Ectopic Pregnancy – Defination, Causes, Symptoms And Treatment

Ectopic pregnancy is a condition in which a fertilized egg settles and grows in any location other than the inner lining of the uterus . About 1% of pregnancies are in an ectopic location with implantation not occurring inside of the womb, and of these 98% occur in the Fallopian tubes. In a typical ectopic pregnancy, the embryo does not reach the uterus, but instead adheres to the lining of the Fallopian tube. The implanted embryo burrows actively into the tubal lining. Most commonly this invades vessels and will cause bleeding. This bleeding expels the implantation out of the tubal end as a tubal abortion. Some women thinking they are having a miscarriage are actually having a tubal abortion. There is no inflammation of the tube in ectopic pregnancy. The pain is caused by prostaglandins released at the implantation site, and by free blood in the peritoneal cavity, which is locally irritant. Sometimes the bleeding might be heavy enough to threaten the health or life of the woman. Usually this degree of bleeding is due to delay in diagnosis, but sometimes, especially if the implantation is in the proximal tube it may invade into Sampson artery , causing heavy bleeding earlier than usual. An ectopic pregnancy can’t proceed normally. The developing embryo can’t survive, and the growing placental tissue may destroy important maternal structures. Without treatment, life-threatening blood loss is possible. About one in every 40 to 100 pregnancies is ectopic. Thanks to earlier diagnosis and treatment, the chance for future healthy pregnancies is better than ever before.

Ectopic means “out of place.” An ectopic pregnancy is a pregnancy where the fetus is not growing in the usual location (the uterine cavity or the womb). Ectopic pregnancies can occur in a number of unusual locations, each with different characteristic growth patterns. Almost all ectopic pregnancies occur in fallopian tubes (tubes from uterus), so this is also known as “Tubal Pregnancy”. Since the fallopian tubes are not large enough to accommodate a growing embryo, the pregnancy cannot continue normally. If identified early, the embryo is removed. In some cases, the embryo grows until the fallopian tube is stretched so much that the tube ruptures. Rupture of the tube is a medical emergency that requires immediate medical attention because it can result in severe hemorrhaging. An ectopic pregnancy is a potentially life-threatening condition.

Causes of Ectopic pregnancy

An ectopic pregnancy is caused by a disruption in a woman’s reproductive anatomy or the timing of specific reproductive events. Ectopic pregnancy is common in women age 20 to 29, but the cause is not always known. However, previous damage to one of the two fallopian tubes may obstruct the passage of the fertilized egg along the tube to the uterus. The egg then implants in the wall of the tube instead of in the uterus. This prior damage may have been caused by an unsuccessful or a reversed sterilization procedure or a fallopian tube infection. Ectopic pregnancies are more common in women using an intrauterine contraceptive device, partly because these devices increase the risk of a pelvic infection in women who exposed to sexually transmitted diseases.

Symptoms of Ectopic pregnancy

1. Nausea, vomiting.

2. Dizziness.

3. Low blood pressure.

4. Breast tenderness.

5. Frequent urination.

Treatment of Ectopic pregnancy

Medicine, surgery, or a combination of the two are usually used to end an ectopic pregnancy before it endangers the mother. In a few cases, very early ectopic pregnancies can be watched closely to see whether the pregnancy will miscarry on its own. Emergency medical help is needed if the area of the ectopic pregnancy ruptured. (Shock is an emergency condition.) Treatment for shock may include keeping the woman warm, raising her legs, and giving oxygen. Fluids by IV and a blood transfusion may be needed. Surgery (laparotomy) is done to stop blood loss (in the event of a rupture). This surgery is also done to confirm the diagnosis of ectopic pregnancy, remove the abnormal pregnancy, and repair any tissue damage. In some cases, removal of the fallopian tube may be necessary. A mini-laparotomy and laparoscopy are the most common surgical treatments for an ectopic pregnancy that has not ruptured.

Do Video Games Breed Violent People?

You hear it on the news, you read about it in magazines and papers, and it’s the accepted word on the street – our society is becoming increasingly violent, and this is largely due to video games. People often point at the selection of wear related, or violence related video games and in one fell swoop, tarnish all video games as causing nothing but a decrease in the moral standard of our society, and with the same sweep, tarnish all young people who play these games as either actual or potential thugs, who will do little more than hang around on street corners mugging people, or causing other distressful crimes.

Although at first glance it would appear that statistics offered by these people appear to bear testimony to what they say, on closer examination it becomes very quickly apparent that the truth is much farther from this portrayal of it.

It is a fact that the accident and emergency wards of hospitals see a good number of young people who have been admitted as a result of violent crime. In fact, the actual number of such cases has fallen quite dramatically in recent years, although no such decrease has been seen in the number of video games being played, or in their popularity. It is also a fact that the vast majority of these young people who have been involved in violent crime are regular players of video games.

But this statistic is woefully misleading. Since ninety percent of young boys play video games, it is always going to be the case that any random selection of boys will result in the vast majority of them being regular players of video games. It would make as much sense to identify all the young boys who volunteer for charity work occasionally, or take part in fundraising, and then identify how many of them play video games regularly. Since ninety percent of all boys play video games regularly, then these fundraising charity volunteers are going to mostly be gamers – but this is not to suggest that playing video games make you more charitable, in just the same way that playing video games doesn’t make you a violent thug.

