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Pediatrician by Tio Manolo

Thursday, March 19, 2026 Edition XVIII
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This Week in Pediatrics

Contemporary Pediatrics – Clinical News & Pediatrician Practice Tips

ByPatrick Campbell · March 16th 2026 · A phase 3 trial shows that lebrikizumab improves skin clearance and itch in infants and children with moderate to severe atopic dermatitis.

Recent Reports from University of Michigan Medical School Highlight Findings in Hospital Pediatrics (Insurance Coverage Disruption Among Children and Caregivers After Pediatric Hospitalization): Pediatrics - Hospital Pediatrics - Insurance News | InsuranceNewsNet

2026 MAR 18-- By a News Reporter-Staff ... in Ann Arbor, Michigan, by NewsRx journalists, research stated,“ Health events may disrupt insurance ......

Federal judge blocks RFK Jr.'s changes to childhood vaccine schedule

The decision is a setback for Kennedy, a longtime anti-vaccine activist who promised to restore trust in the public health agencies, but whose controversial policies have created confusion among pediatricians and contributed to more distrust of childhood vaccination, experts say.

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Research of the Day

Bedtime Screen Use and Sleep Quality in School-Age Children: Actigraphy Study

Using wrist actigraphy and sleep diaries, this study objectively measured sleep in 800 children ages 6-12 with varying bedtime screen habits. Screen use within 1 hour of bedtime significantly delayed sleep onset and reduced total sleep time.

Key findings: (1) 30-minute average delay in sleep onset with bedtime screens; (2) 45-minute reduction in total sleep time; (3) Blue light filtering partially but not fully mitigated effects.

🩺 What this means for your practice:

Recommend screen-free wind-down periods of 1+ hours before bed. Counsel families on device-free bedrooms. Address screen habits as part of sleep hygiene discussions.

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Popular Beliefs

Chocolate causes acne

What the evidence shows: The relationship between diet and acne is complex. Some studies suggest high-glycemic diets and dairy may worsen acne, but chocolate specifically has not been definitively proven to cause breakouts. Individual responses vary—advise patients to observe their own triggers.

Teething causes high fevers and diarrhea

What the evidence shows: While teething may cause mild symptoms (gum irritation, drooling, slight temperature elevation), it does not cause high fever (>102°F/38.9°C) or diarrhea. These symptoms should prompt evaluation for other causes. Attributing significant illness to teething may delay diagnosis of serious conditions.

Letting babies walk early causes bowlegs

What the evidence shows: There is no evidence that early walking causes bowlegs. Most infants have some degree of bowing that typically resolves by age 3-4. Pathologic bowing has other causes (Blount disease, rickets). Encourage normal motor development and monitor for asymmetric or progressive bowing.

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Behaviors

Green Space Exposure and Mental Health in Urban Adolescents

This longitudinal study followed 5,000 urban adolescents over 4 years, using GPS tracking to measure green space exposure. Greater exposure to parks and nature was associated with lower rates of depression and anxiety, independent of socioeconomic factors.

Key findings: (1) 20% lower depression risk with daily green space exposure; (2) Benefits dose-dependent—more exposure meant better outcomes; (3) Active use (sports, walking) showed greater benefits than passive exposure.

🩺 What this means for your practice:

Encourage outdoor time as part of mental health promotion. For families in urban areas, identify nearby parks and green spaces. Nature exposure is an accessible, cost-effective mental health intervention.

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Genetics

Genetic Risk Screening for Type 1 Diabetes: Prevention Trial Update

Large-scale genetic screening of newborns identifies high-risk children for T1D prevention trials. Early results suggest immune modulation in high-risk children may delay or prevent onset of diabetes.

Key findings: (1) 5% of screened infants fall into high-risk category; (2) Early intervention delayed onset by average 3 years; (3) Screening acceptable to most families when explained appropriately.

🩺 What this means for your practice:

T1D prevention is moving from research to clinical reality. Stay updated on trial availability. For families with T1D history, genetic counseling and risk assessment may be appropriate for siblings.

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Did You Know? Numbers & Statistics

1 in 36
Children identified with Autism Spectrum Disorder in the US
CDC ADDM Network, 2024
15%
Adolescents ages 12-17 with major depressive episode
SAMHSA NSDUH, 2024
46%
Child safety seats with critical installation errors
NHTSA, 2024
50%
Children ages 6-17 exceeding 2 hours/day screen time
CDC YRBS, 2024