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Pediatrician by Tio Manolo

Wednesday, March 25, 2026 Edition XXIV
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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.

NRMP Releases Results of the 2026 Main Residency Match for More Than 38,000 Future Residents | NRMP

Pediatrics offered 3,185 positions this year — eight fewer than in 2025 — and filled 3,006 positions, resulting in a 94.4 percent fill rate, a 0.9 percentage‑point decrease from last year.

In Talking to Parents About Vaccines, Pediatricians Navigate a Sea of Misinformation - The New York Times

Practitioners nationwide are striving to do what’s best for children’s health, while staying supportive in the face of mistrust and confusion. ... Alissa Parker, a pediatric nurse practitioner at Primary Plus, a community clinic in Ashland, Ky., with Bethany Browning and her todd...

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Research of the Day

Adolescent Vaping Cessation: Randomized Trial of Behavioral Interventions

This RCT compared three vaping cessation approaches in 1,200 adolescents: text-based support, in-person counseling, and combined intervention. Combined approach showed highest quit rates at 6-month follow-up.

Key findings: (1) 28% quit rate with combined intervention vs 15% text-only; (2) Nicotine dependence level predicted quit success; (3) Most adolescents wanted to quit but lacked support resources.

🩺 What this means for your practice:

Screen for vaping at every adolescent visit. Offer cessation resources proactively—most teens want to quit. Combine counseling with digital support for best outcomes.

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Popular Beliefs

Wait 30 minutes after eating before swimming

What the evidence shows: There's no evidence that swimming after eating causes cramps or drowning. While digestion diverts some blood flow to the gut, it doesn't impair swimming ability in normal circumstances. Common-sense supervision is always important regardless of meal timing.

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

Media Multitasking and Attention in Adolescents

This study of 600 high school students examined the relationship between media multitasking (using multiple screens simultaneously) and attention abilities. Heavy media multitaskers showed reduced ability to filter irrelevant information.

Key findings: (1) Heavy multitaskers had 15% more attention lapses in class; (2) Greater difficulty switching between tasks effectively; (3) Sleep quality mediated some of the relationship.

🩺 What this means for your practice:

Counsel adolescents (and parents) on single-tasking for homework. Having phone notifications off and single-device focus improves learning efficiency and quality.

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Genetics

Newborn Screening: Recommended Uniform Screening Panel Updates

The Recommended Uniform Screening Panel (RUSP) has been updated to include three additional conditions: Pompe disease, MPS I, and X-linked adrenoleukodystrophy. States are implementing expanded screening with early treatment implications.

Key findings: (1) Early identification allows treatment before symptom onset; (2) Cost-effectiveness demonstrated for new conditions; (3) Primary care providers need to understand screening results and follow-up.

🩺 What this means for your practice:

Know your state's newborn screening panel. Ensure timely follow-up of abnormal screens. Early treatment dramatically improves outcomes for many of these conditions.

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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
22%
High school students who considered suicide
CDC YRBS, 2024
19.7%
Children and adolescents with obesity (BMI ≥95th percentile)
CDC NHANES, 2024
24%
Children meeting 60 min/day physical activity guideline
CDC YRBS, 2024