The Fontan Outcomes Network was created to improve outcomes for children and adults with single ventricle CHD living with Fontan circulation. The network mission is to optimise longevity and quality of life by improving physical health, neurodevelopmental outcomes, resilience, and emotional health for these individuals and their families. This manuscript describes the systematic design of this new learning health network, including the initial steps in development of a national, lifespan registry, and pilot testing of data collection forms at 10 congenital heart centres.

Field studies were conducted in southern Ontario to determine the critical period of weed control in grain corn and the influence of weed interference on corn leaf area. The Gompertz and logistic equations were fitted to data representing increasing durations of weed control and weed interference, respectively. The beginning of the critical period varied from the 3- to 14-leaf stages of corn development However, the end of the critical period was less variable and ended on average at the 14-leaf stage. Weed interference reduced corn leaf area by reducing the expanded leaf area of each individual leaf and accelerating senescence of lower leaves. In addition, weed interference up to the 14-leaf stage of corn development impeded leaf expansion and emergence in 1989.

DPX-79406 was evaluated for POST annual grass weed control in both controlled environment and field experiments. In controlled environment experiments, green foxtail was most susceptible to DPX-79406; whereas yellow foxtail was least susceptible of the species evaluated. DPX-79406 at 12 g/ha completely controlled six leaf black-seeded proso millet, yellow foxtail, green foxtail, and barnyardgrass. In the field, DPX-79406 at 3.0 to 25.0 g/ha effectively controlled annual grass weeds without injury to three- to six-leaf corn. There was more variation in the effectiveness of DPX-79406 applied in the field. Early POST applications provided less weed control than the late application, especially for barnyardgrass, because of weeds emerging after application. As a result, higher doses were sometimes needed for effective control. In weed-free field trials at two sites in 1990 and 1991, corn tolerated doses up to 75 g/ha of DPX-79406 applied at the three- to six-leaf growth stage. However, doses as low as 18.8 g/ha applied at the six- to nine-leaf growth stage reduced grain yield. In 1991, corn tillering increases and height and yield reductions were related linearly to the dose of DPX-79406 applied during later growth stages. DPX-79406 should be applied early POST in order to avoid crop injury while providing effective weed control.

Laryngeal involvement with Candida is usually secondary to pulmonary candidiasis and is seen in patients with impaired immunity. We report a case of isolated laryngeal candidiasis involving the vestibular folds and presenting with stridor in a one-year-old child with Down's syndrome and hypogammaglobulinaemia. Vestibular fold reduction and fluconazole achieved resolution of the disease. Candidiasis should be considered in any potentially immunodeficient child presenting with symptoms of laryngeal disease.