Journal of Pediatric Health Care RSS feed: Current Issue. The Journal of Pediatric Health Care , the official journal of the National Association of Pediatric Nurse Practitioners, provides up-to-date clinical information and research findings regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal also disseminates multidisciplinary perspectives on evidenced-based practice as well as emerging educational, policy and advocacy issues that are of importance to all pediatric nurses and health care professionals.http://www.jpedhc.org/?rss=yesElsevier Inc.en © 2010 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved. Journal of Pediatric Health Care0891-5245241January 2010 © 2010 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.jpedhc.org/article/PIIS0891524509003149/abstract?rss=yesI soon learned after assuming this post that it is “business as usual” for a journal to undergo a re-design process about every 5 years or so. Initially, I was not sure I wanted to move down this path, as I was fairly well satisfied with the Journal as it was, and appreciative of the efforts of all of those involved in the previous re-design process. Nevertheless, our team began to feel that perhaps some alterations would be timely, given the many changes that have occurred in the publishing industry during the past few years.Welcome To the “New” Journal of Pediatric Health Care!Martha K. Swartz10.1016/j.pedhc.2009.10.002Journal of Pediatric Health Care 24, 1 (2010)2010-01-01Journal of Pediatric Health Care2010-01-01241S0891-5245(09)X0007-6Editorial11http://www.jpedhc.org/article/PIIS089152450900279X/abstract?rss=yesI have always found the New Year to be a time for reflection and remembrance. Perhaps it is my Scottish ancestry reminding me that Hogamany is the traditional Scottish celebration of friendship and renewal every New Year's Eve. The Scottish poet Robert Burns wrote the traditional poem, Auld Lang Syne in 1788, which literally translates “old long since” and has become a major part of New Year's celebrations around the world (). This is the season for acknowledging accomplishments and contemplating things left undone. This year is no different. So in that tradition it seems appropriate to review the goals and strategic direction for the future of the National Association of Pediatric Nurse Practitioners (NAPNAP) as we make our old-fashioned New Year's resolutions.Ring in a Safe and Quality New Year!Michelle Anne Beauchesne10.1016/j.pedhc.2009.09.005Journal of Pediatric Health Care 24, 1 (2010)2010-01-01Journal of Pediatric Health Care2010-01-01241S0891-5245(09)X0007-6President's Message23http://www.jpedhc.org/article/PIIS0891524508003489/abstract?rss=yesAbstract: Health care providers are faced with many challenges when working with adolescents. Vague symptoms, unreliable menstrual history, and adolescent reluctance to disclose sexual activity present challenges to early diagnosis. When pregnancy is suspected, clinicians need skills for accurate diagnosis, conducting comprehensive assessments, and providing options counseling. Complexities of providing confidential care while balancing the needs of the adolescent and family may deter some clinicians. A clinical case scenario illustrates important elements of care. Through sharing lessons learned from 10 years of working in a Pregnancy Follow-up Clinic, the authors hope to empower other clinicians as they care for adolescents during this critical time.Early Pregnancy in Adolescents: Diagnosis, Assessment, Options Counseling, and ReferralMary M. Aruda, Kathleen Waddicor, Liesl Frese, Joanna C.M. Cole, Pamela Burke10.1016/j.pedhc.2008.11.003Journal of Pediatric Health Care 24, 1 (2010)2009-03-09Journal of Pediatric Health Care2009-03-09241S0891-5245(09)X0007-6Articles413http://www.jpedhc.org/article/PIIS0891524508003507/abstract?rss=yesAbstract: Background: State and national policymakers are actively debating the merits of legally mandating the human papillomavirus (HPV) vaccine.Methods: This was a cross-sectional pilot study designed to identify factors associated with HPV vaccination in 170 high school girls and the decision making by girls about vaccination.Results: Overall, 48.4% participated in the vaccination decision making and 37.8% were vaccinated, but there were significant vaccine-related knowledge gaps. Girls often lacked basic knowledge necessary to make vaccine decisions. Vaccination was significantly associated with older age, vaccine information sources, and higher vaccine-related knowledge, but not with estimates of risk of HPV-related diseases, religion, or frequency of health care visits.Conclusions: This paper describes the first study to have identified factors associated with HPV vaccination among California high school girls and to have documented that a high percentage are participating in the vaccination decision making. These findings have implications