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A teenage girl deserves a major award. Not because of a winning horse show, but because of a winning chase behind a fleeing racehorse.One of the best racehorses from the 4H at Andover Farms broke free from her halter and galloped down Aviation Blvd during a 20-minute pursuit in Glen Burnie, Maryland.Sixteen-year-old Caroline Shoults was getting ready for her next class in the show when she heard the announcement regarding the runaway horse. Without hesitation, Shoults took a leap of bravery to chase her down."I live by this life quote, 'do for others as you would want to be done for you' and it has got me into quite the situation," said Shoults. "And I tried to control myself and just stay focused, I was about to walk in the rain, and I spun around and took off through the horses in the showground." Followed by two adults who immediately jumped into a vehicle to control oncoming traffic, Shoults aimed to steer the horse into a parking lot or off to the side of the road during the pursuit."I was not about to watch this horse right in front of me get hit by a car, injured, die, anything of the above."The horse finally tired out after a 3-mile run and stopped when Caroline was able to get a line around her.This young girl's bravery runs deeper than just doing the right thing. She too rescued her own racehorse 'Tinkerbell' from a Kill Pen and transformed her from a horse with little to no hope to a stellar all-around racehorse. "People are thanking me so much for what I did, but in the end, I couldn't have done it without Tink."After all the chaos and a gut-wrenching adventure, Shoults was able to finish strong and take on Tink's first competition completing a fantastic run finishing third out of 19 horses in that class. 1839

A Seattle woman rinsed her sinuses with tap water. A year later, she died of a brain-eating amoeba.Her case is reported this week in the International Journal of Infectious Diseases.The 69-year-old, whose name was not given, had a lingering sinus infection. For a month, she tried to get rid of it using a neti pot with tap water instead of using sterile water, as is recommended.Neti pots are used to pour saline into one nostril and out of the other to irrigate the sinuses, usually to fight allergies or infections.According to the doctors who treated the woman, the non-sterile water that she used it thought to have contained Balamuthia mandrillaris, ?an amoeba that over the course of weeks to months can cause a very rare and almost always fatal infection in the brain.Once in her body, the amoeba slowly went about its deadly work.First, she developed a raised, red sore on the bridge of her nose. Doctors thought it was a rash and prescribed an antibiotic ointment, but that provided no relief. Over the course of a year, dermatologists hunted for a diagnosis.Then, the left side of the woman's body started shaking. She'd experienced a seizure that weakened her left arm. A CT scan showed an abnormal lesion in her brain that indicated she might have a tumor, so doctors sent a sample of tissue for testing.Over the next several days, additional scans revealed that whatever was happening in her brain was getting worse. The mass was growing, and new lesions were starting to show up.Finally, a neurosurgeon at Swedish Medical Center, where the woman was being treated, opened her skull to examine her brain and found that it was infected with amoebae.The US Centers for Disease Control and Prevention rushed the anti-amoeba drug miltefosine to Seattle to try to save the woman's life, but she fell into a coma and died.According to the CDC, most cases of Balamuthia mandrillaris aren't diagnosed until immediately before death or after death, so doctors don't have a lot of experience treating the amoeba and know little about how a person becomes infected.The amoeba was discovered in 1986. Since 1993, the CDC says, there have been at least 70 cases in the United States.As in the Seattle woman's case, the infections are "almost uniformly fatal," with a death rate of more than 89%, according to the doctors who treated her and the CDC.The amoeba is similar to Naegleria fowleri, which has been the culprit in several high-profile cases.In 2011, Louisiana health officials warned residents not to use nonsterilized tap water in neti pots after the deaths of two people who were exposed to Naegleria fowleri while flushing their nasal passages. An official urged users to fill the pots only with distilled, sterile or previously boiled water, and to rinse and dry them after each use."Improper nasal irrigation has been reported as a method of infection for the comparably insidious amoeba," the doctors say in the research paper about the Seattle woman. "This precedent led us to suspect the same route of entry for the ... amoeba in our case."The woman's doctors say they weren't able to definitely link the infection to her neti pot, as the water supply to her home was not tested for the amoeba. They hope her case will let other doctors know to consider an amoeba infection if a patient gets a sore or rash on the nose after rinsing their sinuses.Kristen Maki, a spokeswoman for the Washington State Department of Health, said in an email that "Large municipal water supplies ... have robust source water protection programs" and treatment programs, and she noted that "Well protected groundwater supplies are logically expected to be free of any such large amoeba" such as Balamuthia. 3746

A simulation program to train nurses is gaining in popularity. Shadow Health is using virtual patients to train real people in hopes of quickly bringing those real students into the workforce.From pediatrics to maternal health, the future of nursing school is happening now.“The technology is so good, you’ll get an answer. You might not get the answer you’re looking for; you’ll have to rephrase and that’s the way it is in real life too,” said Lorrie Rilko, an assistant professor at George Washington University’s School of Nursing.She was a nurse practitioner for 30 years and then decided it was time to help the next generation of nurses.“My greatest responsibility is to prepare future nurse practitioners in the art of accurate history taking and skilled physical exam and then putting all of the pieces of the puzzle together to come up with a clinical diagnosis,” Rilko said.She says George Washington University was already using this simulated technology when the pandemic hit. The pandemic put the program in the perfect position to continue training new medical professionals and it allows them to learn, practice and fail on computers rather than on real live patients.“It's kind of like telehealth,” Rilko said. “We’ve had telehealth and until we had to really rely on telehealth, there were a lot of barriers to overcome."Brent Gordon is the managing director for Elsevier's nursing and health education business, which recently acquired Shadow Health.“One of the challenges in higher education institutions, specifically in the United States and this is true worldwide, is that they have challenges meeting the demand, they have capacity constraints,” Gordon said. “One example is shortage of clinical space. Digital simulations help solve that problem.”He says one of the real problems that the virtual education solves is that of communication, which he says can be at the root of medical malpractice claims.“Nurses are increasingly graduating, passing the (National Council Licensure Examination) NCLEX but not entering practice with the clinical reasoning skills they need to be successful on day one," said Gordon.Rilko said her students enjoy the virtual interaction, and they like training on their own time. Some are currently working on the front lines and taking the course in their spare time. 2330

A mother in Clarksville, Tennessee has been charged after the death of her 4-month-old daughter.Officials said they responded to a home in the 200 block of Orleans Drive after 11:30 a.m. Saturday on a call of an unresponsive child.Officers found the 4-month-old not breathing. They performed CPR, and the baby was taken to Tennova Hospital where she failed to regain consciousness and passed away.Detectives investigated the infant’s death leading to a criminal homicide charge against the baby’s mother, 25-year-old Sarah Danielle Scribner.A witness, identified in a police affidavit as Aeriel Shiraef, told authorities Scribner called her and said she'd done something bad. Scribner allegedly told Shiraef she had stopped the baby from crying by putting her hand over the infant's mouth. She added the infant was no longer breathing.Scribner was booked into the Montgomery County Jail.  916

A new complaint unsealed Friday revealed extraordinary new details of how Russian trolls manipulate U.S. politics and try to fool unsuspecting Americans on social media.A Kremlin-friendly oligarch has allegedly continued pumping millions of dollars into the St. Petersburg troll farm that was responsible for interfering with the 2016 election.The Justice Department said the Russians "took extraordinary steps" to hide the fact that their controversial posts were coming from foreign meddlers. To make that happen, managers at the troll farm gave employees comprehensive instructions on how to pose as American activists, according to a court filing. Often these directions accompanied real article that the trolls would share, along with their own comments. 767