The first molar is the largest tooth in the oral cavity and bears the maximum occlusal load, and they influence the vertical distance of the maxilla and mandible, the occlusal height, and aesthetic proportions. Since they have the maximum root surface area, they are also considered the best source of anchorage for moving the teeth (Mostafa Rezaie el al 2018). The timing of the first molar eruption makes these teeth vulnerable to dental caries. The loss of a permanent first molar in adolescent patients creates a need for early space maintenance and restorative function. This paper describes a conservative, functional and cost-effective bridge as an interim restoration after the loss of a permanent first molar in an early adolescent dentition (Rajashekhara el al 2012).

The objectives of this study were to explore the combine effects on children’s psychological adjustment and maladjustment of perceived acceptance or rejection by mothers, fathers, and teachers; and also to examine the combine effects on adults’ current psychological adjustment and maladjustment of perceived acceptance or rejection by mothers and fathers in childhood and by intimate partners in adulthood. The samples consisted of 586 children (47% boys and 53% girls) and 1,709 adults (35% males and 65% females). Among the children 573 were in the multiple acceptance group and 13 were in the multiple rejection group, and among the adults 1,645 were in the multiple acceptance group and 64 were in the multiple rejection group. The samples were selected from 11 countries in four continents. Results showed that significantly more girls than boys, and more women than men experienced multiple acceptance. Regardless of age, gender, and culture, the majority of sample in the multiple acceptance group reported healthy psychological adjustment, and the majority of respondents in the multiple rejection group reported moderate to severe psychological maladjustment. Results also showed a significant tendency for adults to experience more rejection by all attachment figures than did children regardless of culture and gender.

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy and occurs as a result of compression of the median nerve in the carpal tunnel at the wrist. The classic symptom in patients with CTS is paresthesia (numbness, burning, tingling) and pain in the median nerve distribution area of the hand, especially at night. A 24-year-old female patient presented to GETAT polk with the diagnosis of mild carpal tunnel syndrome after examination and EMG after the complaint of numb tingling in the hand in the neurology outpatient clinic. The patient was using Parkyn (pramipexole dihydrochloride monohydrate) 25mg. Acupuncture was applied to the patient for 10 sessions. Disposable sterile acupuncture needles were applied to the PC-6, H-7, LU-9, H-7, SI-3 points (0.22x13mm, 0.22x1.5mm Hua Long). The sessions lasted 20 minutes. The sessions were done first twice a week, then once a week. The patient was prescribed Vitamin B1 + B6 supplements. After 10 sessions of acupuncture, the EMG was repeated. The EMG result of the patient was normal. Parkyn was cut by neurology, Lyrica (pregabalin) was switched to 150mg. The patients need for medication was also reduced.

Objective: Although fine needle aspiration cytology (FNAC) is the most reliable, safe and accurate method for the clinical management of abnormal thyroid nodules, 5%-15% of cases lead to indeterminate diagnoses and surgery is the recommended practice for them as they may be malignant. Nevertheless, the majority of cases with indeterminate cytology are benign, so the risk of unnecessary surgery is significant. In our study we combined FNAC and scintigraphy in order to reduce the number of inappropriate surgeries. Subjects and Methods: From 219 patients with thyroid fine needle aspiration cytology 33(9 males and 24 females) aged 18-73 years, had indeterminate FNAC diagnoses and were referred for scintigraphy. Surgery was performed in all cases. The results of FNAC, scintigraphy and histology were collected and compared. Results: From 33 cases with indeterminate cytology 32 had a benign histological diagnosis and only one was malignant (follicular Ca). That case had a positive scan. All cases with negative thyroid scans (29/33) were benign. False positive scans were 3, whereas one scan was true positive with final diagnosis follicular carcinoma. Conclusion: This study showed that combining the FNAC with the thyroid scintigraphy in cases of thyroid nodules with indeterminate cytology it is possible to reduce the number of inappropriate surgeries from 32 to 3.