Family Practice News articles from June 2008

Family Practice News archives from June 2008

CA-MRSA emerges as musculoskeletal.(News)
June 1, 2008... [ILLUSTRATION OMITTED] ALBUQUERQUE -- Community-acquired methicillin-resistant Staphylococcus aureus is causing a growing number of sudden, severe musculoskeletal infections in otherwise healthy children, according to two reports at the...

Top 10 channels for prescription drug distribution in 2007.(VITAL SIGNS)
June 1, 2008... Top 10 Channels for Prescription Drug Distribution in 2007 (in billions of dollars) Chain drugstores $98.0 Mail services $44.6 Independents $38.7 Clinics $33.3...

Depression, pain in primary care eased by antidepressants: mental symptoms improved in 37% vs. 10%.(Mental Health)
June 1, 2008... PITTSBURGH -- Optimized antidepressant therapy led to large improvements in depression and moderate improvements in pain--even in the absence of pain treatments--among primary care patients with comorbid pain and depression in the first-ever...

Medicare adds options to quality reporting initiative.(News)
June 1, 2008... Physicians now have nine different options for submitting quality data to Medicare under the Physician Quality Reporting Initiative. The options, announced by officials at the Centers for Medicare and Medicaid Services, include three ways...

P4P may harm safety-net hospitals.(News)
June 1, 2008... PITTSBURGH -- The initiation of public reporting and pay-for-performance measures, designed as incentives to improve the quality of care at hospitals, may actually have the opposite effect on institutions that serve lower-income populations....

Panel slams OxyContin trials and says abuse, mortality risks persist.(NEWS FROM THE FDA)
June 1, 2008... In reviewing the tamper-resistant version of OxyContin, a Food and Drug Administration joint panel criticized the trials that were used to demonstrate the new formulation's abuse-proof qualities. Maker Purdue Pharma LP said it reformulated...

Advair use extended to cut COPD exacerbations.(NEWS FROM THE FDA)(chronic obstructive pulmonary disease)(Brief article)
June 1, 2008... The Food and Drug Administration in late April approved the use of Advair Diskus 250/50 to reduce exacerbations of chronic obstructive pulmonary disease. Manufacturer GlaxoSmithKlein conducted two identical 1-year studies to evaluate the...

Combo cholesterol drug deemed "not approvable".(NEWS FROM THE FDA)
June 1, 2008... A new formulation of the cholesterol drug niacin designed to cut the side effect of flushing last month received an unexpected "not approvable" designation from the Food and Drug Administration. Despite data released by Merck & Co. that...

Generic versions of ropinirole get the nod for RLS.(NEWS FROM THE FDA)(restless legs syndrome )(Brief article)
June 1, 2008... The Food and Drug Administration has approved several generic formulations of ropinirole for treating restless legs syndrome but not Parkinson's disease, the other approved indication for the drug. Generic ropinirole hydrochloride...

Cardiac risks seen with albuterol nebulization.(News)
June 1, 2008... HONOLULU -- Myocardial injury was detected in nearly half of 50 children who were undergoing more than 2 hours of albuterol nebulization for acute asthma attacks in a study presented at the joint meeting of the Pediatric Academic Societies and...

PQRI reporting options.(News)(Physician Quality Reporting Initiative )(Brief article)
June 1, 2008... The Centers for Medicare and Medicaid Services outlined nine options for reporting data to PQRI in 2008. Three options allow claims-based reporting: * Physicians can choose to report on individual measures for a full year from Jan. 1...

Let's treat hypertension in the very old.(Expert Opinion)(Report)
June 1, 2008... The results of the Hypertension in the Very Elderly Trial should change our practice, a change that can improve the quality of life while prolonging the survival of patients 80 years of age and older (N. Engl. J. Med. 2008;358:1887-98). ...

A Doctor's take on legal issues.(Letters)(Letter to the editor)
June 1, 2008... Both of the medical experts discussed by Miles J. Zaremski, J.D., later had complaints filed against them with their specialty medical societies by the defendant physicians against whom they had testified ("Expert Witnesses Under Fire," Law &:...

Enhance reflects limited population.(Letters)(Letter to the editor)
June 1, 2008... I treat my patients to goal numbers. The ENHANCE study only shows me that in an unfortunate genetic group, not treating to goal does not result in any benefit ("Next Steps on Ezetimibe, If Any, May Take Months," Feb. 15, 2008, p. 4). The...

