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Pediatrician by Tio Manolo

Tuesday, July 28, 2026 Edition XXXXXXXXXXXXXXIX
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This Week in Pediatrics

Contemporary Pediatrics – Clinical News & Pediatrician Practice Tips

With a multistate cyclosporiasis outbreak underway this summer, pediatric providers should maintain a low threshold to consider Cyclospora cayetanensis in children with protracted or relapsing watery diarrhea. ByTrisha Torga, MD · July 15th 2026 · An adolescent medicine specialis...

Imagine Pediatrics Reaches More Than 100,000 Children with Expansion to Tennessee and New Jersey

Strong demand from partners is ... children with special health care needs, today announced its expansion into three new states, adding Tennessee and New Jersey....

US measles cases surpass 2025 total, hit highest level since 1991 | Contemporary Pediatrics

An outbreak centered on Piedmont ... Johns Hopkins University measles tracker.2 · The majority of 2026 cases have been confirmed among children and teenagers aged 19 and younger, and about 1 in 10 children under age 5 who have ...

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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

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.

Chocolate causes acne

What the evidence shows: The relationship between diet and acne is complex. Some studies suggest high-glycemic diets and dairy may worsen acne, but chocolate specifically has not been definitively proven to cause breakouts. Individual responses vary—advise patients to observe their own triggers.

Warm milk helps children sleep

What the evidence shows: While milk contains tryptophan (a sleep-promoting amino acid), the amount is modest. Any sleep benefit likely comes from the comforting ritual and warmth rather than pharmacologic effect. A consistent bedtime routine matters more than any single component.

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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.

🩺 What this means for your practice:

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.

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Genetics

CFTR Modulator Therapy in Young Children: Expansion to Additional Mutations

New clinical trial data supports expanding CFTR modulator therapy to children as young as 1 year with various CFTR mutations. Early treatment initiation shows benefits in lung function preservation and nutritional status, with excellent safety profile.

Key findings: (1) 85% of CF patients now eligible for modulator therapy; (2) Early treatment prevents rather than reverses lung damage; (3) Growth parameters improved in treated toddlers.

🩺 What this means for your practice:

Refer CF patients promptly for genetic classification and modulator eligibility assessment. The treatment landscape has transformed—many children can now expect near-normal life expectancy with appropriate therapy.

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Did You Know? Numbers & Statistics

23%
High school students getting 8+ hours of sleep
CDC YRBS, 2024
500K
Children ages 1-5 with elevated blood lead levels
CDC, 2024
50M
Antibiotic prescriptions to children annually in US
CDC, 2024
13.2
Births per 1,000 females ages 15-19 (historic low)
CDC NCHS, 2024