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Pediatrician by Tio Manolo

Wednesday, September 16, 2026 — Edition XXXXXXXXXXXXXXXXXXXIX
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This Week in Pediatrics

The Honor Roll of U.S. News Best Children's Hospitals 2026-2027 | U.S. News

Best Children's Regional Hospital: Ranked No. 1 (tie) in Pennsylvania and No. 1 (tie) in the Mid-Atlantic region ... Pediatric Diabetes & Endocrinology: No. 3 · Pediatric Pulmonology & Lung Surgery: No. 4 · Pediatric Nephrology: No. 10 · Pediatric Gastroenterology &a...

AAP Issues Recommendations for Pediatric RSV Vaccination in 2026-2027 Season - Psychiatry Advisor

HealthDay News — New guidelines are presented that expand the categories of high-risk children eligible for respiratory syncytial virus (RSV) vaccination and address COVID-19 vaccines for children, in two policy statements and accompanying ...

Lurie Children’s Hospital makes it back on to U.S. News’ list of best in the country

For the first time in years, Lurie Children’s Hospital has broken back on to a list of the top children’s hospitals in the country, according to U.S. News & World Report. U.S. News has named L...

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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

Organic food is significantly more nutritious

What the evidence shows: Organic foods have lower pesticide residues, but studies show minimal nutritional differences compared to conventional foods. What matters most for health is eating a variety of fruits and vegetables, whether organic or conventional.

Starve a fever, feed a cold

What the evidence shows: Neither fevers nor colds benefit from restricting food. Both conditions increase metabolic demands, and adequate nutrition supports immune function. Encourage normal eating as tolerated and emphasize hydration with any illness.

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

Musical Training and Brain Development in Children: Longitudinal Neuroimaging Study

This 3-year study compared brain development in children receiving musical instrument training versus those doing sports or no organized activity. Music training was associated with enhanced auditory processing, motor coordination, and executive function networks.

Key findings: (1) Increased cortical thickness in auditory and motor regions; (2) Better performance on working memory and attention tasks; (3) Benefits correlated with practice duration.

🩺 What this means for your practice:

Music education offers cognitive benefits beyond artistic development. When families ask about extracurriculars, mention music as a brain-healthy option. Benefits appear even with modest practice time.

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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

8.3%
Infants born with low birth weight (<2500g)
CDC NCHS, 2024
50%
Children ages 6-17 exceeding 2 hours/day screen time
CDC YRBS, 2024
46%
Child safety seats with critical installation errors
NHTSA, 2024
19.7%
Children and adolescents with obesity (BMI ≥95th percentile)
CDC NHANES, 2024