: Iatrogenic phrenic nerve injury is an issue that all thoracic surgeons will be called to tackle during their career. Injury of the leads paralysis hemidiaphragm, which can result in a spectrum symptom severity from asymptomatic disabling shortness breath. It any operation requiring dissection close its anatomical pathway neck diaphragm, but also at risk with interventional procedures within v...

PURPOSE Although penile duplex Doppler ultrasonography (PDDU) is a common and integral procedure in a Peyronie's disease workup, the intracavernosal injection of vasoactive agents can carry a serious risk of priapism. Risk factors include young age, good baseline erectile function, and no coronary artery disease. In addition, patients with Peyronie's disease undergoing PDDU in an outpatient set...

Hospitalization of nursing home residents is costly and potentially exposes residents to iatrogenic disease and psychological harm. This article critically reviews the association between the decision to hospitalize and factors related to the residents' welfare and preferences, the providers' attitudes, and the financial implications of hospitalization. Regarding the resident's welfare, factors...

OBJECTIVE To determine the patient and hospital characteristics associated with severe manifestations of 'poor glycemic control'-a 'no-pay' hospital-acquired condition defined by the US Medicare program based on hospital claims related to severe complications of diabetes. DESIGN A nested case-control study. SETTING California acute care hospitals from 2005 to 2006. PARTICIPANTS All cases ...

Marik and Bellomo reason that stress hyperglycemia might be an essential survival response [1]. We reviewed the same question in this journal, before multi-center studies on glycemic control were published [2]. It strikes us that of almost all novel therapies in septic patients, few appear to withstand time. If everything has been futile, did we cause iatrogenic damage, as suggested [1], and is...

Postsurgical hypoparathyroidism is the most common cause of chronic hypocalcemia. This condition may occur after removal of all parathyroid glands or after interruption of the blood supply to the parathyroid glands during thyroidectomy and radical neck dissection. The severity of the clinical presentation of hypocalcemia may vary from an asymptomatic laboratory finding to a severe life-threaten...

Intraorbital foreign body (IoFB) presents an interesting therapeutic dilemma when located posterior in the orbit. Factors such as foreign body composition, inflammation, infection, functional deficit, and potential for iatrogenic damage are considered when choosing the appropriate treatment.