Association of Radiological Grading with Clinical Variables and Functional Status in Patients with Hip and Knee Osteoarthritis

WOS: 000264851900017Objective: The general opinion is that there is a disparity between symptoms and radiological abnormalities in osteoarthritis (OA), but some recent studies emphasize the potential contribution of underlying joint disease to the degree of pain and disability. Our aim was to assess the relationship between radiographic grading and demographic features, clinical variables and functional status in patients with hip and knee OA. Material and Methods: 128 patients (61.8 +/- 9.5 years, 84 knee and 44 hip OA) were included in the study. Demographic features, duration of disease and stiffness, and severity of pain were assessed using visual analog scale (VAS). Range of motion (ROM) measurements and radiological grading were performed. Western Ontario and McMaster Universities OA Index (WOMAC) was used for evaluating pain, stiffness and physical functions, and Short Form-36 (SF-36) was used for evaluating general health status. These variables were compared between three groups based on Kellgren-Lawrence radiological grades (grade 2, 3, 4). Results: Age, body mass index, ROM values, VAS (p = 0.0001), WOMAC pain, function and total score (p = 0.007, p = 0.03 and p = 0.03 respectively), physical functioning, bodily pain, social functioning and emotional role of SF-36 (p = 0.007, p = 0.008, p = 0.02 and p = 0.009 respectively) were worsened according to radiological grade in knee OA. Duration of disease, ROM values, VAS (p = 0.006) and bodily pain subscale of SF-36 (p = 0.03) were worsened in hip OA; no significant difference was detected in WOMAC subscales and total score. Conclusion: Clinical variables, functional status and quality of life deteriorated with radiological grade in knee OA patients and this deterioration was significant in grade 4. However, this association, especially of functional status, could not be confirmed in hip OA patients

The investigation of domestic violence in child psychiatric sample

WOS: 000263263700011Objective: When the studies are reviewed about domestic violence against partner and child, there are a few studies which include psychiatric sample, especially children. The aim of this study is to compare the two methods to domestic violence against child (DVAC) and domestic violence against partner (DVAP) in the pediatric psychiatric sample. Methods: In this study, DVAC and DVAP were investigated with two different methods. The first was self-report questionnaire. The second was to ask similar questions during face to face intervention. Participants were 510 mothers who had 4-12 years old child and who applied child and adolescent psychiatry department. Findings: Both DVAC and DVAP were determined higher rates in the first method. Additionally, correlation between two methods was very little. DVAC rates increased in the children who had DVAP history in their family. Conclusion: This study results werenot similar to literature knowledge that 'DV should be examined as short and close and questions during face to face intervention'; according to our results the rate of this suggested method was effective at a level of only half of the another method. This traditional method might be true, but it couldn't forget that this rate might bring lower results than the reality. When there is a doubt about the possible presence of DV in family, different methods should be use, and each family member should be examined separately. (Anatolian Journal of Psychiatry 2009; 10: 71-76