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Pediatrician by Tio Manolo

Friday, April 3, 2026 Edition XXXIII
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This Week in Pediatrics

AAP News | American Academy of Pediatrics

AAP leaders visit immigration ... · Pearls and pitfalls: Using social media as a public health tool · Pediatricians remain lowest paid in primary care, report says...

Pediatrics - Medscape

Education Gaps Persist for Children With Neurodisability · Medscape News UK April 1, 2026 · Med Op-Ed: Time Travel Edition · Medscape Medical News April 1, 2026 · Alert · Europe Moves to Broader Pediatric Pneumonia Protection · Medscape News Europe April 1, 2026 · Sugar Tax Debat...

ChristianaCare and Children’s Hospital of Philadelphia Launch Strategic Affiliation - ChristianaCare News

ChristianaCare and Children’s Hospital of Philadelphia (CHOP) will launch their strategic pediatric affiliation on April 1, expanding access to world-class specialized care for children across Delaware and the surrounding region. The collaboration, announced in 2025, will bring C...

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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

Sugar makes children hyperactive

What the evidence shows: Multiple double-blind, placebo-controlled studies have found no significant effect of sugar on behavior or cognitive performance in children, even in those reportedly 'sensitive' to sugar. The perceived hyperactivity is often due to the context (parties, holidays) or parental expectations. However, limiting added sugars remains important for dental health and nutrition.

Starve a fever, feed a cold

What the evidence shows: Neither fevers nor colds benefit from restricting food. Both conditions increase metabolic demands, and adequate nutrition supports immune function. Encourage normal eating as tolerated and emphasize hydration with any illness.

Reading to babies is pointless—they don't understand

What the evidence shows: Research consistently demonstrates that reading to infants from birth supports language development, vocabulary acquisition, and later literacy skills. Even before understanding words, babies benefit from hearing language patterns, rhythm, and the bonding experience. The AAP recommends reading aloud beginning in infancy.

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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

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

1 in 36
Children identified with Autism Spectrum Disorder in the US
CDC ADDM Network, 2024
15K
New type 2 diabetes cases in youth under 20 annually
CDC, 2024
10%
High school students who attempted suicide
CDC YRBS, 2024
39%
High school drivers who texted while driving
CDC YRBS, 2024