An adolescent girl with a history of frequent electronic cigarette use of nicotine was hospitalized with severe necrotizing pneumonia. Blood cultures obtained before the administration of empirical broad-spectrum intravenous antibiotics had positive results for the growth of Fusobacterium necrophorum. The pathogen is an uncommon but well-known cause of anaerobic pneumonia with unique features that are collectively referred to as Lemierre syndrome or postanginal sepsis. The syndrome begins as a pharyngeal infection. Untreated, the infection progresses to involve the ipsilateral internal jugular vein, resulting in septic thrombophlebitis with direct spread from the neck to the lungs causing multifocal necrotizing pneumonia. The teenager we present in this report had neither a preceding pharyngeal infection nor Doppler ultrasonographic evidence for the presence of deep neck vein thrombi, leading us to explore alternative mechanisms for her pneumonia. We propose the possibility that her behavior of frequent vaping led to sufficient pharyngeal irritation such that F necrophorum colonizing her oropharynx was inhaled directly into her lungs during electronic cigarette use. Preexisting, but not yet recognized, vaping-related lung injury may have also contributed to her risk of developing the infection. The patient was hospitalized for 10 days. At follow-up one month later, she still became short of breath with minimal exertion.

Idiopathic acute eosinophilic pneumonia is a rare and potentially life-threatening condition that is defined by bilateral pulmonary infiltrates and fever in the presence of pulmonary eosinophilia. It often presents acutely in previously healthy individuals and can be difficult to distinguish from infectious pneumonia. Although the exact etiology of idiopathic acute eosinophilic pneumonia remains unknown, an acute hypersensitivity reaction to an inhaled antigen is suggested, which is further supported by recent public health risks of vaping (electronic cigarette) use and the development of lung disease. In this case, a patient with a year-long history of vaping in conjunction with tetrahydrocannabinol cartridge use who was diagnosed with idiopathic acute eosinophilic pneumonia with associated bilateral hilar lymphadenopathy is described.

The American Academy of Neurology believes that doctors have the right to do tests to evaluate whether a patient is brain dead even if the family does not consent. They argue that physicians have "both the moral authority and professional responsibility" to do such evaluations, just as they have the authority and responsibility to declare someone dead by circulatory criteria. Not everyone agrees. Truog and Tasker argue that apnea testing to confirm brain death has risks and that, for some families, those risks may outweigh the benefits. So, what should doctors do when caring for a patient whom they believe to be brain dead but whose parents refuse to allow testing to confirm that the patient meets neurologic criteria for death? In this article, we analyze the issues that arise when parents refuse such testing.

OM Ireland's two multi-media puppet shows perform over 75 times in schools around Ireland. The gospel message is expected to be heard by thousands.

OM Ukraine's sports team equips and trains churches in using non-traditional sports in their summer camps.

After having some difficulty with the campers and teen leaders, OMer Stephen explains the significance of the cross and following Jesus—many respond positively.

An OM Ukraine sports team member helps young Ukrainian women gain a healthier understanding and appreciation of the bodies God gave them.

A Christian football coach experiences what he says is the best gift from God, something “so much more than winning”.

During the summer months, OM Ukraine in Odessa facilitated a camp, during which the Lord touched the hearts of many children.

OM Panama team members struggle to continue ministry as the Gnöbe Buglé people protest and bring the country to a halt.

Investment interest in "frontier" African markets - particularly Nigeria and Kenya - is on the rise.

A Fin24 user who was forced into early retirement is struggling to pay credit card debt amounting to over R109 000. An expert responds.

A Fin24 user set to retire in August this year is looking at options on where he can invest his pension payout.

A Fin24 user urgently seeks guidance on how to pay off debt owing to the amount of R82 000. An expert responds with workable solutions.

A Fin24 set to retire this year is looking to invest his R1.2m savings in order to receive a monthly payout.

A landlord asks if his current tenants will still be able to move out at the end of the month as planned and whether his new tenant would be hindered from taking occupation. An attorney responds.

A Fin24 reader looking to invest in a living annuity, was shocked to find that she would have to pay fees of up to R110 000 per annum. She wants to know if there are other options. An investment expert responds.

WELL, I don't know about you but my central heating has already been on twice in September and although I don't need much of an excuse to delve into the big heavy reds, two heating days is my current one.

