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Pediatrician by Tio Manolo

Monday, March 23, 2026 Edition XXII
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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.

Pediatricians win Round 1 in vaccine fight, but damage has been done | Reuters

The decision, issued in a lawsuit ... Health Department, reverses key parts of Kennedy's moves to reshape U.S. vaccine policy, including reducing the number of shots routinely recommended for children....

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 ......

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Research of the Day

Early Peanut Introduction: 8-Year Outcomes from the LEAP Trial Extension

Extended follow-up of the landmark LEAP trial confirms sustained peanut allergy protection 8 years after early introduction, even when children stopped regular peanut consumption. The protective effect persists regardless of continued consumption.

Key findings: (1) 74% reduction in peanut allergy maintained at 8 years; (2) Protection sustained even after 12-month period of avoiding peanuts; (3) Early introduction (4-6 months) most effective for high-risk infants.

🩺 What this means for your practice:

Reinforce early peanut introduction guidance, especially for infants with eczema or egg allergy. Recommend 2g peanut protein, 3 times weekly starting at 4-6 months in appropriate form.

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Popular Beliefs

Organic food is significantly more nutritious

What the evidence shows: Organic foods have lower pesticide residues, but studies show minimal nutritional differences compared to conventional foods. What matters most for health is eating a variety of fruits and vegetables, whether organic or conventional.

Shaving makes hair grow back thicker and darker

What the evidence shows: Shaving removes hair at the skin surface, leaving a blunt tip that may feel coarser as it grows out. However, it does not affect hair thickness, color, or growth rate. This is an optical illusion from the blunt vs. tapered hair shaft.

Eating carrots dramatically improves vision

What the evidence shows: While carrots contain vitamin A important for eye health, eating extra carrots won't improve normal vision or eliminate the need for glasses. Vitamin A deficiency can cause vision problems, but this is rare in developed countries with varied diets.

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Behaviors

Sleep Schedule Consistency and ADHD Symptoms: Intervention Study

This intervention study examined whether consistent sleep schedules improved ADHD symptoms in 150 children ages 6-12. Families implemented strict bed/wake times for 8 weeks while tracking symptoms and sleep.

Key findings: (1) Consistent sleep reduced inattention symptoms by 25%; (2) Bedtime resistance decreased significantly; (3) Effects comparable to some medication responses. Weekend sleep consistency was particularly important.

🩺 What this means for your practice:

Before escalating ADHD treatment, optimize sleep hygiene. Consistent bed/wake times (including weekends) can meaningfully improve symptoms. This is a low-risk intervention all families can implement.

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Genetics

Gene Therapy for Congenital Hearing Loss: Breakthrough Trial

First successful gene therapy trial for DFNB9 deafness (otoferlin deficiency) shows restoration of hearing in children with previously profound hearing loss. Treated children gained ability to hear speech without cochlear implants.

Key findings: (1) 8 of 10 children gained functional hearing; (2) Benefit sustained at 18-month follow-up; (3) Earlier treatment showed better outcomes.

🩺 What this means for your practice:

Genetic forms of deafness may become treatable. This changes the conversation with families about hearing loss prognosis. Genetic testing for hearing loss is increasingly important for treatment planning.

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Did You Know? Numbers & Statistics

73%
Children 19-35 months with complete recommended vaccinations
CDC NIS, 2024
23%
High school students getting 8+ hours of sleep
CDC YRBS, 2024
33.4
SUID deaths per 100,000 live births
CDC, 2024
42%
High school students reporting persistent sadness or hopelessness
CDC YRBS, 2024