BioOne Complete (complete.BioOne.org) is a full-text database of 200 subscribed and open-access titles in the biological, ecological, and environmental sciences published by nonprofit societies, associations, museums, institutions, and presses.

Introduction:The COVID-19 pandemic presented the midwifery workforce with challenges for maintaining access to high-quality care and safety for patients and perinatal care providers. This study analyzed associations between different types of professional autonomy and changes in midwives' employment and compensation during the early months of the pandemic.Methods: An online survey distributed to midwifery practices in fall 2020 compared midwives' employment and compensation in February 2020 and September 2020. Chi-square analysis determined associations between those data and measures of midwives' autonomy: state practice environment, midwifery practice ownership, intrapartum practice setting, and midwifery participation in practice decision-making.Results: Participants included lead midwives from 727 practices, representing 50 states and the District of Columbia. Full-time equivalent (FTE) positions and number of full-time midwives were stable for 77% of practices, part-time employment for 83%, and salaries for 72%. Of the remaining practices, more practices lost FTE positions, full-time positions, part-time positions, and salary (18%, 15%, 9%, and 18%, respectively) than gained (11%, 8%, 8%, and 9%, respectively). Early retirements and furloughs were experienced by 9% of practices, and 18% lost benefits. However, midwifery practice ownership was significantly associated with increased salaries (20.3% vs 7.1%; P < .001) and decreased loss of benefits (7.8% vs 19.9%; P = .002) and furloughs (3.8 vs 10.1%; P = .04). Community-based practice was significantly associated with increased FTE positions (19.0% vs 8.8%; P = .005), part-time positions (17.4% vs 5.1%; P < .001), and salary (19.7% vs 7.0%; P < .001), as well as decreased loss of benefits (11.5% vs 21.1%; P = .02) and early retirement (1.4% vs 6.6%; P = .03). State practice environment and participation in practice decision-making were not directly associated with employment and compensation changes.Discussion: Policies should facilitate midwifery practice ownership and the expansion and integration of community birth settings for greater perinatal care workforce stability, greater flexibility to respond to disasters, and improved patient access to care and health outcomes.

The court system is a central part of the societal response to intimate partner violence (IPV), and is a frequently used source of help for victims. The concept of therapeutic jurisprudence suggests that the court should be evaluated not just for its potential effect on recidivism, but for its impact on the well-being of all those who participate in it, and IPV scholars suggest that empowerment is a key component of any therapeutic intervention for victims. Research in these areas is limited by the lack of a standard method for examining victim experience in the court system. This article describes the development and piloting of a 23-item measure designed to address this gap. The pilot sample included 157 victims of IPV seeking civil protection orders (CPOs). Exploratory factor analysis yielded 5 factors: Negative Impact, Positive Impact, Fear, Validation, and Network Impact. Validation was most strongly correlated with global satisfaction with the court process. Implications and applications for work in therapeutic jurisprudence and empowerment are discussed.

This article describes the implementation and maintenance of obstructive sleep apnea (OSA) screening and capnography monitoring. Design: A quality improvement project. Methods: A multidisciplinary team provided staff education to three perianesthesia care units. Using the STOP-Bang screening tool, five or more positive responses indicated high risk for OSA. A postanesthesia care unit audit tool tracked STOP-Bang scores, capnography use, hypoventilation events, nursing interventions, and respiratory complications. Findings: Among 314 patients with OSA, 36% were identified as high risk. Nurses used capnography on 76% of OSA patients and were able to readily identify hypoventilation and intervene. Respiratory complications occurred in 10.8% (n ¼ 34) requiring a higher level of care. Postimplementation, all six postanesthesia care units employ this best practice. Conclusions: Perianesthesia nurses found OSA screening and capnography easy to incorporate into nursing practice. This process can reduce respiratory complications in the surgical patient with OSA. An Evidence-Based Practice Fellowship Program facilitated this practice change.

We developed eight polymorphic microsatellite loci for Collinsia verna (Veronicaceae). In a sample of 18 -35 individuals from a single population, we found two to 15 alleles per locus (mean 8.3). We also tested these loci for cross-amplification in all 22 species in the tribe Collinseae. Overall, more than half the species in the tribe amplified one microsatellite while three species most closely related to C. verna ( Collinsia violacea, Collinsia parviflora and Collinsia grandiflora ) amplified multiple microsatellite loci. These microsatellite loci will be used in future studies of mating system in this tribe and other quantitative genetic and population genetic studies.