Alison Pritchard, Ph.D., on bedtime routines for kids with ADHD - Managed Healthcare Executive

When most people are wrapping their workdays and commuting home, Dr. Ronald Primas is often on his way to meet with patients. Primas' in-office work hours usually end by 6 p.m., but as a New York City-based concierge doctor who makes house calls and has patients whose "work, travel, or medical situation makes a conventional appointment impossible," he's essentially available around the clock, he says. "I often go to bed around 1 a.m., or later when a patient needs me. "His work involves a twist: More than three decades into his medical career, the internist-by-training considers himself a longevity physician. He tests patients to assess their genetic health risks and develops personalized health plans for them based on the results, he says. He still conducts urgent-care appointments, but his focus — dating back to the 1990s, he says — is preventative care, trying to help people develop healthier daily routines to ward off future chronic diseases or aging-related declines. "At that time, no one was using terms such as healthspan, biological age or longevity medicine," says Primas, 66. "We did not have wearables, genomics or [artificial intelligence].

July 9, 2026When it comes to healthy habits, most people think about what they eat. However, new research suggests that what time you eat — especially in relation to overnight sleep — also may play an important role in heart health. A study led by Daniela Grimaldi, M. D., Ph. D., Research Associate Professor, Department of Neurology, Center for Circadian and Sleep Medicine, and Phyllis C. Zee, M. D., Ph. D., Director, Center for Circadian and Sleep Medicine, Chief of Sleep Medicine, Department of Neurology, and Benjamin and Virginia T. Boshes Professor of Neurology at Northwestern University Feinberg School of Medicine, explores a simple idea: aligning an overnight fast with the body’s natural sleep cycle. The team’s findings — published in Arteriosclerosis, Thrombosis, and Vascular Biology — suggest that aligning fasting with sleep may help create conditions that support heart health overnight and during the day. Time-restricted eating (TRE) is a dietary strategy that limits food intake to a set number of hours each day.

On average, caregivers want to see their children with ADHD fall asleep 30 minutes faster, but the best sleep treatments average approximately 20 minutes, a new survey study found. Caregivers of children with ADHD and sleep problems tend to place more weight on improving daytime ADHD symptoms than on improving sleep, and they expect treatment gains larger than current therapies typically deliver, according to a survey study published in the Journal of Attention Disorders. Alison Pritchard, Ph. D., a child clinical psychologist and co-director of the Center for Neuropsychological and Psychological Assessment at Kennedy Krieger Institute in Baltimore, was the lead author. The study, ‘What Matters to Caregivers of Youth With ADHD: Defining the Minimum Clinically Important Difference for Sleep Treatment,’ surveyed 100 caregivers in the waiting area of an outpatient department where children were being seen for psychological or neuropsychological evaluation. Approximately half of the families had commercial insurance and about half used medical assistance.

Huntington's disease is caused by repetitive "stutters" in DNA—specifically repeated CAG sequences—that expand abnormally over time, leading to toxic protein accumulation that contributes to the progression of the disease. There is currently no cure for this rare and fatal genetic disease. Professor Vincent Dion of the UK Dementia Research Institute at Cardiff University, who led the research team, said, "The length of these repeated sequences accounts for most of the variation in how severe the disease is, so targeting and reducing these sequences is a potentially viable therapeutic avenue.

Menopausal brain fog is common, and hormone therapy has neutral cognitive effects, according to Pauline M. Maki, PhD. Between 40% and 60% of women reported brain fog or forgetfulness during the menopause transition, according to Pauline M. Maki, PhD, who presented on cognitive changes in midlife at the Menopause Society 2026 Annual Meeting. Misinformation on social media and exaggerations of the current science led many patients to fear these symptoms signaled the beginning of Alzheimer disease—which, next to breast cancer, is the disease women fear most. For that reason, Maki recommends that clinicians first normalize the complaint. A second key role for clinicians is distinguishing cognitive changes that are a natural part of the menopause transition from cognitive changes associated with dementia. Dementia at midlife is very rare, noted Maki, a professor of Psychiatry, Psychology and Obstetrics & Gynecology; director of Women’s Mental Health Research Program; and senior director of research, Center for Research on Women and Gender, University of Illinois College of Medicine, Chicago.