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Pediatrician by Tio Manolo

Friday, June 12, 2026 Edition XXXXXXXXXXIII
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This Week in Pediatrics

Pediatrics - Medscape

Medscape Medical News June 8, 2026 · Choosing a Journal: What Matters More Than Impact Factor? Medscape News Global June 8, 2026 View All · The Case for Screening Parents at the Pediatric Visit · Commentary June 5, 2026 · The parents’ mental health affects the child’s mental heal...

Frontiers | Fifteen years of pediatric immune thrombocytopenia in a national cohort: chronicity, diagnostic challenges, and treatment patterns—single center experience

BackgroundThe majority of children with primary immune thrombocytopenia (ITP) follow a benign, self-limiting course. However, early identification of childre...

JAMA Pediatrics – The Science of Child and Adolescent ...

Editor's Choice: JAMA Pediatrics—The Year in Review, 2025 · Jennifer J. Koplin, PhD; Desalegn Markos Shifti, PhD; Victoria X. Soriano, PhD; et al

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Research of the Day

Family-Based Treatment for Childhood Obesity: 5-Year Outcomes

This long-term follow-up evaluated family-based behavioral treatment (FBT) for childhood obesity. Children who received FBT maintained healthier BMI trajectories compared to usual care, with parental involvement being key to sustained success.

Key findings: (1) 25% greater BMI reduction maintained at 5 years; (2) Parental BMI change correlated with child outcomes; (3) Maintenance sessions improved long-term success.

🩺 What this means for your practice:

Engage the whole family in obesity treatment—target the child alone is less effective. Focus on sustainable lifestyle changes, address family habits, and plan for ongoing support.

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Popular Beliefs

Vaccines cause autism

What the evidence shows: This thoroughly debunked claim originated from a fraudulent 1998 study. Multiple large-scale studies involving millions of children have found no association between vaccines and autism. The original study was retracted and its author lost his medical license. Vaccines are safe and essential.

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.

Green mucus means bacterial infection requiring antibiotics

What the evidence shows: Mucus color changes naturally during viral infections and does not reliably distinguish viral from bacterial causes. Green/yellow mucus indicates immune cell activity, which occurs in both viral and bacterial infections. Antibiotics should be prescribed based on clinical criteria, not mucus color.

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Behaviors

Musical Training and Brain Development in Children: Longitudinal Neuroimaging Study

This 3-year study compared brain development in children receiving musical instrument training versus those doing sports or no organized activity. Music training was associated with enhanced auditory processing, motor coordination, and executive function networks.

Key findings: (1) Increased cortical thickness in auditory and motor regions; (2) Better performance on working memory and attention tasks; (3) Benefits correlated with practice duration.

🩺 What this means for your practice:

Music education offers cognitive benefits beyond artistic development. When families ask about extracurriculars, mention music as a brain-healthy option. Benefits appear even with modest practice time.

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Genetics

Exon-Skipping Therapy for Duchenne Muscular Dystrophy: Expanded Approvals

FDA has approved additional exon-skipping therapies targeting previously untreatable Duchenne muscular dystrophy mutations. These antisense oligonucleotide treatments now cover 80% of DMD patients, slowing disease progression.

Key findings: (1) Treated patients maintain ambulation 2-4 years longer; (2) Cardiac and respiratory function also preserved; (3) Earlier treatment initiation correlates with better outcomes.

🩺 What this means for your practice:

Genetic testing to identify specific DMD mutation is essential for treatment planning. Refer to neuromuscular centers for evaluation. Treatment options continue to expand rapidly.

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Did You Know? Numbers & Statistics

35+
Conditions screened on most state newborn screening panels
HHS, 2024
2.5M
Youth sports-related concussions annually in US
CDC, 2024
14%
Children with mental health condition who receive treatment
SAMHSA, 2024
9.4%
Children ages 3-17 diagnosed with anxiety
CDC NHIS, 2024