Challenge of hematologic cancer DX.(Letters)(Letter to the editor)
June 1, 2008... I am a 75-year-old internist, but for the purposes of this letter, I am the patient ("Knowledge Lacking on Blood Cancers," Jan. 15, 2008, p. 1). In 2001, an internist found I had an enlarged spleen and referred me to a gastroenterologist...

Correction.(Correction notice)
June 1, 2008... The article "Unanswered Questions, Lack of Data Complicate Incretin Therapy" (April 1, p. 18) incorrectly reported exenatide's price and mechanism of action in treating type 2 diabetes. Exenatide therapy costs approximately $200 per month....

Arrhythmias up risks in congenital heart disease.(Cardiovascular Medicine)
June 1, 2008... CHICAGO -- Adults with congenital heart disease who develop atrial fibrillation or another atrial arrhythmia have more than twice the subsequent mortality and triple the hospitalization rate of those without atrial arrhythmias, Dr. Ariane J....

Smaller implantable heart assist device approved.(Cardiovascular Medicine)
June 1, 2008... The Food and Drug Administration has approved an implantable ventricular assist device that is markedly smaller than previously available devices and is the first that can be used in smaller adults, which will make this technology available to...

Troponin T test may help spot risk in stable CAD.(Cardiovascular Medicine)(coronary artery disease )
June 1, 2008... CHICAGO -- Any detectable plasma cardiac troponin T level in ambulatory patients with stable coronary artery disease is an independent predictor of future cardiovascular events. "[Troponin T] testing may have potential as a risk-stratifying...

Anxiety levels figure into CAD outcomes.(Cardiovascular Medicine)(coronary artery disease)(Brief article)(Clinical report)
June 1, 2008... CHICAGO -- Patients with coronary artery disease who experience a declining or even steady level of anxiety over time have a significantly lower risk of nonfatal myocardial infarction or death, compared with those experiencing escalating...

COPD after heart attack poses double whammy.(Cardiovascular Medicine)(Chronic obstructive pulmonary disease)(Report)(Brief article)
June 1, 2008... CHICAGO -- Chronic obstructive pulmonary disease is a lethal comorbidity for myocardial infarction patients, and its deadly punch has grown over time, according to a community-based review of more than 3,000 patients. In addition, chronic...

Pilot program cuts cardiovascular risk in type 2.(Metabolic Disorders)
June 1, 2008... COLORADO SPRINGS -- A novel pharmacist-led, multidisciplinary program of group medical visits for patients with type 2 diabetes can reduce multiple cardiovascular risk factors, randomized trial data show. More than 21 million Americans have...

Hypoglycemic events raise risk of dementia in elderly.(Metabolic Disorders)(Clinical report)
June 1, 2008... CHICAGO -- Hypoglycemic episodes increase the risk of dementia in elderly patients with diabetes, according to the first study to evaluate the association in this older patient population. The findings suggest that possible benefits of...

Simple, balanced diet is best for those who need to lose weight.(Metabolic Disorders)
June 1, 2008... PHILADELPHIA -- Weight was once an afterthought in the treatment of diabetes, dyslipidemia, and hypertension, but that approach has now shifted, with many physicians seeing weight management as a first-line treatment. But many physicians...

Report focuses on problems with insulin pump use in teens.(Metabolic Disorders)
June 1, 2008... Infusion pump technology for treating diabetes and pain management might pose special risks for adolescent patients, a 10-year Food and Drug Administration analysis of 1,647 medical device adverse event reports in patients aged 12-21 years...

Guideline supports screening men for osteoporosis.(Metabolic Disorders)
June 1, 2008... Providers should assess older men for risk factors for osteoporosis and measure bone density by dual-energy x-ray absorptiometry if any risk factors are present, a new guideline from the American College of Physicians recommends. How old...

Thyroid testing isn't needed in most overweight children.(Metabolic Disorders)(Clinical report)
June 1, 2008... HONOLULU -- Hypothyroidism has only a minor effect on weight gain, and correcting it does not result in significant weight loss, according to the findings of an observational study. "[Physicians] have been trained that hypothyroidism causes...

