This Week in Pediatrics
Dr. Hillary Porter of Marshall Health Network named 2025 West Virginia Pediatrician of the Year – Marshall Medicine News
– Hillary N. Porter, D.O., associate ... children’s health and advocacy for patients and families across the state. Porter was recognized during the 2026 West Virginia AAP Annual Summit in Charleston....
SMART Program Underutilized for Kids in Primary Asthma Care
2026;doi:10.1542/peds.2026-076324 · 0 · Single maintenance and relief therapy (SMART) is underutilized in asthmatic children treated in primary care, a survey-based clinician study in Pediatrics found.
Florida Hospital EDs Now Required To Meet Pediatric Care Standards - Healthcare - United States
The new law took effect on July 1, 2026. The new law, which amends Section 395.1012, F.S. (“Patient Safety”), requires every hospital with an emergency department to: Develop and implement policies and procedures for pediatric patient care ...
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
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.
Wait 30 minutes after eating before swimming
What the evidence shows: There's no evidence that swimming after eating causes cramps or drowning. While digestion diverts some blood flow to the gut, it doesn't impair swimming ability in normal circumstances. Common-sense supervision is always important regardless of meal timing.
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.
Behaviors
Breakfast Consumption and Cognitive Performance in School-Age Children
This crossover study compared cognitive test performance in 200 children ages 8-11 on days with and without breakfast. Skipping breakfast significantly impaired attention, memory, and problem-solving speed, with effects noticeable by mid-morning.
Key findings: (1) 18% slower response time on attention tasks without breakfast; (2) Short-term memory scores 12% lower; (3) Nutrient-dense breakfasts outperformed high-sugar options for sustained attention.
Screen for breakfast skipping during well visits, especially in lower-income families. Connect families with school breakfast programs when appropriate. Quick, balanced breakfast options can be discussed as anticipatory guidance.
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.