Self-working card tricks have been a staple for budding magicians and entire books have been written about them, e.g. Fulves [1]. Lately selfworking card tricks have become common fodder for social media. In this note, we generalise two such card tricks (from [2] and [3]) that are based on the Australian shuffle.

Objectives/Goals: To explore the caregivers’ lived experiences related to facilitators of and barriers to effective primary care or neurology follow-up for children discharged from the pediatric emergency department (PED) with headaches. Methods/Study Population: We used the descriptive phenomenology qualitative study design to ascertain caregivers’ lived experiences with making follow-up appointments after their child’s PED visit. We conducted semi-structured interviews with caregivers of children with headaches from 4 large urban PEDs over HIPAA-compliant Zoom conferencing platform. A facilitator/co-facilitator team (JH and SL) guided all interviews, and the audio of which was transcribed using the TRINT software. Conventional content analysis was performed by two coders (JH and AS) to generate new themes, and coding disputes were resolved by team members using Atlas TI (version 24). Results/Anticipated Results: We interviewed a total of 11 caregivers (9 mothers, 1 grandmother, and 1 father). Among interviewees, 45% identified as White non-Hispanic, 45% Hispanic, 9% as African-American, and 37% were publicly insured. Participants described similar experiences in obtaining follow-up care that included long waits to obtain neurology appointments. Participants also described opportunities to overcome wait times that included offering alternative healthcare provider types as well as telehealth options. Last, participants described desired action while awaiting neurology appointments such as obtaining testing and setting treatment plans. Discussion/Significance of Impact: Caregivers perceived time to appointment as too long and identified practical solutions to ease frustrations while waiting. Future research should explore sharing caregiver experiences with primary care providers, PED physicians, and neurologists while developing plans to implement caregiver-informed interventions.

Multiple herbicide classes–resistant (MHCR) kochia poses a serious concern for producers in the Central Great Plains, including western Kansas. Greenhouse and field experiments were conducted at Kansas State University Research and Extension Centers near Hays and Garden City, KS, to evaluate pyridate-based postemergence herbicide mixtures for controlling MHCR kochia. One previously confirmed MHCR population (resistant to atrazine, glyphosate, dicamba, and fluroxypyr) and a susceptible (SUS) kochia population were tested in a greenhouse study. The kochia population at Hays field site was resistant to atrazine, dicamba, and glyphosate, whereas the kochia population at the Garden City site was resistant to atrazine and glyphosate. Colby’s analysis revealed synergistic interactions when pyridate was mixed with atrazine, dicamba, dichlorprop-p, fluroxypyr, glyphosate, or halauxifen/fluroxypyr and resulted in ≥94% control and shoot dry-biomass reduction of MHCR kochia in a greenhouse study. Similarly, synergistic interactions were observed for MHCR kochia control in fallow field studies at both sites when pyridate was mixed with glyphosate or atrazine. Kochia control was increased from 26% to 90% with the application of glyphosate + pyridate and from 28% to 95% with atrazine + pyridate at both sites as compared to separate applications of glyphosate or atrazine. This is the first report for such a strong synergistic effect for both glyphosate and atrazine mixtures with pyridate on a weed resistant to both. All other pyridate-based herbicide mixtures showed an additive interaction and resulted in better control of MHCR kochia (87% to 100%) as compared to their individual applications (23% to 92%) across both sites except 2,4-D. These results suggest that pyridate can play a crucial role in various postemergence herbicide mixtures for effective control of MHCR kochia.

The 7th edition of the Canadian Stroke Best Practice Recommendations (CSBPR) is a comprehensive summary of current evidence-based recommendations, appropriate for use by healthcare providers and system planners, and intended to drive healthcare excellence, improved outcomes and more integrated health systems. This edition includes a new module on the management of cerebral venous thrombosis (CVT). Cerebral venous thrombosis is defined as thrombosis of the veins of the brain, including the dural venous sinuses and/or cortical or deep veins. Cerebral venous thrombosis is a rare but potentially life-threatening type of stroke, representing 0.5–1.0% of all stroke admissions. The reported rates of CVT are approximately 10–20 per million and appear to be increasing over time. The risk of CVT is higher in women and often associated with oral contraceptive use and with pregnancy and the puerperium. This guideline addresses care for adult individuals who present to the healthcare system with current or recent symptoms of CVT. The recommendations cover the continuum of care from diagnosis and initial clinical assessment of symptomatic CVT, to acute treatment of symptomatic CVT, post-acute management, person-centered care, special considerations in the long-term management of CVT, including pregnancy and considerations related to CVT in special circumstances such as trauma and vaccination. This module also includes supporting materials such as implementation resources to facilitate the adoption of evidence into practice and performance measures to enable monitoring of uptake and effectiveness of recommendations.

Dengue, chikungunya, and Zika are arboviruses that cause 390 million infections annually. Risk factors for hospitalization are poorly understood. Communities affected by these diseases have an escalating prevalence of allergies and obesity, which are linked to immune dysfunction. We assessed the association of allergies or body mass with hospitalization for an arbovirus infection. From 2014 to 2017, we recruited participants with a clinical diagnosis of arbovirus infection. Arbovirus infections were laboratory-confirmed and allergies were self-reported. Mid-upper arm circumference (MUAC), weight, and height were measured. We used two logistic regression models to assess the relationships between hospitalization and allergies and between hospitalization and body mass (MUAC for participants <20 years old and body mass index (BMI) for adults ≥20 years old). Models were stratified by age group and adjusted for confounders. For allergies, 41 of 265 were hospitalized. There was no association between allergies and hospitalization. For body mass, 34 of 251 were hospitalized. There was a 43% decrease in hospitalization odds for each additional centimetre MUAC among children (aOR 0.566, 95% CI 0.252–1.019) and a 12% decrease in hospitalization odds for each additional BMI unit among adults (aOR 0.877, 95% CI 0.752–0.998). Our work encourages the exploration of the underlying mechanisms.