GO ON, be honest, when was the last time you picked a bottle of Australian cabernet off the shelf? Cab merlot or cab shiraz perhaps but cabernet on its own seems to have fallen out of favour with the public these days but it’s such a shame as it really is the undisputed King of Australian wines.

IT is a truth universally acknowledged – at least by its advocates – that all things inexorably advance the cause of independence.

In conjunction with the soft launch, Apple uploaded 10 YouTube videos that explain how consumers can apply for the credit card and use it. Sign up in the iPhone's Wallet app.

Apple's Podcasts app is available on mobile and the desktop, but in macOS Catalina, a new standalone Podcasts app replaces iTunes. Here's how to subscribe, listen, and adjust settings on iOS, iPadOS, iTunes, and Mac.

COMPLAINTS about holidays have overtaken job concerns as the number one issue for hundreds of Scots contacting two independent national advice services every day during the coronavirus crisis.

Beth Pearson, author of The Coorie Home

It was the highest catwalk show on earth, 300 metres above Everest Base Camp - and the Herald was the only paper in Britain to have a front row seat.

Canada shed three million jobs in the last two months due to the coronavirus lockdown, causing the unemployment rate to shoot up to 13% in April, the government reported Friday.

This summer nearly 1,000 Roma children in Roma villages throughout Central and Eastern Europe heard the Gospel.

Crisis turns into blessing as a local church reaches out to refugees arriving in Europe.

Leon and Santjie Potgieter arrive in Austria to work with a church in Linz and help with church planting.

Andy Murray does not think getting the professional tennis circuit back up and running should be a priority any time soon.

We look at a coaching system which has produced a long line of talent.

We investigate what makes the Dutch club's youth system so special.

We investigate the system the Dutch use to unearth new talent.

ONE of the biggest sporting scandals of all time was just about to erupt in the USA 100 years ago this month. It was in the spring of 1920 that a persistent rumour engulfed the Chicago White Sox baseball team.

Following yesterday´s Supervisory Board meeting and the meeting on 19 March 2020, yesterday´s FBB shareholders’ meeting dealt with the results of the meeting and confirmed its main decisions. The shareholders recognised the business plan approved by th...

Berlin’s airports are recording a drastic slump in passenger numbers. In March, a decline in passengers of 64.7 percent was recorded at Tegel and Schönefeld for the whole month. However, the number of passengers has continued to fall significantly over ...

27,593 passengers departed from and landed at Berlin's airports Schönefeld and Tegel in April. That is just 1 per cent of air traffic in comparison to April 2019. 22,079 passengers flew from Tegel, and 5,541 from Schönefeld.

China and South Korea both reported more coronavirus infections yesterday after reopening economies damaged by devastating outbreaks.

China and South Korea both reported more coronavirus infections Friday after reopening economies damaged by devastating outbreaks.

There is no shortage of anguish on television news in Jamaica — from homicides to domestic abuse and missing children.It was while watching one of those newscasts that singer Hezron was inspired to write Resilience, a song released May 1 by his Hardshield Records.

Due to overwhelming response, Magnum Tonic Wine has expanded its TekChargeAYard Dance Challenge to Belize, Antigua and Barbuda, St Vincent and The Grenadines, and Guyana.The challenge was initially open to participants from Jamaica and Trinidad and Tobago.

MOST people's memories of Millie Small in 1964 are of her climbing international charts with the massive hit song, My Boy Lollipop. But for Dennis Smith, it was her return to Jamaica that year that made the greatest impression.

LOS ANGELES (AP) — It's been over a decade since reggae king Buju Banton and R&B star John Legend collaborated on a song, and the Grammy winners have reunited for a new track.Banton and Legend released the easy-going love song Memories on yesterday. It is the first single from Banton's upcoming album Upside Down, his first studio project since 2010's Before the Dawn.

Dear Editor,The COVID-19 pandemic has taken us all by surprise. There are currently approaching the 500 mark for number of COVID-19 cases in Jamaica. Due to the outbreak of this virus there has been a reduction in job availability as companies have closed to combat the virus and promote social distancing.Many believe that it has made life harder, but, newsflash, it has not rendered us useless.

Over twenty people have been killed in a landslide in Costa Rica, due to heavy rainfall in the Central American country. The disaster caused huge damage in both in the Pacific coast and in a suburb of the capital San José. Together with local churches, OM Costa Rica is organising help for families who lost their homes.

A group of Costa Ricans visit a local church in an indigenous region of the country and bring encouragement by serving.