• Cardiovascular risks of combined oral contraceptive use 

    Fehr, Adrienne D.; Mounsey, Anne L.; Yates, Jennifer E.; Flake, Donna (Family Physicians Inquiries Network, 2012-12)
    Because of an increased risk of cardiovascular disease, the use of combined oral contraceptives (OCs) should be considered carefully in women who smoke and in those with hypertension or hyperlipidemia. (Strength of ...
  • Colicky baby? Here's a surprising remedy 

    Koonce, Thomas; Mounsey, Anne L.; Rowland, Kate (Family Physicians Inquiries Network, 2011-01)
    This article suggests that parents of colicky breastfed infants try probiotics (Lactobacillus reuteri), which can significantly reduce daily crying time with no adverse effects. Strength of recommendation: A: A good-quality ...
  • Diving for PURLs (June 2013) 

    Jones, Kohar; Skowronek, Irene; Mounsey, Anne L. (Family Physicians Inquiries Network, 2013-06)
    In the PURLs series, we attempt to select and summarize all new research studies that should change your clinical practice. Diving for PURLs will provide you with a synopsis of important studies that may not meet all of ...
  • Diving for PURLs (May 2013) 

    Mounsey, Anne L.; Rowland, Kate; Jones, Kohar; Skowronek, Irene; Kaiseruddin, Altaf (Family Physicians Inquiries Network, 2013-05)
    You may already be familiar with the Priority Updates from the Research Literature (PURLs) from the Family Physicians Inquiries Network (FPIN). In the PURLs series, we attempt to select and summarize all new research studies ...
  • Do oral contraceptives carry a significant risk of stroke for women with migranes? 

    McClester, Mallory; Mounsey, Anne L.; Mackler, Leslie (Family Physicians Inquiries Network, 2013-11)
    Evidence-based answer: Estrogen-containing oral contraceptives may raise the risk of ischemic stroke in women with migraine, particularly migraine with aura (strength of recommendation [SOR]: C, small case-control studies ...
  • How should we use the coronary artery calcium score to predict cardiovascular risk? 

    Firnhaber, Jonathon M.; Mounsey, Anne L.; Firnhaber, Gina Cahoon (Family Physicians Inquiries Network, 2011-06)
    The coronary artery calcium (CAC) score—an independent predictor of cardiovascular events (strength of recommendation [SOR]: C, systematic review of disease-oriented outcomes)— can be used, in addition to traditional ...
  • Injection may be the best bet for young athletes' knee pain 

    Sakr, Mark; Mounsey, Anne L. (Family Physicians Inquiries Network, 2012-08)
    Consider giving dextrose/lidocaine injections to adolescents with Osgood-Schlatter disease (OSD) that persists despite physical therapy. Strength of recommendation A: Based on one well-designed, randomized controlled trial (RCT).
  • Is self-swabbing for STIs a good idea? 

    Page, Cristy; Mounsey, Anne L.; Rowland, Kate (Family Physicians Inquiries Network, 2013-11)
    Ask women who are at risk for sexually transmitted infections (STIs) to self-swab for chlamydia and gonorrhea testing; self-collection of vulvovaginal swabs with nucleic acid amplification testing (NAAT) has excellent ...
  • Mediterranean diet: Higher fat but lower risk 

    Gwynne, Mark; Mounsey, Anne L. (Family Physicians Inquiries Network, 2013-12)
    Counsel patients at high risk for cardiovascular disease and stroke to follow a Mediterranean diet, which is associated with a 30% risk reduction.
  • More help for patients with less severe heart failure 

    Bossenbroek, Kelly; Mounsey, Anne L. (Family Physicians Inquiries Network, 2011-08)
    Prescribe a mineralocorticoid-receptor antagonist for patients with New York Heart Association (NYHA) Class II systolic heart failure and an ejection fraction (EF) ≤30%. Eplerenone has been found to decrease hospitalizations ...
  • An obesity remedy for diabetes 

    Neutze, Dana; Egan, Mari E.; Mounsey, Anne L. (Family Physicians Inquiries Network, 2013-01)
    Consider bariatric surgery for patients with diabetes who are obese; surgery is associated with higher remission rates than medical therapy, regardless of the amount of weight lost. Strength of recommendation B: Based ...
  • PSA testing: When it's useful, when it's not 

    Slatkoff, Susan; Gamboa, Stephen; Zolotor, Adam J.; Mounsey, Anne L.; Jones, Kohar (Family Physicians Inquiries Network, 2011-06)
    Do not routinely screen all men over the age of 50 for prostate cancer with the prostate-specific antigen (PSA) test. Consider screening men younger than 75 with no cardiovascular or cancer risk factors—the only patient ...
  • Should you still recommend omega-3 supplements? 

    Monaco, Julie; Mounsey, Anne L.; Kottenstette, Jennifer Bello (Family Physicians Inquiries Network, 2013-08)
    Stop recommending omega-3 fatty acid supplements for cardiovascular protection. They have no significant impact on all-cause mortality, acute myocardial infarction, sudden death, or stroke. Strength of recommendation ...
  • Steroids for acute COPD - but for how long? 

    Asher, Gary N.; Mounsey, Anne L. (Family Physicians Inquiries Network, 2014-01)
    Prescribe a 5-day regimen of glucocorticoid therapy for acute chronic obstructive pulmonary disease (COPD) exacerbations; the shorter course of treatment appears to be as effective as a 14-day regimen.
  • Treating migrane : the case for aspirin 

    Ingledue, Vickie F.; Mounsey, Anne L. (Family Physicians Inquiries Network, 2014-02)
    Recommend aspirin 975 mg (3 adult tablets) as a viable first-line treatment for acute migraine. Consider prescribing metoclopramide 10 mg to be taken with aspirin to markedly decrease associated nausea and help achieve ...
  • Treatment of motion sickness 

    Sutton, Matthew; Mounsey, Anne L.; Russell, Roger G. (Family Physicians Inquiries Network, 2012)
    Scopolamine should be used to reduce nausea associated with motion sickness, but it does not reduce vomiting. (Strength of Recommendation [SOR]: A, based on multiple randomized controlled trials [RCTs].) Firstgeneratio ...
  • What's the best way to control circumcision pain in newborns? 

    Shockley, Rachel A.; Rickett, Katherine; Mounsey, Anne L. (Family Physicians Inquiries Network, 2011-04)
    Dorsal penile nerve block (DPNB), ring block (RB), and eutectic mixture of local anesthetics (EMLA) all control pain effectively during neonatal circumcision (strength of recommendation [SOR]: A, systematic review). An ...
  • When is discectomy indicated for lumbar disc disease? 

    Young, Kisha; Brown, Rhett; Kaufmann, Leonora; Mounsey, Anne L. (Family Physicians Inquiries Network, 2011-08)
    Emergent discectomy is indicated in the presence of cauda equina and severe, progressive neuromotor deficits (strength of recommendation [SOR]: C, expert opinion). Elective discectomy for sciatica caused by lumbar disc ...
  • Would this long-acting bronchodilator be better for your patient? 

    Gwynne, Mark; Mounsey, Anne L. (Family Physicians Inquiries Network, 2012-02)
    Consider adding tiotropium to the medication regimen of patients with moderate to very severe chronic obstructive pulmonary disease (COPD), as a multinational study found it to be more effective than salmeterol in preventing ...