Tobacco and Cannabis Use During Pregnancy.

Objectives: Nicotine (NIC) use during pregnancy can influence markers used in biochemical maternal serum screening. This study was designed to determine prevalence of disclosed tobacco smokers in our patient population and to compare disclosed tobacco smoking status with the presence of serum nicotine and a common tetrahydrocannabinol (THC) metabolite.

Methods: A deidentified dataset of disclosed smoking status for quadruple (Quad) screens was obtained.

Balancing Caregiving and Work: Role Conflict and Role Strain Dynamics.

Positing role conflict as a bidirectional construct in which work interferes with caregiving (WIC) and caregiving interferes with work (CIW), this study investigated its antecedents (demands and support of caregiving and work) and consequences (role strain). A national sample of 583 women between the ages of 50 and 64 years identified using random-digit-dial procedures completed a telephone survey. Structural equation modeling revealed that caregiving demands were positively associated with CIW and caregiving burden; instrumental caregiving support reduced CIW and caregiving burden.

Privacy rights in mental health counseling: Constitutional confusion and the voicelessness of third parties in criminal cases.

The past 20 years of criminal law and practice have produced much heat but little light on the issue of when, if ever, the accused in a criminal case can legitimately seek disclosure of a victim's privileged files that exist exclusively in the custody of a private third party. In many jurisdictions, forced disclosure is routine, and victims must choose between justice and privacy, resulting in either the dismissal or underprosecution of serious violence or the victim's opting to forego necessary treatment. This dilemma is disproportionately imposed on women and child victims of sexual violence, and it threatens to prevent healing for a significant percentage of victimized persons.

A new way of reflecting in nursing: the Peshkin Approach.

Title: A new way of reflecting in nursing: the Peshkin Approach.

Aim: This paper is a report of a new approach to reflection in nursing and demonstrates its positive outcomes for student learning in clinical practice.

Background: Reflection is a popular educational tool in nursing and most traditional reflective models take an incident as the starting point.

Drug use and risk of bloodborne infections: a survey of female prisoners in British Columbia.

Background: Clinicians working in a women's prison in British Columbia observed hepatitis C sero-conversion among inmates, prompting this study to determine: the characteristics of women who do and do not report illicit drug use in prison; patterns of drug use inside prison; factors associated with illicit drug use that might contribute to bloodborne transmission inside prison.

Methods: A cross-sectional observational data set was created using an anonymous 61-item self-administered survey.

Results: Eighty-three percent (104/126) of eligible inmates participated.