Heart risk estimate is lowered for subclinical hypothyroidism.(Metabolic Disorders)
June 1, 2008... WASHINGTON -- An as-yet-unpublished update to a 2006 meta-analysis found that the risk of heart disease in the presence of subclinical hypothyroidism is attenuated somewhat, to about a 300/035% increased risk from a previously estimated 65%....

Zoster vaccine advised for adults 60 and older.(Infectious Disease)(Brief article)
June 1, 2008... People aged 60 years and older should receive the herpes zoster vaccine to prevent the development of shingles, the Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices recommends. A single dose of the...

Fluoroquinolone resistance rises in older patients.(Infectious Disease)(Report)
June 1, 2008... WASHINGTON -- Fluoroquinolone resistance rose significantly over an 8-year period in hospitalized adults aged 65 years and older with gram-negative bacterial infections. The safety and bioavailability of fluoroquinolones (FQs) have made...

Dengue edges in to U.S., especially Texas, Florida.(Infectious Diseases)(United States)(Report)
June 1, 2008... MIAMI -- From 1977 to 2004, there were 3,806 suspected cases of dengue imported to the United States, according to the Centers for Disease Control and Prevention. "Many more cases probably go unreported each year because surveillance in...

Prophylactic combo curbs postherpetic neuralgia.(Skin Disorders)
June 1, 2008... WAIKOLOA, HAWAII -- A week of oral antiviral therapy combined with 4-8 weeks of gabapentin markedly reduces the postherpetic neuralgia rate in patients with herpes zoster, reported Dr. Stephen K. Tyring. "We've followed 138 patients out to...

Burn wound dressing speeds recovery and reduces complications, costs.(Skin Disorders)(Brief article)(Clinical report)
June 1, 2008... SAN DIEGO -- Use of Biobrane wound dressing in pediatric burn patients resulted in a short hospital stay and follow-p as an outpatient with few complications, results from a single-enter study demonstrated. [ILLUSTRATION OMITTED] ...

FDA approves sealant for grafting over burn sites.(Skin Disorders)(Food and Drug Administration )(Brief article)
June 1, 2008... A fibrin sealant recently approved by the Food and Drug Administration for adhering autologous skin grafts in pediatric and adult burn patients provides an alternative to staples and sutures, according to the agency. The sealant, derived...

Self-report tool tops common screens for elderly depression.(Mental Health)
June 1, 2008... WASHINGTON -- A nine-item questionnaire of self-reported symptoms was more reliable and efficient than the widely used Geriatric Depression Scale and the Minimum Data Set 2.0 scale at assessing mood disorders in nursing home patients, according...

Earlier intervention for infertility recommended.(Women's Health)
June 1, 2008... NEW ORLEANS -- The American Society for Reproductive Medicine, in collaboration with the Society for Reproductive Endocrinology and Infertility, is revising its definition of infertility to encourage earlier evaluation of women aged over 35...

Monitor for and treat mild hypothyroidism in pregnancy.(Women's Health)(Clinical report)
June 1, 2008... PHILADELPHIA -- Physicians should test pregnant women for subclinical hypothyroidism and treat the condition to prevent possible fetal death and developmental abnormalities, according to Dr. Stephanie L. Lee, director of the Endocrine Clinics...

Maternal hyperglycemia tied to high fetal insulin, birth weight.(Women's Health)(Clinical report)
June 1, 2008... Maternal glucose levels that were high but below the diagnostic threshold for gestational diabetes were strongly associated with high fetal insulin levels and birth weights in a large international study. There were also weaker--but still...

Droperidol and the black box warning.(Drugs, Pregnancy, And Lactation)
June 1, 2008... In December 2001, the Food and Drug Administration placed a black box warning on droperidol (Inapsine) because of concerns over QT prolongation and torsades de pointes. This action took the medical and pharmacy communities by surprise and...

Low Vitamin D levels may explain pediatric pain.(Musculoskeletal Disorders)(Report)
June 1, 2008... ALBUQUERQUE -- A prospective pilot study of 41 children with complaints of nonspecific musculoskeletal pain found their average levels of vitamin D were low even though the youngsters lived in the sunny southwest of the United States. The...

Joint replacement surgery is riskier in type 1 diabetes than in type 2.(Musculoskeletal Disorders)(Report)
June 1, 2008... SAN FRANCISCO -- Patients with type 1 diabetes were more likely than those with type 2 diabetes to die or develop perioperative complications after undergoing total knee or hip arthroplasty, a review of 65,769 cases found. The risk of...

