in his insightful editorial, nir eyal explores the connections between nudging and shaming. one upshot of his argument is that we should question the principle of the least restrictive alternative in public health and health policy. in this commentary, i maintain that eyal’s argument undermines only a rather implausible version of the principle of the least restrictive alternative and i sketch ...

normal 0 false false false en-us x-none ar-sa background : routine episiotomy is a controversial issue among gynecologists. the aim of this study was to compare early maternal and neonatal complications of restrictive episiotomy and routine episiotomy in primiparus vaginal delivery. methods : in this descriptive cross-sectional study, two groups of primiparus normal vaginal delivery (nvd) cases...

orbital fat adherence syndrome is a known complication of strabismus, orbital and scleral buckling surgery or orbital trauma which induces a restrictive strabismus. in this case presentation we introduce a surgical method of globe slinging using temporalis fascia for correction of restrictive esotropia due to fat adherence syndrome. in our review of literature we found no report of a similar pr...

we discuss here an uncommon condition of neurogenic hypotension in the context of immunoglobulin light chain (amyloid light-chain) amyloidosis. th e most serious feature was autonomic nervous system impairment, mainly characterized by severe refractory orthostatic hypotension, which became progressively invalidating, forcing the patient to bed. moreover, since the systemic involvement of the di...