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Pediatrician by Tio Manolo

Friday, August 21, 2026 Edition XXXXXXXXXXXXXXXXXIII
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This Week in Pediatrics

Immunization News | Red Book Online | American Academy of Pediatrics

More than 230 medical and public health groups, including the American Medical Association and the Infectious Diseases Society of America, announced support for the American Academy of Pediatrics 2026 vaccine schedule, calling it science-based ...

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

Study demonstrates a new standard for pediatric research

A new analysis from the Gabriella Miller Kids First Data Resource Center (Kids First DRC) shows how a collaborative, data-driven research model is creating broader opportunities to understand pediatric ...

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Research of the Day

Adolescent Vaping Cessation: Randomized Trial of Behavioral Interventions

This RCT compared three vaping cessation approaches in 1,200 adolescents: text-based support, in-person counseling, and combined intervention. Combined approach showed highest quit rates at 6-month follow-up.

Key findings: (1) 28% quit rate with combined intervention vs 15% text-only; (2) Nicotine dependence level predicted quit success; (3) Most adolescents wanted to quit but lacked support resources.

🩺 What this means for your practice:

Screen for vaping at every adolescent visit. Offer cessation resources proactively—most teens want to quit. Combine counseling with digital support for best outcomes.

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Popular Beliefs

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.

Too many vaccines overwhelm a child's immune system

What the evidence shows: Children's immune systems handle vastly more antigens daily from the environment than from vaccines. Today's vaccines contain far fewer antigens than older versions despite protecting against more diseases. Studies show no increased infection rates in vaccinated children—vaccines strengthen, not weaken, immunity.

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.

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Behaviors

Bedtime Routine Consistency and Child Behavior: Observational Study

This analysis of 5,000 parent surveys examined the relationship between bedtime routine consistency and daytime behavior. Children with consistent, calming bedtime routines had fewer behavioral problems and better emotional regulation.

Key findings: (1) Inconsistent routines associated with 2x behavioral difficulties; (2) Routines including reading showed strongest effects; (3) Benefits seen across all age groups studied (2-10 years).

🩺 What this means for your practice:

Bedtime routines matter for more than just sleep—they shape behavior and emotional regulation. Help families develop simple, consistent routines even during busy periods.

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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

30%
Antibiotic prescriptions for children that are unnecessary
CDC, 2024
84%
Infants ever breastfed in the US
CDC Breastfeeding Report Card, 2024
10%
High school students who attempted suicide
CDC YRBS, 2024
8%
Children with food allergies
CDC NCHS, 2024