Smoking alters response to biologic therapy for RA.(Musculoskeletal Disorders)(Clinical report)
June 1, 2008... LIVERPOOL, ENGLAND -- Patients with rheumatoid arthritis who have a history of cigarette smoking are more likely to have a poor response to anti-tumor necrosis factor therapy than are those who have never smoked. Recent studies have...

Dietary oil helps weight loss, fat mass reduction.(Obesity)(Report)
June 1, 2008... COLORADO SPRINGS -- Substituting moderate amounts of medium-chain triglycerides for other fats in a weight-loss program results in enhanced weight loss and a greater reduction in fat mass with no adverse impact on cardiovascular risk factors,...

Eosinophilic esophagitis 'spares no age group'.(Digestive Disorders)(Clinical report)
June 1, 2008... Eosinophilic esophagitis occurs in patients of every age, who can present with various symptoms including heartburn, abdominal pain, and nausea in addition to the more commonly seen dysphagia. "Many physicians often think of eosinophilic...

Significant increase in number of cases of eosinophilic esophagitis.(Digestive Disorders)
June 1, 2008... MONTREAL -- The incidence of adult and pediatric eosinophilic esophagitis appears to be increasing dramatically, and endoscopic investigation and treatment have low complication rates, according to the findings of the largest reported...

Fine-tuning sought for monitoring celiac disease patients.(Digestive Disorders)(Report)
June 1, 2008... MONTREAL -- Several noninvasive tests used in combination may be a more sensitive method for monitoring celiac disease activity and patient compliance with the gluten-free diet than are current approaches. At Canadian Digestive Diseases...

Obstructive apnea may cause cognitive deficits.(Pulmonary Medicine)
June 1, 2008... FORT LAUDERDALE, FLA. -- Although some children with sleep-disordered breathing experience significant cognitive deficits, not all do, and identification of those at risk remains a clinical challenge, according to a sleep medicine expert. ...

Follow-up care for lung cancer survivors viewed as less than ideal.(Pulmonary Medicine)(Brief article)(Conference notes)
June 1, 2008... HOLLYWOOD, FLA. -- Cure rates for locally advanced lung cancer are increasing, but obtaining good follow-up care remains a challenge for the growing number of lung cancer survivors, Dr. Mark G. Kris told attendees at the annual conference of...

Brief exams distinguish delirium from dementia.(Geriatric Medicine)
June 1, 2008... SAN FRANCISCO -- Two brief mental state exams can reliably differentiate delirium from dementia in the elderly patient. Because delirium usually is caused by an organic illness, confusional symptoms may disappear once the underlying problem...

Frailty assessment needs to be simpler.(Geriatric Medicine)
June 1, 2008... SALT LAKE CITY -- Diagnosing frailty in a nursing home resident is often easier said than done. At the annual symposium of the American Medical Directors Association, Dr. John E. Morley called a generally accepted definition of frailty...

New-onset PD risk raised in older men with type 2.(Geriatric Medicine)(Parkinson's disease)(Clinical report)
June 1, 2008... WASHINGTON -- A history of type 2 diabetes was associated with a 34% higher risk of new-onset Parkinson's disease in older men, but diabetes did not seem to cause Parkinson's. Data from epidemiology studies have suggested a link between...

Young adults return to indoor tanning.(CLINICAL CAPSULES)(Survey)(Brief article)
June 1, 2008... More young adults say now, compared with past years, that they value the appearance of a tan, and their increased use of indoor tanning reflects that attitude. Dr. June K. Robinson of Northwestern University, Chicago, and her associates...

Web counseling curbs binge eating.(CLINICAL CAPSULES)(Brief article)
June 1, 2008... An Internet-based weight-maintenance intervention helped adolescents at risk for hinge eating to avoid such episodes, as well as to reduce their body mass index. Megan Jones of the Pacific Graduate School of Psychology, Redwood City,...

Young diabetics report minimal pain.(CLINICAL CAPSULES)
June 1, 2008... Children and adolescents with diabetes said they felt no pain or very mild pain with insulin injections and finger pricks for blood glucose monitoring, even with intensive therapy requiring daily needlesticks. Of 112 patients, aged 7-21...

