Child Marriages and Psychosocial Outcomes

One of the most frequent forms of child abuse worldwide is child marriage. Underage marriages are going on to keep their commonness in countries such as Turkey although frequencies of them are decreasing in the world. Child marriage generally refers to the marriage of a child who is under 18 years of age. Because the majority of these marriages are performed without the conscious consent of the child, they are also defined as “early and forced marriages. Child marriages seperate children from their families and friends, expose them to domestic violence, jeopardize their development and the opportunities in educational, social and occupational areas. Early marriages may lead to psychologi-cal problems as well as depression and suicide. The aim of this article is to evaluate the frequency and causes of early marriage and its psychosocial consequences. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2017; 9(4.000): 410-420

Eletriptana Bağlı Distoni Olgusu

Migren, yaklaşık % 18 oranında kadınları, % 6.5 oranında erkekleri etkileyen sık görülen bir hastalıktır. Triptanlar, migren tipi baş ağrılarının tedavisinde etkin olarak kullanılmaktadır. Bununla birlikte, özellikle yaşlılarda triptanlar yan etkileri sebebiyle dikkatli şekilde kullanılmalıdır. Bu olgu sunumunda, eletriptan tedavisi sonrasında distoni ortaya çıkan bir migren hastası sunulmuştur

Toxic keratopathy associated with abuse of topical anesthetics and amniotic membrane transplantation for treatment

<b>AIM:</b> To evaluate the clinical findings of toxic keratopathy associated with abuse of topical anesthetics and the treatment efficacy of amniotic membrane transplantation (AMT).<b>METHODS:</b> Fifteen eyes of 10 patients with abuse of topical anesthetics were included in this study. The data collected included patients’ demographic information, initial best corrected visual acuity (BCVA), clinical findings, time to AMT, duration of epithelization, additional treatments, posttreatment BCVA, and the results of psychiatric examination.<b>RESULTS:</b>All patients were male, with the mean age of 37.9±5.4y. The patients had received 0.5% proparacaine hydrochloride due to pain resulting from foreign bodies, such as welding flash burns and car battery explosions, for a mean of 18.2±12.4d. The mean initial BCVA of the patients was 0.069±0.100. All patients had persistent epithelial defects, stromal infiltration, ring ulcer, and corneal edema. Initially, medical treatment was attempted in all cases. Because of severe pain, persistent epithelial defects and progressing stromal thinning did not improve with medical treatment, thus, the patients underwent AMT. The mean posttreatment BCVA of the patients was 0.33±0.27. All of them, except for two patients, showed improved visual acuity. One patient underwent evisceration for corneal melting and endophthalmitis in another center, and one patient underwent evisceration for severe pain of unknown origin. All 5 patients who consented to a psychiatric examination had depression, had personality disorder, and used tobacco.<b>CONCLUSION</b>:AMT appears to be an effective method for pain relief, rapid epithelial and stromal healing; however, visual prognosis is still poor despite medical and surgical interventions