The Centers for Disease Control and Prevention states that around nine-point-four percent of children between two and 17 have been diagnosed with ADHD.  Symptoms of Attention Deficit Hyperactivity Disorder (ADHD) may also be a sign of asleep apnea in children.

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Previous research has noted that many patients with psoriasis have sleep disorders that include OSA, making this sleep disorder one of particular concern for the patient with psoriasis.

In a study presented at the British Association of Dermatologists’ 99th Annual Meeting in Liverpool, United Kingdom, in July 2019, researchers from St. Vincent’s University Hospital in Dublin, Ireland, reported on a study conducted in patients with both psoriasis and hidradenitis suppurativa (HS) in which they found that there was a high prevalence of OSA among these patients.

The researchers recruited 38 patients with HS and 39 patients with psoriasis to complete 3 validated screening questionnaires for OSA, and patients also had their neck circumference, waist circumference, body mass index (BMI), blood pressure, lipid profile, insulin level, and C-reactive protein level recorded. Overall, the majority of patients (82% in the psoriasis group and 76% in the HS group) had obesity or overweight as measured by BMI. The mean Psoriasis Area and Severity Index score among the patients with psoriasis was 4.8.

The researchers found that 50% of the HS patients and 34%

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Telemedicine encounters differ from being in the same room with patients —in surprising ways.

By Sree Roy

The need for an unexpected veterinary appointment for our family dog could not have come at a worse time. Our 8-year-old Tibetan terrier mix had just gotten bit by a neighbor’s dog who had momentarily gotten loose and apparently wanted justice for the many times our dog barked at him during our daily walks.

Though the internet was full of cautionary tales of dogs who seemed OK after a bite but later succumbed to their internal injuries, I didn’t know if I could find the time or energy to drive our dog to his vet. At 8 months pregnant, I’d already been struggling to make up the work hours that I’d been using to take care of my own healthcare appointments, not to mention my frustration over their associated costs (such as a $10/hour parking lot).

I texted the vet with a brief summary, and he replied: “Have you downloaded my airVet app? We can chat real-time with video if you want me

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Not getting enough sleep may lead to sexual dysfunction in some populations, according to new research.

A recent study published in the Journal of Sexual Medicine followed nearly 4,000 men and women in their early- to mid-60s for a year and found that poor sleep was associated with erectile dysfunction for men, and arousal problems and orgasmic difficulty for women. True, these were older folks, who are more likely to suffer from sleep apnea (a known culprit for an unhealthy sex life), and overall health issues that might impact their slumber.

But sleep apnea is on the rise in younger generations — especially in men — and guess what, guys? No matter what your age, a lack of sleep impacts your levels of testosterone. Low levels of testosterone can lead to a lack of sexual desire and erectile dysfunction.

Here’s how those are connected: It turns out that your highest levels of that important hormone occur during REM sleep, which is the deep, healing sleep that occurs late in the sleep cycle. Your first REM will last about 10 minutes,

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Inspire Medical Systems, Inc, a medical technology company focused on the development and commercialization of solutions for patients with obstructive sleep apnea, announced that two additional draft Local Coverage Determinations (LCDs) were published proposing coverage of Inspire therapy.

The two additional proposed draft LCDs are available on the Medicare Coverage Database site for public review. The Medicare Administrative Contractors (MACs) issuing these two policies are Novitas Solutions and First Coast Service Options, which collectively represent 12 states and the District of Columbia. Concurrently, First Coast has cancelled its existing negative policy on Inspire therapy.

The proposed policies are currently in the public comment period, which is expected to be 60 days, and Novitas and First Coast may host formal review meetings during this process. The final LCDs are expected to be published in early 2020. Two other MACs, Noridian and Palmetto, previously published their draft coverage policies. In total, these four MACs represent Medicare patients in 31 states and the District of Columbia.

The draft LCDs from Novitas and First Coast are consistent with the previous publication of LCDs from

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The Kettering Medical Sleep Center is offering Inspire, a device that’s implanted under the skin of the neck and chest during an outpatient procedure to treat obstructive sleep apnea.

The device is controlled by a small, handheld remote. While you sleep, it delivers mild stimulation to key airway muscles, allowing the airway to remain open without a mask, hose or machine.

“We are excited to be the first in the Dayton area to offer the Inspire sleep apnea system,” says Kevin Carter, DO, medical director of the Sleep Center at Kettering Medical Center.

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There are many potential reasons why a person’s sleep may be disturbed, experts tell Bustle, and many of them start with how you wind down at night.

“There are physiologic factors involved, such as presence of sleep apnea, restless leg syndrome, circadian rhythm disorders, and others,” Dr. Vernon Williams, MD, a sports neurologist and founder of the Center for Sports Neurology and Pain Medicine at Cedars-Sinai Kerlan-Jobe Institute in Los Angeles, tells Bustle.

One of the main ways to improve your sleep quickly, says Dr. Williams, is to improve something called sleep hygiene, otherwise known as the lifestyle factors surrounding your sleep and waking. A major contributor to poor sleep hygiene, and a quick fix if you’re fixing your sleep routine, is electronics. “Get rid of bedroom distractions: smartphones, tablets, televisions and other bright light sources that can disrupt your brain’s sleep signals,” Dr. Williams tells Bustle.

The things you do directly before bed form the most important part of your sleep routine. Make it a calming time free of distractions to give yourself the best chance of sleep. “Finding

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Can you solve this sleep medicine-themed crossword puzzle, designed specifically for Sleep Review readers? A hard copy published in the August/September 2019 issue.

By Myles Mellor

Click on the thumbnail or 0819Crossword to open a printable PDF.

Across

1 Existing together with another medical condition
4 Furniture designed for sleep
7 Voice ___ (larynx)
8 Increase in size
10 Shut__ (sleep)
11 Put into place
12 Term that came to mean a hot drink taken before going to bed
14 They provide instructions for the use of a machine
15 Medical quantity
17 Problem
20 Orb that never sleeps
21 Supplements of this mineral have led to some positive results in treating RLS
22 Peach state, abbr.
25 Diaphragm is the major one that controls breathing
28 Take a siesta
29 Researchers recently linked severe ___to impaired coronary flow reserve, abbr.
31 One of the risk factors for developing sleep apnea
32 Executive slumber at the office, 2 words

Down

1 One of many challenging mental games that can alleviate RLS symptoms by  occupying a patient’s mind
2 Hormone secreted

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