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Pediatrician by Tio Manolo

Monday, June 22, 2026 Edition XXXXXXXXXXXIII
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This Week in Pediatrics

Contemporary Pediatrics – Clinical News & Pediatrician Practice Tips

ByMorgan Ebert, Executive Editor,Kevin Kaiserman, MD ... New ADA 2026 analyses show Afrezza delivered comparable glycemic control, favorable safety, and higher treatment satisfaction in youth.

Pediatric medical devices treat or diagnose diseases and conditions fr

On June 15, 2026, the FDA issued a Warning Letter to the manufacturer of the SNOO Smart Sleeper (SNOO), Happiest Baby, Inc., for a number of violations, including selling new sleep sack sizes and hospital SNOO bassinet bundles without first ...

JAMA Pediatrics – The Science of Child and Adolescent Health

Explore the latest in child health including food and nutrition, Kawasaki disease and C difficile, effects of media, and more. Formerly Archives of Pediatrics.

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Research of the Day

Probiotics for Infantile Colic: Randomized Controlled Trial of L. reuteri

This double-blind RCT enrolled 400 breastfed infants with colic to evaluate Lactobacillus reuteri supplementation. Infants receiving the probiotic showed significantly reduced crying time compared to placebo, with effects observed within 7 days of treatment initiation.

Key findings: (1) Mean crying time reduced by 51 minutes/day at 21 days; (2) 73% of treatment group had crying <3 hours/day vs 36% placebo; (3) No adverse events reported. Effect was specific to breastfed infants.

🩺 What this means for your practice:

L. reuteri may be considered for breastfed infants with colic after excluding other causes. This is one of several evidence-based interventions alongside feeding adjustments, carrying techniques, and parental support.

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Popular Beliefs

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.

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.

Eating carrots dramatically improves vision

What the evidence shows: While carrots contain vitamin A important for eye health, eating extra carrots won't improve normal vision or eliminate the need for glasses. Vitamin A deficiency can cause vision problems, but this is rare in developed countries with varied diets.

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Behaviors

Green Space Exposure and Mental Health in Urban Adolescents

This longitudinal study followed 5,000 urban adolescents over 4 years, using GPS tracking to measure green space exposure. Greater exposure to parks and nature was associated with lower rates of depression and anxiety, independent of socioeconomic factors.

Key findings: (1) 20% lower depression risk with daily green space exposure; (2) Benefits dose-dependent—more exposure meant better outcomes; (3) Active use (sports, walking) showed greater benefits than passive exposure.

🩺 What this means for your practice:

Encourage outdoor time as part of mental health promotion. For families in urban areas, identify nearby parks and green spaces. Nature exposure is an accessible, cost-effective mental health intervention.

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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

10%
High school students who attempted suicide
CDC YRBS, 2024
1 in 36
Children identified with Autism Spectrum Disorder in the US
CDC ADDM Network, 2024
50%
Children ages 6-17 exceeding 2 hours/day screen time
CDC YRBS, 2024
8.3%
Infants born with low birth weight (<2500g)
CDC NCHS, 2024