This Week in Pediatrics
Pediatrics - Medscape
Is Hypertension Undertreated in Pediatrics? Medscape Medical News May 21, 2026 · Prior Auth Rules Vary Widely Across Insurers, Study Finds · Medscape Medical News May 21, 2026 · PAS 2026 · Congenital CMV Linked to Substantial Long-Term Health Issues · Medscape Medical News May 21...
New surgeon general’s advisory raises alarm about screen time risks for kids and teens | CNN
The new surgeon general’s advisory mirrors many of those recommendations, including creating a family media plan and modeling healthy media habits. The American Academy of Pediatrics also recommends employing the “5 Cs of Media Use,” which are for families to consider media in th...
Is Hypertension Undertreated in Pediatrics?
The study population included 107,884 ... at the Pediatric Academic Societies (PAS) 2026 Meeting. Significantly fewer children than adults received an ARB (12.5% vs 42.0%)....
Research of the Day
Return to Sport After Pediatric Concussion: Age-Modified Protocols
This multi-site study evaluated age-specific return-to-sport protocols following concussion in 2,500 young athletes ages 8-18. Younger children required longer recovery periods, challenging one-size-fits-all protocols.
Key findings: (1) Median recovery 21 days for ages 8-12 vs 14 days for teens; (2) Early return to sport associated with prolonged symptoms; (3) Symptom-limited activity during recovery improved outcomes.
Use age-appropriate return protocols. Younger athletes need more conservative management. Emphasize symptom-limited activity and complete recovery before returning to full sport.
Popular Beliefs
Cracking knuckles causes arthritis
What the evidence shows: Studies comparing habitual knuckle-crackers to non-crackers found no increased arthritis risk. The cracking sound is from gas bubble release in synovial fluid. The main consequence may be reduced grip strength and annoyed family members.
The flu shot can give you the flu
What the evidence shows: Flu vaccines contain inactivated virus or viral proteins that cannot cause influenza infection. Some people experience mild side effects (sore arm, low-grade fever) that mimic illness. It takes 2 weeks for protection to develop, so some may get infected before the vaccine works.
Cold weather causes colds
What the evidence shows: Colds are caused by viruses, not cold temperatures. The association exists because people spend more time indoors in close proximity during winter, facilitating viral transmission. Additionally, dry indoor air may impair mucosal barriers. Hand hygiene and avoiding sick contacts are the real prevention strategies.
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.
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.
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.
Know your state's newborn screening panel. Ensure timely follow-up of abnormal screens. Early treatment dramatically improves outcomes for many of these conditions.