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Pediatrician by Tio Manolo

Saturday, July 18, 2026 Edition XXXXXXXXXXXXXIX
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This Week in Pediatrics

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

Measles Cases and Outbreaks | Measles (Rubeola) | CDC

There have been 34 new outbreaks** reported in 2026, and 93% of confirmed cases (2,108 of 2,260) are outbreak-associated (741 from outbreaks starting in 2026 and 1,367 from outbreaks that started in 2025).

How Family Advocacy Day Inspired a Medical Student to Pursue Pediatrics

The pediatric workforce is facing a growing shortage. Despite 23% of the population being children under 18, just 8% of residents chose a pediatrics residency in 2025. The shortage exists in pediatric nurses, respiratory therapists, and mental ...

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Research of the Day

Bedtime Screen Use and Sleep Quality in School-Age Children: Actigraphy Study

Using wrist actigraphy and sleep diaries, this study objectively measured sleep in 800 children ages 6-12 with varying bedtime screen habits. Screen use within 1 hour of bedtime significantly delayed sleep onset and reduced total sleep time.

Key findings: (1) 30-minute average delay in sleep onset with bedtime screens; (2) 45-minute reduction in total sleep time; (3) Blue light filtering partially but not fully mitigated effects.

🩺 What this means for your practice:

Recommend screen-free wind-down periods of 1+ hours before bed. Counsel families on device-free bedrooms. Address screen habits as part of sleep hygiene discussions.

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Popular Beliefs

Remove ticks with a lit match or petroleum jelly

What the evidence shows: These methods can cause the tick to regurgitate into the wound, increasing disease transmission risk. Use fine-tipped tweezers to grasp the tick close to the skin and pull upward with steady pressure. Save the tick for identification if possible.

Children outgrow ADHD

What the evidence shows: While symptoms often change with age, approximately 60% of children with ADHD continue to have symptoms into adulthood. Hyperactivity typically decreases, but inattention and impulsivity often persist. Ongoing monitoring and treatment adjustment is important across the lifespan.

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

Secondhand Smoke Exposure and Cognitive Development: Cohort Study

This cohort study measured cotinine levels and cognitive outcomes in 2,000 children at multiple time points. Even low-level secondhand smoke exposure was associated with measurable effects on attention and working memory.

Key findings: (1) Detectable cotinine associated with 5-point IQ difference; (2) Higher rates of learning difficulties; (3) No safe threshold identified—any exposure had measurable effects.

🩺 What this means for your practice:

Screen for smoke exposure at well visits. Counsel caregivers that even 'smoking outside' may not fully protect children. Connect families with smoking cessation resources.

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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

39%
High school drivers who texted while driving
CDC YRBS, 2024
10%
High school students reporting current e-cigarette use
CDC YRBS, 2024
73%
Children 19-35 months with complete recommended vaccinations
CDC NIS, 2024
30%
Antibiotic prescriptions for children that are unnecessary
CDC, 2024