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Pediatrician by Tio Manolo

Thursday, May 21, 2026 Edition XXXXXXXXI
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This Week in Pediatrics

Pediatrics - Medscape

Private-Sector Healthcare Rise May Affect Canadians’ Trust · Medscape News Canada May 19, 2026 · Professional Corner: Brain-Heart Grants, AMA Podcast, & More · Medscape Medical News May 19, 2026 · Uveitis in Children Tied to Higher Inflammatory Disease Risk ·

Children's Health News -- ScienceDaily

7, 2026 — Teens who sleep in on weekends may be giving their mental health a boost. A new study found that young people who made up for lost weekday sleep had a significantly lower risk of depression. While ... ... Dec. 25, 2025 — ADHD stimulants appear to work less by sharpening...

Lee Health breaks ground to expand pediatrics capacity | WGCU News | PBS & NPR for Southwest Florida

Lee Health recently broke ground on a Pediatric Surgery Center and Family Medicine Clinic.

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Research of the Day

Universal Depression Screening in Adolescents: Implementation and Outcomes

This pragmatic trial implemented universal depression screening using PHQ-9 Modified for Adolescents across 50 primary care practices. Universal screening identified 3x more cases of moderate-to-severe depression compared to targeted screening.

Key findings: (1) 18% of screened adolescents had positive screens requiring follow-up; (2) Early identification led to 40% increase in mental health referrals; (3) False positive rate acceptable at 12%.

🩺 What this means for your practice:

Implement annual depression screening for all patients 12-21 years. Establish referral pathways and follow-up protocols. Address barriers to mental health access in your community.

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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.

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.

ADD/ADHD is caused by poor parenting or too much sugar

What the evidence shows: ADHD has strong genetic and neurobiological components. While environment can influence symptom severity, poor parenting and diet do not cause ADHD. Evidence-based treatments include behavioral therapy and, when appropriate, medication. Blaming parents is harmful and delays effective intervention.

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Behaviors

Growth Mindset and Academic Resilience in Middle School

This school-based intervention taught growth mindset principles to 4,000 middle schoolers. Students who internalized growth mindset showed improved grades, greater persistence, and reduced anxiety around academic challenges.

Key findings: (1) 0.3 GPA improvement in intervention group; (2) 25% reduction in test anxiety; (3) Effects largest for initially low-performing students. Teacher reinforcement of messages enhanced effects.

🩺 What this means for your practice:

Praise effort over ability when discussing academics with patients. Encourage families to use growth mindset language. Struggle is part of learning, not a sign of inability.

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Genetics

Polygenic Risk Scores and ADHD: Clinical Utility Analysis

Large GWAS analysis demonstrates polygenic risk scores for ADHD have limited current clinical utility for diagnosis but may help identify children at risk for severe or persistent symptoms. Environmental factors remain critically important.

Key findings: (1) Polygenic scores explain ~10% of ADHD variance; (2) Higher scores associated with earlier onset and persistence; (3) Not useful as diagnostic test—clinical evaluation remains gold standard.

🩺 What this means for your practice:

Genetics is one piece of the ADHD puzzle but doesn't replace clinical assessment. Avoid overinterpreting direct-to-consumer genetic tests. Family history remains the most useful genetic 'test' for ADHD risk.

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Did You Know? Numbers & Statistics

13.2
Births per 1,000 females ages 15-19 (historic low)
CDC NCHS, 2024
10%
High school students reporting current e-cigarette use
CDC YRBS, 2024
42%
High school students reporting persistent sadness or hopelessness
CDC YRBS, 2024
17 tsp
Average daily added sugar intake by children 2-19
CDC NHANES, 2024