In reverse order of popularity: 10. PECARN Pediatric Head Injury/Trauma Algorithm9. GAD-7 (General Anxiety Disorder-7)8. Ideal Body Weight and Adjusted Body Weight7. Steroid Conversion Calculator6. Calcium Correction for Hypoalbuminemia5. MELD Score (Model For End-Stage Liver Disease) (12 and older)4. Mean Arterial Pressure (MAP)3. CHA₂DS₂-VASc Score for Atrial Fibrillation Stroke Risk2. PHQ-9 (Patient Health Questionnaire-9)1. Creatinine Clearance (Cockcroft-Gault Equation)

Nearly 20,000 mother-child pairs were tracked over a median follow-up of 4 years. After adjusting for maternal risk factors and their children’s own ultra-processed food intake, physical activity, and sedentary time, maternal consumption of ultra-processed foods during the child-rearing period was associated with overweight or obesity in offspring with a 26% higher risk in the group with the highest maternal ultra-processed food consumption.

A coming 8.5% cut in Medicare payments for surgery may be the proverbial straw in an already stressed system of surgical training, leading some to abandon their commitment to medicine.

Researchers have identified a small molecule, named as SHP656, that can target the brain’s clock proteins and may prove effective for treating glioblastoma.

Neurology referrals for headache are often unnecessary and delay appropriate headache care. A Geisinger Medical Center neurologist developed a tool that pops up on the EMR when the diagnosis of headache is entered. It guides with questions and suggested medications. The tool was developed in response to a chart review showing that referrals for headache from PCPs did not regularly document enough data in their notes on headache to reach a viable diagnosis nor were they regularly trying medications before referring.

A 75-y-o man is found to have an INR of 8.5 on routine monitoring. There is no evidence of bleeding, and he is otherwise well. He is instructed to stop warfarin. His hemoglobin comes back normal. What is the best next step in managing him: intervention or observation?