It is concerning that 15% of mothers overall could not 'fire' these devices correctly despite a one-to-one demonstration, identifying a need for more user friendly devices and training. Mothers found the Anapen(®) device significantly easier to use, which may have implications for future prescribing. Evaluation of the next generation of autoinjectors and their training packages needs to be performed as important practical differences may be found.

OBJECTIVETo explore the ideas, opinions, feelings, and experiences of women regarding prenatal genetic screening, specifically maternal serum screening (MSS). DESIGN Qualitative technique of focus groups.SETTING Northern, rural, inner-city, urban, and suburban communities in Ontario.PARTICIPANTS Women who had given birth to babies from January 1994 to May 1996, but who were not currently pregnant (n = 60).METHOD Six focus groups composed of women living in various communities who had recently given birth to babies explored the experience of MSS.MAIN FINDINGS Women want informed choice about prenatal genetic screening. Three factors influenced women's decisions to undergo or decline prenatal genetic screening: their personal values, including their philosophy of life, moral, and religious values, and attitudes regarding Down syndrome and disability; social support including their partners, families, and friends; and quality of information from health care providers. Women want their providers to give them information personally; they want to receive the information as early as possible in prenatal care to allow time for reflection; and they want unbiased, accurate information in order to make a decision that is in keeping with their personal values and beliefs.CONCLUSIONS Knowledge of women's ideas, opinions, feelings, and experiences regarding MSS suggests specific ways health care providers can facilitate informed decision making in prenatal screening. Providing information about genetic testing needs to be individualized, with women actively participating in the decisionmaking process. Information needs described by these women could apply to other prenatal genetic tests that might be available in the future.OBJECTIF Explorer les idées, les opinions, les sentiments et les expériences des femmes concernant le dépistage génétique prénatal, en particulier le dépistage sérologique chez la mère. CONCEPTION Une méthodologie qualitative de groupes témoins.CONTEXTE Des collectivités ontariennes du Nord, du noyau central de villes, de milieux ruraux, urbains et de banlieues.PARTICPANTES Des femmes vivant dans diverses collectivités qui avaient donné naissance à un enfant entre janvier 1994 et mai 1996, mais qui n'étaient pas présentement enceintes (n = 60).MÉTHODE Six groupes témoins composés de femmes vivant dans diverses collectivités qui avaient récemment donné naissance à un enfant ont passé en revue l'expérience du dépistage sérologique chez la mère.PRINCIPAUX RÉSULTATS Les femmes aspirent à faire un choix éclairé quant au dépistage génétique prénatal. Trois facteurs influencent les décisions des femmes de procéder ou non au dépistage génétique prénatal: leurs valeurs personnelles, notamment leur philosophie de vie, leurs principes moraux et religieux, et leur attitude à l'égard du syndrome de Down et de l'invalidité; le soutien social provenant, entre autres, de leur partenaire, de leur famille et de leurs amis; ainsi que la qualité des renseignements fournis par les dispensateurs de soins de la santé. Les femmes...

Using a broad-scale automated telemetry array, we explored post-fledging movements of blackpoll warblers breeding in Atlantic Canada. We sought to determine the full spatial scale of post-fledging dispersal, to assess support for three hypotheses for regional-scale post-fledging movement, and to determine whether learning influenced movement during this period. We demonstrated that both young and adults moved over distances more than 200 km prior to initiating migration. Adults moved southwest, crossing the Gulf of Maine (GOM), consistent with the commencement of migration hypothesis. Hatch-year birds exhibited less directional movements constrained geographically by the GOM. Their movements were most consistent with exploration hypotheses-that young birds develop a regional-scale map to aid in habitat selection, natal dispersal and subsequent migrations.