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Pediatrician by Tio Manolo

Wednesday, October 7, 2026 — Edition XXXXXXXXXXXXXXXXXXXXXX
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This Week in Pediatrics

Contemporary Pediatrics – Clinical News & Pediatrician Practice Tips

PCR testing confirmed herpes zoster, an uncommon diagnosis in young, vaccinated children. ... AAP’s 2026 conference will bring pediatricians updates on AI, vaccines, misinformation, nutrition, mental health, and clinical care.

FDA news in pediatrics: September 2026 | Contemporary Pediatrics

September 2026 brought a dense ... conditions: Sanfilippo syndrome type A, Alexander disease, MCT8 deficiency, and ataxia-telangiectasia each gained their first FDA-approved therapy during the month....

Contemporary Pediatrics week in review: September 7-11, 2026 | Contemporary Pediatrics

... Joseph Rossano, MD, discusses how FDA approval of mavacamten introduces a disease-targeted treatment option for adults and pediatric patients weighing 30 kg (66 lbs) or more with symptomatic oHCM.

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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

Sugar makes children hyperactive

What the evidence shows: Multiple double-blind, placebo-controlled studies have found no significant effect of sugar on behavior or cognitive performance in children, even in those reportedly 'sensitive' to sugar. The perceived hyperactivity is often due to the context (parties, holidays) or parental expectations. However, limiting added sugars remains important for dental health and nutrition.

Teething causes high fevers and diarrhea

What the evidence shows: While teething may cause mild symptoms (gum irritation, drooling, slight temperature elevation), it does not cause high fever (>102°F/38.9°C) or diarrhea. These symptoms should prompt evaluation for other causes. Attributing significant illness to teething may delay diagnosis of serious conditions.

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

Gene Therapy for Congenital Hearing Loss: Breakthrough Trial

First successful gene therapy trial for DFNB9 deafness (otoferlin deficiency) shows restoration of hearing in children with previously profound hearing loss. Treated children gained ability to hear speech without cochlear implants.

Key findings: (1) 8 of 10 children gained functional hearing; (2) Benefit sustained at 18-month follow-up; (3) Earlier treatment showed better outcomes.

🩺 What this means for your practice:

Genetic forms of deafness may become treatable. This changes the conversation with families about hearing loss prognosis. Genetic testing for hearing loss is increasingly important for treatment planning.

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Did You Know? Numbers & Statistics

56%
Infants breastfed at 6 months
CDC Breastfeeding Report Card, 2024
19.7%
Children and adolescents with obesity (BMI ≥95th percentile)
CDC NHANES, 2024
100K
People in the US with sickle cell disease
CDC, 2024
13%
Children diagnosed with eczema/atopic dermatitis
CDC NHIS, 2024