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Evaluation of the Early Age Married Girls Applying to Our Department

Open Journal of Pediatrics 2015年第4期5卷 334-338页

作者： Bulut Kasim Uysal Cem Korkmaz Mustafa Sivri Suleyman bozkurt ismail Durmaz Ubeydullah Tırasci Yasar Goren Suleyman Forensic Medicine Department Dicle UniversityDiyarbakırTurkey Diyarbakır Directorate of Forensic Medicine Office DiyarbakirTurkey

Underage marriages are going on to keep their commonness in countries such as Turkey although frequencies of them are decreasing in the world. According to the law, marriages before eighteen years old are also defined as early marriages. Being married of girls at early ages makes these children deprived from education life and their vicinity. Therefore severe psychological difficulties occur in these children. In this study, 19 girls, who were being married at early ages and psychologically examined between January 1st, 2013-April 1st, 2015 in physical and mental health committee of the Dicle University, Medical Faculty, were taken to evaluate. These 19 cases were retrospectively assessed in sociodemographic data (age, education level, and relative degrees), type of marriage, state of mind, forensic reports and files. Of 410 cases, who admitted to our mental and physical committee, 19 (4.6%) were at the category of early age marriage. These 19 cases range between 13 and 17 years of age. Three of them (15.8%) were thinking of suicide and one of them (5.3%) attempted suicide. At least, one mental disorder was diagnosed in 8 (42.1%) of the cases and the most common diagnose was acute stress disorder in four (21.1%) cases. It has been stated that marriages at early ages are caused by economic and cultural reasons. As conclusion, being married of children at early ages is an important risk factor in social and mental health.

关键词： Child Marriage Mental Disorders Forensic Medicine

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The effect of α-blocker therapy on erectile functions in patients with lower urinary tract symptoms due to benign prostate hyperplasia

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Asian Journal of Andrology 2009年第6期11卷 716-722页

作者： Omer Demir ismail Ozdemir Ozan bozkurt Guven Asian Ahmet Adil Esen Dokuz Eylul University Medical School Department of Urology Inciralti Izmir 35340 Turkey

In this study we aimed to evaluate the impact of doxazosin treatment on erectile functions in patients with lower urinary tract symptoms （LUTS） and having erectile dysfunction （ED） at baseline. Fifty-three patients with LUTS （IPSS score 〉 7） whose maximum flow rate （Qmax）〈 15 mL s-1 and PSA 〈 4 ng dL^-1 were enrolled in the study. Patients received doxazosin 4 nag once daily for 6 weeks. Subjective efficacy was assessed by IPSS, IPSS- Quality of Life （IPSS-QoL） for LUTS and efficacy was assessed by International Index of Erectile Function （IIEF） for erectile functions at baseline and sixth weeks. The objective efficacy was assessed by Q The patients were classified according to their self reported erectile status： group I had ED and group II did not have ED. At the endpoint, doxazosin significantly improved the total IPSS score （-7.7 ±6.1, P = 0.006）, IPSS-QoL score （-1.5 ± 1.5, P = 0.024） and Qmax （3.2 ± 4.6 mL s^-1, P = 0.002） over baseline. Mean decrease in IPSS and IPSS-QoL scores after the treatment period were 6.9 ＋ 6.4 （P 〈 0.001） and 0.95 4- 1.80 （P 〈 0.05） in group I, whereas 8.2 4- 5.8 （P 〈 0.001） and 1.9 4- 1.1 in group IX （P 〈 0.001）, respectively. Mean changes of Qmax values were 2.3 4- 3.3 mL s^-1 in group I （P 〈 0.05） and 3.7 4- 5.3 mL s-1 in group II （P 〈 0.001）. The improvement of IIEF-EF scores after the treatment period was only significant for group I. The efficacy of a-blocker therapy for LUTS was better by means of symptomatic relief for patients who did not have ED when compared with patients who had ED at baseline. However, slight improvement in erectile functions with a-blocker therapy was only seen in LUTS patients with ED.

关键词： benign prostate hyperplasia doxazosinlerectile dysfunction lower urinary tract symptoms treatment outcome

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