Specialty care is associated with improved outcomes for adults with adult CHD and must be extended to the underserved. A retrospective cohort study was performed to describe the provision of care to adult CHD patients in America’s largest municipal public health system including patient demographics, diagnostic and therapeutic procedures, and adherence to guideline-recommended surveillance. We identified 229 adult CHD patients aged >18 years through electronic medical records. The most common diagnoses were atrial septal defect, ventricular septal defect, patent ductus arteriosus, and valvular pulmonary stenosis. In total, 65% had moderate or greater anatomic complexity. A large number of patients were uninsured (45%), non-white (96%), and non-English speaking (44%). One hundred forty-six patients (64%) presented with unrepaired primary defects. Fifty eight patients underwent primary repair during the study period; 48 of those repairs were surgical and 10 were transcatheter. Collaboration with an affiliated Comprehensive Care Center was utilised for 28% of patients. A high proportion of patients received adult CHD speciality visits (78%), echocardiograms (66%), and electrocardiograms (56%) at the guideline-recommended frequency throughout the study period. There was no significant difference in the rate of adherence to guideline-recommended surveillance based on insurance status, race/ethnicity, or primary language status. The proportion of patients who had guideline-recommended adult CHD visits, echocardiograms, and electrocardiograms was significantly lower for those with more advanced physiological stages. These results can inform the provision of adult CHD care in other public health system settings.

This article differentiates between standpoints, intersectionality, intersectional standpoints, and identity politics. It argues that although there is no necessary connection between intersectionality and ethics, the intersectional standpoints of the oppressed do epistemic, ethical, and political work. To make this argument it uses a case study that takes the form of an analysis of mainstream arguments for denying public assistance to the working-class undocumented from an intersectional standpoint of that group. This paper also addresses two substantial criticisms of intersectional standpoints, including the charge that identity-politics-based intersectional standpoints foster victimhood politics and undermine class-based struggles.

In recent years, the genus Bryoria (Parmeliaceae, Lecanoromycetes) has been the subject of considerable phylogenetic scrutiny. Here we used information on six gene regions, three nuclear protein-coding markers (Mcm7, GAPDH and Tsr1), two nuclear ribosomal markers (ITS and IGS) and a partial mitochondrial small subunit (mtSSU), to examine infrageneric relationships in the genus and to assess species delimitation in the Bryoria bicolor/B. tenuis group in section Divaricatae. For this purpose, phylogenetic analyses and several of the available algorithms for species delimitation (ASAP, GMYC single, GMYC multiple and bPTP) were employed. We also estimated divergence times for the genus using *BEAST. Our phylogenetic analyses based on the combined data set of six gene loci support the monophyly of sections Americanae, Divaricatae and Implexae, while section Bryoria is polyphyletic and groups in two clades. Species from Bryoria clade 1 are placed in an emended section Americanae. Our study reveals that section Divaricatae is young (c. 5 My) and is undergoing diversification, especially in South-East Asia and western North America. Separate phylogenetic analyses of section Divaricatae using ITS produced a topology congruent with the current species concepts. However, the remaining gene regions produced poorly resolved phylogenetic trees and the different species delimitation methods also generated highly inconsistent results, congruent with other studies that highlight the difficulty of species delimitation in groups with recent and rapid radiation. Based on our results, we describe the new species B. ahtiana sp. nov., characterized by its bicolorous, caespitose, widely divergent thallus, conspicuously thickening main stems, well-developed secondary branches, and rather sparse third-order branchlets. Another new lineage, referred to here as B. tenuis s. lat., is restricted to western North America and may represent a new species recently diverged from B. tenuis s. str., though further work is needed.

A new species, Byssoloma orientale K. Miyaz. & Y. Ohmura, is described from East Asia. It is characterized by a minutely farinose light green thallus, apothecia with a well-developed byssoid margin that spreads laterally over the thallus surface, a pure black apothecial disc caused by the presence of an aeruginous pigment in the epithecium, (7–)9–12(–17)-septate cylindrical colourless ascospores, and oblong conidia. This species grows on living leaves as well as on tree bark. The molecular phylogenetic position of B. orientale within this genus was inferred based on mtSSU sequences, and the species was shown to be closely related to B. vanderystii, which has up to 7-septate ascospores and an absence of aeruginous pigment in the epithecium.

This research communication paper addresses the hypothesis that the use of therapeutic alternatives for mastitis, such as intramammary ozone, can cure the disease with lower costs and without harmful residues for human consumption and without formation of microbial resistance like the ones caused by indiscriminate use of antibiotics in dairy farms. The study was performed in 36 mammary quarters from 12 dairy cows with subclinical mastitis grade three. The experimental units were randomly assigned into four groups and each group received a treatment. Treatments comprised (a) 20 μg/ml ozone gas; (b) 40 μg/ml ozone gas; (c) negative control treatment of 12.5 μg/ml ozonated saline and (d) positive control treatment of 100 mg of cephalexin + 100 mg of neomycin + 10 mg of prednisolone, all by intramammary injection. In all quarters, milk was collected before and after the application of treatments for California mastitis test and evaluation of milk composition, somatic cell count, and bacterial cultures. The results indicated that the use of intramammary ozone did have a therapeutic effect, and whilst this was less than that of antibiotics, ozone does confer some advantages. Treated milk had a good composition, the treatment cost was low, milk withdrawal may not be necessary and there is no risk of antibiotic resistance.

Doctoral studies have remained the most advanced training for potential academics and scholars all over the world. Also, the research products of doctoral studies, that is, doctoral theses, are the flagships of original research efforts from universities and research institutes across the globe. Against this background, this paper examines the growth and development of doctoral training in the Department of History of Obafemi Awolowo University, Ile-Ife. It also provides bibliographic and historiographical analyses of the twenty-nine doctoral theses submitted to the Department in its sixty years of existence from 1961 to 2021. It shows that doctoral research outputs from the Department are based on oral, ethnographic and documentary evidence on major historical developments in the pre-colonial, colonial and postcolonial Yorubaland, Nigeria, and neighbouring West African states like Benin Republic and the Gambia. The article concludes that doctoral training and theses at Ife have resulted in landmark historical publications and have produced renowned historians who are making scholarly waves within and outside Nigeria.

The topic of wisdom attracted much less attention in modern thought than in ancient and medieval times. However, there has been a renewal of interest in it in recent psychology and philosophy, and a variety of questions has emerged from this current work. Aquinas has a detailed and elaborate account of the wisdom which pervades his oeuvre. This paper explores that and seeks to answer some of these contemporary questions from Aquinas's perspective.