Print Issue: September 01, 2009

Exercise approaches to ADHD

Do any studies indicate a beneficial effect for yoga, tai chi, or meditation in patients, particularly children, with attention-deficit hyperactivity disorder (ADHD)?—Felix N. Chien, DO, Newport Beach, Calif. Exercise can increase levels of brain-derived neurotrophic factor, a protein encoded by the BDNF gene that supports the development and differentiation of neurons and synapses in the…

Strep coverage with potential MRSA?

I commonly use trimethoprim/sulfamethoxazole (Septra) (TMP/SMX) or doxycycline to treat infections that could be attributable to methicillin-resistant Staphylococcus aureus (MRSA). Should an additional antibiotic be considered for strep coverage? – BRUCE BRASWELL, PA-C, Vandalia, Ill. I assume you are referring to uncomplicated skin or soft-tissue infections and not invasive or complicated infections. An uncomplicated abscess…

ESA-associated increase in mortality not seen in patients on chemotherapy

Level 2: Mid-level evidence Anemia in cancer patients may be secondary to the disease or to the treatment. Concerns have been raised about the safety of erythropoiesis-stimulating agents (ESAs) for treating anemia in cancer patients, prompting the FDA in January 2008 to update a previous boxed warning. Three recent reviews investigated the safety and efficacy…

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