The Eighth World Congress of Pediatric Cardiology and Cardiac Surgery (WCPCCS) will be held in Washington DC, USA, from Saturday, 26 August, 2023 to Friday, 1 September, 2023, inclusive. The Eighth World Congress of Pediatric Cardiology and Cardiac Surgery will be the largest and most comprehensive scientific meeting dedicated to paediatric and congenital cardiac care ever held. At the time of the writing of this manuscript, The Eighth World Congress of Pediatric Cardiology and Cardiac Surgery has 5,037 registered attendees (and rising) from 117 countries, a truly diverse and international faculty of over 925 individuals from 89 countries, over 2,000 individual abstracts and poster presenters from 101 countries, and a Best Abstract Competition featuring 153 oral abstracts from 34 countries. For information about the Eighth World Congress of Pediatric Cardiology and Cardiac Surgery, please visit the following website: [www.WCPCCS2023.org]. The purpose of this manuscript is to review the activities related to global health and advocacy that will occur at the Eighth World Congress of Pediatric Cardiology and Cardiac Surgery.

Acknowledging the need for urgent change, we wanted to take the opportunity to bring a common voice to the global community and issue the Washington DC WCPCCS Call to Action on Addressing the Global Burden of Pediatric and Congenital Heart Diseases. A copy of this Washington DC WCPCCS Call to Action is provided in the Appendix of this manuscript. This Washington DC WCPCCS Call to Action is an initiative aimed at increasing awareness of the global burden, promoting the development of sustainable care systems, and improving access to high quality and equitable healthcare for children with heart disease as well as adults with congenital heart disease worldwide.

Multiple herbicide-resistant (MHR) kochia is a serious concern in the U.S. Great Plains and warrants alternative herbicide mixtures for its control. Greenhouse and field experiments were conducted at Kansas State University research and extension centers near Hays and Garden City, KS, to investigate the interactions of 2,4-D, dichlorprop-p, dicamba, and halauxifen/fluroxypyr premix in various combinations for MHR kochia control. Two previously confirmed MHR (resistant to glyphosate, dicamba, and fluroxypyr) populations and a susceptible population were tested in a greenhouse study. Kochia at the Hays field site was resistant to glyphosate and chlorsulfuron, whereas the population at Garden City was resistant to glyphosate, dicamba, and fluroxypyr. Results from a greenhouse study indicated that 2,4-D, dicamba, dichlorprop-p, and a halauxifen/fluroxypyr premix provided 26% to 69% control of both MHR populations at 28 d after treatment (DAT). However, the control increased to 85% to 97% when these herbicides were applied in three-way mixtures. Synergistic interactions were observed when dicamba was mixed with dichlorprop-p, 2,4-D, dichlorprop-p + 2,4-D, and halauxifen/fluroxypyr + 2,4-D for shoot dry weight reductions (86% to 92%) of both MHR populations. Results from a field study also indicated synergistic interactions when dicamba was mixed with dichlorprop-p + 2,4-D, halauxifen/fluroxypyr + dichlorprop-p, and halauxifen/fluroxypyr + 2,4-D, resulting in 84% to 95% control of MHR kochia at 28 DAT across both sites. These results indicate that synergistic effects of mixing dicamba with other auxinic herbicides in two- or three-way mixtures can help control MHR kochia.

Potato is the third most important staple food crop globally following rice and wheat. In the United States, potato is grown on approximately 410,000 ha with a farm-gate value of US$1,032 million. In Canada, potato is grown on approximately 134,000 ha with a farm-gate value of US$235 million. The objective of this manuscript, compiled by the Weed Science Society of America Weed Loss Committee, was to estimate potato yield loss caused by weed interference. Potato yield data from weedy and weed-free plots (or plots with >95% weed control) was obtained from researchers working on weed management in potato in the United States and Canada or from published manuscripts from 2000 to 2018. Potato yield loss from weed interference was 12% to 61% when no weed management tactics were implemented. The average yield loss for all states/provinces (where data was obtained) due to weed interference was 44%. Weed interference would cause a farm-gate loss of approximately US$465 million and US$61 in the United States and Canada, respectively, if weeds are not controlled. These results indicate that weed management is critical for successful potato production, and that an ongoing need for research exists on weed management in this crop.

Based on an analysis of relevant laws and policies, regulator data portals, and information requests, we find that clinical data, including clinical study reports, submitted to the European Medicines Agency and Health Canada to support approval of medicines are routinely made publicly available.

We sought to examine the influence of clinically severe lower respiratory tract infection on pulmonary artery pressure in children having CHD with post-tricuspid left-to-right shunt, as it may have physiological and clinical implications. In a prospective single-centre observational study, 45 children with post-tricuspid left-to-right shunt and clinically severe lower respiratory tract infection were evaluated during the illness and 2 weeks after its resolution. Pulmonary artery systolic pressure was estimated non-invasively using shunt gradient by echocardiography and systolic blood pressure measured non-invasively.

Median pulmonary artery systolic pressure during lower respiratory tract infection was only mildly (although statistically significantly) elevated during lower respiratory tract infection [60 (42–74) versus 53 (40–73) mmHg, (p < 0.0001)]. However, clinically significant change in pulmonary artery systolic pressure defined as the increase of >10 mmHg was present in only 9 (20%) patients. In the absence of hypoxia or acidosis, only a small minority (9%, n = 4) showed significant pulmonary artery systolic pressure rise >10 mmHg. In the absence of hypoxia or acidosis, severe lower respiratory tract infection in patients with acyanotic CHD results in only mild elevation of pulmonary artery systolic pressure in most of the patients.