for adolescent health education and nursing practice and provide new information relevant to the current public policy debates about mandatory vaccination.Participation in the Decision to Become Vaccinated Against Human Papillomavirus by California High School Girls and the Predictors of Vaccine StatusMaya B. Mathur, Vandana S. Mathur, David B. Reichling10.1016/j.pedhc.2008.11.004Journal of Pediatric Health Care 24, 1 (2010)2009-06-05Journal of Pediatric Health Care2009-06-05241S0891-5245(09)X0007-6Articles1424http://www.jpedhc.org/article/PIIS0891524508003519/abstract?rss=yesAbstract: Introduction: The purpose of this research was to determine relationships among perceived invincibility, demographic variables, and risk behaviors in adolescents of active duty and retired military personnel.Method: An instrument titled the Adolescent Invincibility Tool (AIT) was constructed and administered to a group of 125 adolescents of military parents. Correlation statistics were analyzed to determine variable relationships.Results: The AIT demonstrated reliability (Cronbach's α .88) in measuring invincibility in this sample. Participant characteristics and demographics were examined and revealed age, sex, ethnicity, and relocation frequency differences in relationship to the teen's level of perceived invincibility. Family relocation frequency and parent ranking/rating were significant variables for a military population. A significant positive relationship was identified between aggressive, delinquent behavior and invincibility; a negative correlation was demonstrated between worry and invincibility.Discussion: This study provided an opportunity to learn about unique influences related to being the teen of an active duty or retired military parent(s). Study findings indicate significant differences between military teens and national surveys in regard to risk taking and mental health indicators. Risk behaviors were found to occur at a lower frequency than the nationwide average, while depression occurred more frequently in this sample of military adolescents. Variations among teens of military parents in invincibility and worry scores provide direction for further study.The Relationship of Perception of Invincibility, Demographics, and Risk Behaviors in Adolescents of Military ParentsMary Wickman, Cindy Greenberg, Denise Boren10.1016/j.pedhc.2008.11.005Journal of Pediatric Health Care 24, 1 (2010)2009-03-09Journal of Pediatric Health Care2009-03-09241S0891-5245(09)X0007-6Articles2533http://www.jpedhc.org/article/PIIS0891524509000261/abstract?rss=yesAbstract: Introduction: Limited clinical and research data are available on early renal and cardiovascular complications in youth with diabetes. The possible associations of elevated microalbuminuria to creatinine (MC) ratios with heart rate variability (HRV) were explored in adolescents with type 1 (T1DM) or type 2 (T2DM) diabetes.Methods: A descriptive study was conducted with 41 adolescents with diabetes (n = 31 T1DM vs. n = 10 T2DM). Twenty-four hour Holter recordings for determining HRV, urine spot checks for MC ratio, and the most recent measures of glycosylated hemoglobin (A1c) were obtained.Results: HRV was significantly lower in the T2DM group, while body mass index percentile, triglycerides, and diastolic blood pressure were significantly higher. For the T1DM group, clinical case examples provided evidence of elevated MC ratios (>30μg/mg) occurring in two female subjects who also had decreased HRV measures.Discussion: Although HRV was not significantly associated with MC ratios for the sample, individual clinical findings can be a warning sign for some adolescents with diabetes. Current recommendations for screening of early renal complications and associated treatment are provided.Microalbuminuria and Heart Rate Variability in Adolescents With DiabetesMelissa Spezia Faulkner, Lauretta Quinn, Cynthia Fritschi10.1016/j.pedhc.2009.01.002Journal of Pediatric Health Care 24, 1 (2010)2009-04-13Journal of Pediatric Health Care2009-04-13241S0891-5245(09)X0007-6Articles3441http://www.jpedhc.org/article/PIIS0891524509000455/abstract?rss=yesAbstract: The immunization of children against a vast number of life-threatening infectious agents has been hailed as one of the greatest public health interventions of the twentieth century. In America, the morbidity and mortality associated with many common childhood infectious diseases has all but vanished. State-based school entry vaccination laws play a significant role in achieving high immunization rates among children and adolescents. Alarmingly, there is no consistent regulation in place to monitor the immunization status of the ever-growing home-schooled population. It is widely unknown whether the nearly 2 million home-schooled children are adequately immunized. As the home schooling movement continues to gain ground in the United