A previously healthy 9-year-old immigrant girl from Mexico was evaluated in the emergency department (ED) with one week of fatigue, fevers, rhinorrhea, and cough. She initially presented to her primary pediatrician, where a complete blood count revealed neutropenia, prompting referral to the ED. In the ED, she was found to be influenza A–positive. Because of dehydration, she received intravenous fluids and was admitted to the pediatric hospital medicine service. After 2 days, influenza symptoms improved, and oral intake increased. However, she was noted to have decreased bilateral lower-extremity strength, absent Achilles reflexes, decreased lower-extremity sensation and proprioception, a positive result on the Romberg sign, and abnormal heel-to-shin testing results. These findings prompted an urgent neurology consultation. After extensive imaging, laboratory evaluation, and further consultations, a diagnosis was established.

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.

Acne vulgaris is an extraordinarily common skin condition in adolescents. The mainstays of acne treatment have remained largely unchanged over recent years. In the context of increasing antibiotic resistance worldwide, there is a global movement away from antibiotic monotherapy toward their more restrictive use. Classically reserved for nodulocystic acne, isotretinoin has become the drug of choice by dermatologists for moderate to severe acne. Given the virtually ubiquitous nature of acne in teenagers, there remains an appreciable need for novel therapies. In this article, we will cover the currently used acne treatments, evaluate the issues and data supporting their use, explore the issues of compliance and the mental health implications of acne care, and recommend directions for the field of acne management in adolescents in the years ahead.

As avid users of technology, adolescents are a key demographic to engage when designing and developing technology applications for health. There are multiple opportunities for improving adolescent health, from promoting preventive behaviors to providing guidance for adolescents with chronic illness in supporting treatment adherence and transition to adult health care systems. This article will provide a brief overview of current technologies and then highlight new technologies being used specifically for adolescent health, such as artificial intelligence, virtual and augmented reality, and machine learning. Because there is paucity of evidence in this field, we will make recommendations for future research.

Adolescent use of electronic cigarettes (e-cigarettes) has increased dramatically, with younger and nicotine-naive adolescents starting to use these devices and use them more frequently than combustible cigarettes. In emerging evidence, it is shown that e-cigarettes are not effective in helping adult smokers quit and that youth using e-cigarettes are at risk for becoming nicotine dependent and continuing to use as adults. Important gaps in our knowledge remain regarding the long-term health impact of e-cigarettes, effective strategies to prevent and reduce adolescent e-cigarette use, and the impact of provider screening and counseling to address this new method of nicotine use.

The Creative Arts team perform their Christmas show for school children all over Ireland in the course of three weeks.

OM Ireland's Creative Arts Team and a group from the US lead a week-long tour into schools and a kids’ club in a housing estate.

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 Sweden joined OM Ireland for outreach over the Easter holiday in Carlow town.

The Bailie family serve with their local church as part of OM in Ireland's Philippian Project.

Africa Trek Coordinator Eduard* reflects on God's gifts: his life, his wife and 13 participants sharing the Gospel with Topnaar and Himba peoples in Namibia.

On 19 March, OM Australia moved into their new home, a place that will help mobilise more people and finances into missions.

OM Australia shares about mission opportunities at Australia’s leading three-day music festival in Toowoomba, Queensland, over Easter.

Initiating conversation with a man at the entrance of the Syrian club, Ben* learnt about his pain and encouraged him to consider God's truth.

It matters not if we are from 200 countries; we are one in Christ and shall be for eternity. OMNI-team member Greg Kernaghan about ‘globalisation’.

Extreme Leadership Training camps create unity in Ukraine.

Church planting and Business 4 Transformation go hand-in-hand in Ukraine.

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 supported the Ukrainian Military Ministry in order to print trauma counselling books

OM Ukraine and experts in crisis management held a seminar for pastors serving on both sides of the conflict line in Eastern Ukraine.

In the weeks around Easter, the OM team in Vinnitsa reached out with a gospel puppet show to more than 1,500 people.

Long-term follower of Jesus, Nikolay, stepped out in faith to help orphans in Ukraine, and partners with OM in this ministry to children.

Sunday School isn't just for Sundays anymore - it can be on any given day of the week in Ukraine.

A local church gets excited about bringing the gospel of Christ to their small community.

Following the recent protests and riots, OM Panama's Mission Extreme group helps clean the Volcán police station.

An OM Panama associate volunteers a month of his vacation time to serve the OM team.

Participants from around the world learnt to speak the language of love and laughter during an outreach to the indigenous tribes in Panama.

Twice a week, 60 to 80 children receive a meal and learn about Jesus, the Bread of Life, through OM Panama’s Pan de Vida programme.

Balboa, Panama :: Logos Hope's volunteers visit a Panamanian tribe on an isolated island which is being reached by the gospel.

Balboa, Panama :: Crewmembers teach sewing skills to young mothers from a local tribe and donate sewing machines to the community.

Designer Elie Saab Launches Haute Couture Eyewear To Match His Extraordinary & Overtly Feminine Creations

Compiled by Antigoni Markitani

Compiled by: Antigoni Markitani

Topshop have announced their first ever vegan footwear collection, available from 10th April 2019.

Consumers who buy European lottery tickets with their credit cards are in contravention of foreign exchange regulations and may be liable to steep levies.

Investors like something different.

A Fin24 user looks to an expert for help in improving his credit score by paying off his debt.

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 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.

OK, most of us will never be able to enjoy the first growths from Bordeaux, but you don't have to spend a grand on a bottle to realise that when it comes to cabernet and merlot blends, Bordeaux is still the region to beat.

"I'M hungry."

Try to make sense of this if you can. The other day, a fund-raising event for the Democratic presidential candidate Pete Buttigieg, who is gay, was disrupted by protesters. But they weren’t the kind of protesters you’d expect to get angry about a gay candidate. The protesters were gay themselves. It was a protest against a gay man staged by gays. It was gays against gays. It was pink on pink. It was confusing.

The Importance of Being Earnest

Disney, one of the most famous names in film, has launched a new TV service, called Disney Plus. Coming to a living room near you.

That killer app only helps you if you can find it on your iPhone when you need it. Productivity expert Jill Duffy tells you how to keep your apps tidy and organized so they're always at your fingertips.