essential and a priority. © (2025), (Afet ve Acil Durum Yonetimi Baskanligi (AFAD)). All right reserved.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 19. Yüzyıl İstanbul Endüstri Mirasına Palimpsest Kavramı Üzerinden Ontolojik Değerlendirme(Atatürk Üniversitesi, 2025) Ural, Ayşe GülçinEski yazılı parşömen kağıtlarının silinip üzerine yeniden yazılar yazılması, ancak eski yazı izlerinin hala görünüyor olması hali palimpsest olarak tariflenmektedir. Mekân üzerinden bu kavramı incelemek gerekirse; yeniden işlevlendirilen yapılar içinden eski işlevin ve yapım biçiminin izlerini hala görebilmek şeklinde yorumlanabilmektedir. İstanbul gibi büyük tarihe sahip bir kentte, yeniden işlevlendirilmeye ihtiyaç duyan pek çok tarihi yapı bulunmaktadır. Bu yapılar içinde palimpsest kavramının daha net bir şekilde algılanabileceği yapı tipinin endüstri yapıları olduğu düşünülmüştür. Bu nedenle çalışma İstanbul, Avrupa ve Anadolu yakasında bulunan 19. yy. endüstri yapıları ile sınırlandırılmıştır. Çalışmanın amacı ise İstanbul’da bulunan 19. yy. endüstri yapılarının 2024 yılındaki durumlarına göre palimpsest kavramı üzerinden değerlendirme ve sorgulama yapmaktır. Çalışmada veri toplama yöntemi olarak nitel araştırma yöntemlerinden genel tarama modeli, belgesel tarama modeli ve tarihsel tarama modelinden faydalanılmıştır. Kavramsal zemini oluşturmak için genel tarama modeli ile palimpsest kavramına ve mekân ontolojisine dair inceleme yapılmıştır. Belgesel tarama yoluyla, tespit edilen yapıların çeşitli özelliklerine dair veri toplanmıştır. Tarihsel tarama ile ise yapıların yapım yılından itibaren geçirdiği süreç ve 2024 aralık ayında ne durumda olduğuna dair tespit yapmak istenmiştir. Toplanan teknik veriler ve görseller hermenötik yöntem ile değerlendirilmiştir. Çalışmanın sonucunda İstanbul’da bulunan 19. yy. endüstri yapıları içinde 11 adet Avrupa yakasında, 4 adet Anadolu yakasında palimpsest olarak değerlendirilebilecek yapı tespit edilmiştir. Araştırma; İstanbul’da bulunan 19. yy. endüstri yapılarının 2024 yılındaki durumlarını listelemek açısından ve bu yapıları mekânın ontolojisi üzerinden değerlendirilerek palimpsest kavramı ile yorumlamak açısından gerekli görülmüştür.