States, pediatric nurse practitioners in the primary care setting will play an important role in protecting the health of these children, as well as the public's health.The Immunization Status of Home-schooled Children in AmericaBonnie K. Choi, Mary Lou Manning10.1016/j.pedhc.2009.02.002Journal of Pediatric Health Care 24, 1 (2010)2009-04-13Journal of Pediatric Health Care2009-04-13241S0891-5245(09)X0007-6Articles4247http://www.jpedhc.org/article/PIIS0891524509003101/abstract?rss=yes Andrea Kline, MS, RN, CPNP-PC/AC, CCRN, FCCMAcute Adrenal Crisis Masquerading as Septic Shock In a Healthy Young WomanKristin Hittle, Susan Hsieh, Paul Sheeran10.1016/j.pedhc.2009.09.007Journal of Pediatric Health Care 24, 1 (2010)2010-01-01Journal of Pediatric Health Care2010-01-01241S0891-5245(09)X0007-6Case Study-Acute and Specialty Care4852http://www.jpedhc.org/article/PIIS0891524509001023/abstract?rss=yes Jo Ann Serota, MSN, RN, CPNPCeliac Disease: What to Do When the Tissue Transglutaminase Is PositiveFiona Elisabeth Paul10.1016/j.pedhc.2009.03.009Journal of Pediatric Health Care 24, 1 (2010)2010-01-01Journal of Pediatric Health Care2010-01-01241S0891-5245(09)X0007-6Case Study-Primary Care5357http://www.jpedhc.org/article/PIIS0891524509003113/abstract?rss=yes Robert J. Yetman, MDThe Term Newborn Potentially Exposed to Herpes Simplex VirusRobert Yetman10.1016/j.pedhc.2009.09.008Journal of Pediatric Health Care 24, 1 (2010)2010-01-01Journal of Pediatric Health Care2010-01-01241S0891-5245(09)X0007-6Practice Guidelines5861http://www.jpedhc.org/article/PIIS0891524509002442/abstract?rss=yes Deborah Callender, MS, CPNPThe SOPP and the Coalition for Patients' Rights: Implications of Continuing Interprofessional Tension for PNPsLinda L. Lindeke, Karen KellyThomas10.1016/j.pedhc.2009.08.002Journal of Pediatric Health Care 24, 1 (2010)2010-01-01Journal of Pediatric Health Care2010-01-01241S0891-5245(09)X0007-6Professional Issues6265http://www.jpedhc.org/article/PIIS0891524509002521/abstract?rss=yes Rita H. Pickler, PhD, RN, PNP, FAANProtection of Children in ResearchRita H. Pickler, Alison T. Martin10.1016/j.pedhc.2009.08.011Journal of Pediatric Health Care 24, 1 (2010)2010-01-01Journal of Pediatric Health Care2010-01-01241S0891-5245(09)X0007-6Research6668http://www.jpedhc.org/article/PIIS0891524509003356/abstract?rss=yesTable of Contents10.1016/S0891-5245(09)00335-6Journal of Pediatric Health Care 24, 1 (2010)2010-01-01Journal of Pediatric Health Care2010-01-01241S0891-5245(09)X0007-6FrontmatterA1A2http://www.jpedhc.org/article/PIIS0891524509003368/abstract?rss=yesEditorial Board10.1016/S0891-5245(09)00336-8Journal of Pediatric Health Care 24, 1 (2010)2010-01-01Journal of Pediatric Health Care2010-01-01241S0891-5245(09)X0007-6FrontmatterA4A4http://www.jpedhc.org/article/PIIS089152450900337X/abstract?rss=yesSociety10.1016/S0891-5245(09)00337-XJournal of Pediatric Health Care 24, 1 (2010)2010-01-01Journal of Pediatric Health Care2010-01-01241S0891-5245(09)X0007-6FrontmatterA7A7http://www.jpedhc.org/article/PIIS0891524509003381/abstract?rss=yesInstructions for Authors10.1016/S0891-5245(09)00338-1Journal of Pediatric Health Care 24, 1 (2010)2010-01-01Journal of Pediatric Health Care2010-01-01241S0891-5245(09)X0007-6FrontmatterA9A12http://www.jpedhc.org/article/PIIS0891524509003393/abstract?rss=yesInformation for Readers10.1016/S0891-5245(09)00339-3Journal of Pediatric Health Care 24, 1 (2010)2010-01-01Journal of Pediatric Health Care2010-01-01241S0891-5245(09)X0007-6FrontmatterA15A15http://www.jpedhc.org/article/PIIS0891524509002739/abstract?rss=yesPractitioners must be involved in research in order to provide quality health care and evidence-based practice to all pediatric clients in an ever-changing practice environment. This allows best practice standards to be established for all parameters of pediatric health care, including assessment, diagnosis, management, and evaluation of care. Evidence-based practice has the potential for significant improvements in pediatric health care. Practice improvements and changes occur when research is actively pursued, evaluated, and applied to clinical assessment and decisions. The National Association of Pediatric Nurse Practitioners (NAPNAP) acknowledges the need for evidence-based practice in the clinical setting and its dependence on continuing research, including research involving children.NAPNAP Position Statement on Protection of Children Involved in Research Studies10.1016/j.pedhc.2009.08.012Journal of Pediatric Health Care 24, 1 (2010)2010-01-01Journal of Pediatric Health Care2010-01-01241S0891-5245(09)X0007-6NAPNAP Position StatementA17A18http://www.jpedhc.org/article/PIIS0891524509003137/abstract?rss=yes Tresa Zielinski, CPNPNAPNAP Update10.1016/j.pedhc.2009.10.001Journal of Pediatric Health Care 24, 1 (2010)2010-01-01Journal of Pediatric Health Care2010-01-01241S0891-5245(09)X0007-6NAPNAP UpdateA19A20