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Pediatrician by Tio Manolo

Tuesday, September 22, 2026 — Edition XXXXXXXXXXXXXXXXXXXXV
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This Week in Pediatrics

Texas Children's ranks among best US pediatrics hospitals in 2026

With the partnership of academic affiliate Baylor College of Medicine, Texas Children's — the largest freestanding children's hospital in the country — earned the following U.S. News Honor Roll distinction by ranking: No. 1: Cardiology & Heart Surgery · No. 1: Diabe...

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

Inside the 2026 U.S. News Best Children’s Hospital Rankings | Health Care | U.S. News

This year’s rankings evaluated 114 children’s hospitals based on clinical data from those hospitals and survey responses from thousands of pediatric specialists. The HoT Bulletin spoke with Jennifer Winston, senior health data scientist for U.S.

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Research of the Day

Duration of Breastfeeding and Childhood Obesity Risk: Meta-Analysis of 150 Cohort Studies

This comprehensive meta-analysis synthesized data from 150 cohort studies involving over 2.5 million children to examine the relationship between breastfeeding duration and obesity risk. Children breastfed for 6+ months showed a 22% reduction in obesity risk at ages 5-10 compared to never-breastfed children.

Key findings: (1) Each additional month of breastfeeding associated with 3% lower obesity odds; (2) Effects persisted after adjusting for socioeconomic status and maternal BMI; (3) Exclusive breastfeeding showed stronger effects than mixed feeding.

🩺 What this means for your practice:

These findings strengthen breastfeeding support recommendations. Counsel expectant parents on breastfeeding benefits, ensure access to lactation support, and address barriers to continued breastfeeding.

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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.

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.

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.

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Behaviors

Green Space Exposure and Mental Health in Urban Adolescents

This longitudinal study followed 5,000 urban adolescents over 4 years, using GPS tracking to measure green space exposure. Greater exposure to parks and nature was associated with lower rates of depression and anxiety, independent of socioeconomic factors.

Key findings: (1) 20% lower depression risk with daily green space exposure; (2) Benefits dose-dependent—more exposure meant better outcomes; (3) Active use (sports, walking) showed greater benefits than passive exposure.

🩺 What this means for your practice:

Encourage outdoor time as part of mental health promotion. For families in urban areas, identify nearby parks and green spaces. Nature exposure is an accessible, cost-effective mental health intervention.

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Genetics

Genetic Risk Screening for Type 1 Diabetes: Prevention Trial Update

Large-scale genetic screening of newborns identifies high-risk children for T1D prevention trials. Early results suggest immune modulation in high-risk children may delay or prevent onset of diabetes.

Key findings: (1) 5% of screened infants fall into high-risk category; (2) Early intervention delayed onset by average 3 years; (3) Screening acceptable to most families when explained appropriately.

🩺 What this means for your practice:

T1D prevention is moving from research to clinical reality. Stay updated on trial availability. For families with T1D history, genetic counseling and risk assessment may be appropriate for siblings.

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Did You Know? Numbers & Statistics

15%
Adolescents ages 12-17 with major depressive episode
SAMHSA NSDUH, 2024
22%
High school students who considered suicide
CDC YRBS, 2024
56%
Infants breastfed at 6 months
CDC Breastfeeding Report Card, 2024
33.4
SUID deaths per 100,000 live births
CDC, 2024