Parkinson's patch recall poses problems for some.(Clinical Rounds)
June 1, 2008... The recent recall of the rotigotine patch used to treat early Parkinson's disease has been difficult for some patients, according to Dr. Irene Litvan, director of the movement disorder program at the University of Louisville (Ky.). ...

Dementia, cognitive deficit, headache? think parasitic infection of the brain.(Clinical Rounds)
June 1, 2008... CHICAGO -- An untreated parasitic infection of the central nervous system, neurocysticercosis, may present as cognitive impairment ranging from mild deficit to full-blown dementia. Neurocysticercosis is the most common parasitic infection...

Anticholinergic drugs, cognitive decline tied.(Clinical Rounds)
June 1, 2008... CHICAGO -- The use of anticholinergic drugs triggered swift cognitive decline in an elderly cohort compared with those not taking such agents. "Doctors may need to take this into account before prescribing these commonly used drugs," said...

Hospitalizations for kidney disease on the rise.(Clinical Rounds)
June 1, 2008... The rate of hospitalizations for kidney disease has risen sharply over the past 25 years, and the elevation has been driven primarily by a significant increase in the proportion of hospitalizations associated with acute renal failure relative...

Some pediatric genitourinary cases are far from textbook.(Clinical Rounds)(Clinical report)
June 1, 2008... CORONADO, CALIF. -- Many pediattic textbooks recommend antibiotics for children with epididymitis, but recent data do not support that practice in all patients. "Children with epididymitis rarely have positive cultures, so they probably do...

Home care physicians promise 5% in savings.(Practice Trends)
June 1, 2008... WASHINGTON -- A group of roving physicians wants to offer Medicare a money-back guarantee the program can't refuse. Members of the American Academy of Home Care Physicians, a 10-year-old specialty society with a little less than a thousand...

FDA hiring experts.(Policy & Practice)(Food and Drug Administration )(Brief article)
June 1, 2008... The Food and Drug Administration has begun a multiyear hiring initiative and plans to fill more than 1,300 positions within the next several months--nearly triple the number hired from 2005 to 2007, the FDA said. The agency said it is hiring...

RUC recommendations submitted.(Policy & Practice)(Relative Value Scale Update Committee )(Brief article)
June 1, 2008... The American Medical Association/ Specialty Society Relative Value Scale Update Committee (RUC) has submitted recommendations on the new Medicare medical home demonstration project to the Centers for Medicare and Medicaid Services. The Rue...

Report: food safety in crisis.(Policy & Practice)(Report)(Brief article)
June 1, 2008... Approximately 76 million people in the United States--one in four--are sickened by foodborne illnesses each year, and of these, an estimated 325,000 are hospitalized and 5,000 die, according to a report from the advocacy group Trust for...

GAO: prioritize infection control.(Policy & Practice)
June 1, 2008... The federal government is not doing enough to prevent hospital-acquired infections, and the Department of Health and Human Services needs to identify priorities and establish greater consistency in reporting rates, the U.S. Government...

Insurance costs rise fast.(Policy & Practice)(Brief article)
June 1, 2008... Americans who get health insurance for their families through their jobs have seen their premiums increase 10 times faster than their incomes in recent years, according to an analysis of government data. The study, which was supported by the...

Part D helps adherence.(Policy & Practice)(Brief article)
June 1, 2008... The Medicare Part D drug benefit has made it less likely that elderly beneficiaries will forego basic needs such as food or housing in order to pay for medications, a study published in JAMA found. In addition, the study found a small but...

The will--and the genes--to quit smoking.(Genomic Medicine)
June 1, 2008... The burden of smoking on our society is remarkable. Estimates are that as many as 1 in 10 of all deaths are smoking related. Deaths aside, billions of dollars are spent annually in the United States on treating smoking-related disorders such as...

Long-term Medicare cunlikely this year.(Practice Trends)(Brief article)
June 1, 2008... WASHINGTON -- Physicians can look for another short-term update to the sustainable growth rate this year as lawmakers struggle under substantial fiscal constraints, members of Congress told physicians at the American Medical Association's...

Rescinding health insurance.(Law & Medicine)
June 1, 2008... When he was asked about corporate America during one of his speeches on the presidential campaign trail, former Democratic candidate John Edwards noted, "They don't give the layperson anything; it has to be taken from them." How true this...

