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- MakaleYalnız künye2026The Predictive Role of Fetal Growth for Placental Invasion Anomalies in Placenta Previa
Koca, Evrim; Dincgez, Burcu; Ozgen, Gulten; Simsek, Deniz
Objective To evaluate the predictive role of fetal percentile for placental invasion anomalies in placenta previa cases. Study Design: Retrospective studyPlace & Duration of the Study: Training and Research Hospital, January 2018 and December 2023 Methodology A total of 298 placenta previa cases was divided into two groups: PAS (placenta accreta spectrum)-positive placenta previa (n=98) and PAS-negative placenta previa (n=200). Then PAS-positive placenta previa cases were divided into two subgroups: placenta increta-accreta (n=59) and placenta percreta (n=39). Sociodemographic findings, obstetric features, fetal percentile measurements between 22 and 28 gestational weeks and perioperative characteristics of patients were recorded and compared between groups. Results Fetal percentile was significantly lower in PAS-positive placenta previa cases as compared to PAS-negative placenta previa cases (p<0.001). Moreover, fetal percentile <= 52.5 discriminated PAS-positive placenta previa cases from PAS-negative placenta previa cases with 75.51% sensitivity and 51.5% specificity (p<0.001, AUC=0.654). In multivariate analysis, a fetal percentile of 52.5 and below increased the risk of PAS by approximately 4 times (Hosmer-Lemeshow p=0.101, model p<0.001). No significant difference was detected between placenta percreta and placenta accreta-increta groups in terms of fetal percentile (p=0.224). Conclusion Fetal percentiles calculated between 22 and 28 gestational weeks could discriminate PAS-positive placenta previa cases from PAS-negative placenta previa cases, although it had no role in discriminating placenta percreta from accreta and increta cases. Therefore, the evaluation of fetal percentile in placenta previa cases can be considered as a supportive finding in the prediction of invasion anomaly although it does not determine the depth of invasion.
- MakaleAçık Erişim2024Isometric Shoulder and Hip Strength Impact on Throwing Velocity and Reactive Strength
Kayhan, Recep Fatih; Terzi, Esranur; Bayrakdaroglu, Serdar; Ceylan, Halil Ibrahim; Biyikli, Turker
The aim of the study is to examine relationships between shoulder extension-flexion and internal-external rotation strength of professional male handball players with throwing velocity, and the hip extension-flexion strength with horizontal and vertical reactive strength index. Fifteen professional male handball players participating in 1 st League matches took part in the study. The results showed that isometric shoulder flexion and extension strength significantly predicted stable throwing velocity (r (2 )=between 0.27-0.73) and dynamic throwing velocity (r( 2) =between 0.30-0.62). In addition, isometric internal and external rotation strength significantly predicted stable throwing velocity (r (2) =between 0.32-0.54) and dynamic throwing velocity (r (2) =between 0.31-0.44). Moreover, isometric hip extension and flexion strength significantly predicted vertical reactive strength index (r( 2) =between 0.31-0.45) and horizontal reactive strength index (r (2) =between 0.26-0.42). In conclusion, it was observed that shoulder strength has an enhancing effect on handball players' throwing velocity, while hip strength is a determining factor for the reactive strength index. In this context, it is assumed that shoulder weakness during throwing will affect the accuracy and velocity of throwing by disrupting the angular momentum, while weakness in the hip during the jump phase of the throwing motion will negatively affect the explosive power by limiting stabilization during landing.
- DergiINTERNATIONAL JOURNAL OF SPORTS MEDICINE
- DergiZEITSCHRIFT FUR GEBURTSHILFE UND NEONATOLOGIE