"Choosing Wisely" initiative seeks to stem overuse of routine testing, treatment.

GERD and magnets; calcium, vit D, and fractures; GLP-1 agonists and pancreatitis; hip replacement and women; acupuntcure and Bell palsy

Intense acupuncture stimulation in patients with Bell Palsy resulted in greater improvement in facial function than less intense needle manipulation.

Down syndrome complications, infant shock, stroke survivors, doxycycline. . . here: 5 more quiz questions for you to test for clinical acumen.

Risk for revision surgery remained higher among women in the study after considering factors specific to the patient, surgeon, surgery, and type of implant.

The news: elevated levels of FGF are a new risk factor for death in chronic kidney disease-a clinical situation replete with cardiovascular disease. Here: how practice should change in the face of these newly identified nontraditional cardiovascular risk factors in CKD.

Double aortic arch-a vascular ring anomaly in which both embryonic aortic arches persist and encircle the trachea and esophagus-is rare.

Exenatide and sitagliptin were associated with a twofold increased risk for pancreatitis among adults with type 2 diabetes.

Daily dietary supplementation with 400 IU or less of Vitamin D and 1,000 mg or less of calcium does not prevent risk of fracture in postmenopausal women.

Acid reflux was reduced by 50% in more than 90% of patients receiving implanted magnetic device to augment the esophageal sphincter.

Acupuncture for patients with seasonal allergic rhinitis was found to be more effective than antihistamine use or a sham intervention.

MS sex ratio, Charcot neuroarthropathy, antibiotic error, obesity and exercise.

Prenatal use of folic acid reduced the likelihood of autism by 40%.

A cardiologist looks in. Startled by my emotion, he says, “You must be a new doctor,” then disappears down the hall.

Hospitals, clinics, and researchers are investigating how electronic health records and personal health records, portals that give patients access to records and health education, can be used to improve HIV screening and outcomes.

At least 52,000 new providers will be needed in the United States by 2025 to meet the burgeoning demand for primary care services.

Results suggest that wheat sensitivity is a true clinical entity worthy of further study, and that it is a heterogeneous condition with at least 2 distinct subtypes. How this will translate into clinical practice will be an evolving research area, but clinicians should not expect gluten avoidance to disappear as yet another food fad.

Despite limitations, this study lends some reassurance that risk of osteoporosis is not likely to overshadow the benefit of proton pump inhibitors in preventing recurrent peptic ulcer, esophageal reflux symptoms, and esophageal cancer risk.

David T. Nash, MD, is Clinical Professor of Medicine at Upstate Medical Center in Syracuse, New York. The author of more than 250 peer-reviewed clinical articles, Dr Nash has practiced cardiology in Syracuse for over 50 years. He is a Fellow of the National Lipid Association.