Red hot Chile seniors?(Indications)(Brief article)
June 1, 2008... When it comes to entitlement programs, who can beat Lo Prado, a working-class suburb of Chile's capital city, Santiago? There, the mayor is handing out free 50-mg Viagra pills to senior citizens who are doctor certified as suffering from...

Bread mold for better health.(Indications)(Brief article)
June 1, 2008... Certain mold cells have a nifty mechanism that protects the mold organism from genetic abnormalities. Seems some University of Missouri researchers have isolated this "meiotic silencing" device, and see potential for its application in us...

Hypertension: stink-bomb it away.(Indications)(Brief article)
June 1, 2008... British researchers (at King's College London and Peninsula Medical School, Exeter) have created a drug that pumps up the volume of hydrogen sulfide gas in the body. Testing on laboratory rats showed that the pungent gas is good at widening...

Immunity? It's a swamp thing.(Indications)(Brief article)
June 1, 2008... Louisiana biochemists are working not on gaseous cures but on proteins from alligator blood to help fight the infectious ills of humanity. With MRSA-like complications in burns and diabetic ulcers gaining resistance to antibiotics, "The goal of...

Is it sport, or is it research?(Indications)(Brief article)
June 1, 2008... Now, we know that early-morning fun runs aren't for everyone, but when a bunch of emergency docs pick dodgeball as the extracurricular sport at their annual meeting, are they looking for exercise or for professional practice? The Society for...

Cancer risk from AKs turns upward.(Skin Disorders)(actinic keratoses)
June 15, 2008... KYOTO, JAPAN -- Clinically diagnosed actinic keratoses progress to squamous cell carcinoma at a far greater rate than previously estimated, according to the first large study to examine the issue in 2 decades. The study demonstrated that...

Largest challenge to receiving health care is financial.(VITAL SIGNS)(Statistical table)(Brief article)
June 15, 2008... VITAL SIGNS Largest Challenge to Receiving Health Care Is Financial Financial reasons 47% Time constraints 36% Time it takes to get an appointment 32% Physician's hours are not...

Intensive glycemic control fails to cut cardiovascular risk: focus on blood pressure, lipid changes.(News)
June 15, 2008... SAN FRANCISCO -- Lowering hemoglobin [A.sub.1c] levels below currently recommended levels did not reduce the risk of macrovascular events in high-risk patients with established type 2 diabetes in two large studies, and significantly increased...

Zoledronic acid lowered risk of breast ca relapse.(News)
June 15, 2008... CHICAGO -- The use of endocrine therapy plus zoledronic acid (Zometa) reduced the risk of relapse by 36% among premenopausal women with early stage, endocrine-responsive breast cancer in a randomized trial of more than 1,800 women. The...

FDA launches drug safety surveillance system.(News)
June 15, 2008... The Food and Drug Administration has developed a new national electronic surveillance system that will allow it to search and analyze claims data and other clinical databases for possible postmarket adverse events for drugs and medical devices....

Bush signs the Genetic Information Nondiscrimination Act.(News)
June 15, 2008... Patients will soon be able to undergo genetic testing without fear of discrimination from either their health insurers or their employers, thanks to a new law signed by President Bush last month. The Genetic Information Nondiscrimination...

Panels nix buccal fentanyl use for noncancer pain.(News)
June 15, 2008... GAITHERSBURG, MD. -- The majority of two federal advisory panels recommended against approval of the buccal formulation of fentanyl for treating breakthrough pain in patients without cancer who are taking around-the-clock opioids for chronic...

Agency proposes changes to reproductive info on labels.(News)
June 15, 2008... The system that uses letters of the alphabet to categorize drugs" pregnancy and lactation risks will be eliminated and replaced by a more consistent format that has been designed to be more comprehensive and useful to health care professionals...

Drug approved for Crohn's, but risks dictate close monitoring.(News)
June 15, 2008... The Food and Drug Administration recently approved certolizumab pegol for the treatment of adults with moderate to severe Crohn's disease who have not responded to conventional treatments, with requirements for several postmarketing studies...

Strattera.(New & Approved)
June 15, 2008... StraRera (atomoxetine HCI, Eli Lilly & Co.) The Food and Drug Administration approved Strattera for attention-deficit/hyperactivity disorder maintenance therapy in children and adolescents aged 6 years and older. This is the first FDA-approved...