Forty percent of girls play video games, which is to say nearly half, so again, if nearly half of all girls admitted into hospital after being involved in a violent crime are branded as being there because of video games, it makes as much sense to suggest that by not playing video games, half the girls have ended up in hospital.

These are the statistics that those who have a deep mistrust of video games like to publicise, but upon closer inspection, these claims are wildly unfounded, based on hopelessly meaningless figures and provided as only half the truth. In fact, there is no evidence to suggest that playing video games makes a person become violent. The home life and upbringing has far more influence on a person’s social and moral attitudes that a computer game.

Expressing Your Personality Though Home Improvement

Home improvement through renovating and redecorating is one of the core preoccupations for most of the people and, currently, the Maryland home improvement market as well as Washington DC magazine offer a variety of materials and solutions.

House decorating is a perfect way to express your personal style and individuality. Although it can be a discouraging experience for some of us, it finally proves to be an experience requiring enthusiasm, time and money. A house should not be exclusively a functional area; it can be at the same time, an enjoyable, relaxing and battery-charging spot, reflecting aspects of our personality and sending messages to the entire world.
Abound
Nowadays, Maryland home improvement market thrives with goods for home and garden use, as well as with countless pieces of advice and information on decorating premises. This information might be accessed by reading books and the mass media, for instance Washington DC magazine, by watching TV programs or, last but not the least, by waving on the net, searching on specialized websites like welcomehomewashington.com. Still, despite so many informational sources, finding the proper decorating style or themes can be a difficult task.

Decorating activities are usually indispensable when moving into a new house, but they can be done whenever we feel like or we no longer like the old style. When decorating or redecorating a room, the leading question should be: what is the function of this area? One room should not be associated with one single function, one particular activity; it should also signal a certain emotional state. For instance, the main function of a dining room is, obviously, to provide enough space for people to gather around the table and eat. True indeed, but the secondary functionality of the same room would be to make the family members or the guests feel comfy and relaxed, generating pleasant conversations. Likewise, the function of a bedroom is to offer a place to rest, but at the same time, it could be a sanctuary of serenity, where people can relax, away from the daily hustle and bustle. Usually, the secondary function of a room may vary depending on its initial functionality.

When you made up your mind about the each room’s functionality, get to the next level: deciding for modeling or remodeling style, furniture and accessories. Visiting Maryland home improvement dedicated shops would be a start point and a very good method of discovering your preferences and personally testing different models. In order to fruitfully combine your personal style with the function of the room look through the decorating section of publications and magazines. One reliable and constant source of inspiration in terms of lifestyle and decorating fashion would be Washington DC magazine.

Normally, any person has an idea about the kind of interior design or furniture style she or he would like to have. But it rarely happens to know exactly, from the very beginning, how your home should look like. Sometimes, there might be two or more options to oscillate in between. At this point Washington DC magazine might be a real help providing pictures, interviews with architects and designers or celebrities and their houses. The moment you gather several design ideas, but you don’t have a clue on how to combine them in order to create a pleasant outlook and also a functional setting, it’s high time you get in touch with a Maryland home improvement designer. The designer will shape up your thoughts, creating a setting and an atmosphere as personal as you can describe them.

It’s very tempting to get along with the up-to-the-minute Maryland home improvement trends in terms of accessories and decorations or to apply all the tips and recommendations found in Washington DC magazine, but this predisposition will lead to frequent and expensive redecorating sessions. On Maryland home improvement market there are long-lasting home improvement trends, as well as short-lived home improvement trends, dying as quickly as a candle in the wind.

Juggernaut Or Not: Card Games To Select From

Cards is an ancient pastime that over the ages has only picked up popularity and fans. During childhood simple games such as War are explained and then used as a learning tools for helping totters appreciate the world of numbers. As people grow up they begin to play more complicated games that rely on strategy and skill to determine outcome. I have surveyed some of the more popular ones and compiled a list of the toughest and the easiest to learn.

Snap Your Fingers, Soak Them Up:
1) Full and Complete Attack
Based on simple arithmetic, this game using all the 52 cards (including as many jokers as you wish), is one of the all time favorites of children. Neither does it need any strategy nor does it require any particular skill! Full and Complete Attack is generally the first game that children are taught because it not only improves their numerical skills, but adds enjoyment and action to this process.

2) Liar:
Here, all cards lower than eight are removed from the deck, and then seven cards are dealt. The remainder is placed down and one card is placed face-up. According to that card, the player in turn places cards facing down on top of that card. He has to state what card it is, but he can lie. If someone thinks is has lied, they can challenge him and reveal the card. If the player lied, he has to pick up all the cards, if not the challenger does the honors. The goal is to finish all the cards in your hand.

3) Johnny 5:
Johnny 5 is a little more difficult then the first to games but still is very simple to learn. Each player is dealt 5 cards. The left over cards are placed in the center of the table face down the player to the dealers left the may put down a pair of cards or a r 3 card run of cards. If you do not have any the player must take a card. The object of the game is to get rid of all your cards and to have you last one or 2 cards total 5.

4) Joining the Fray:
One of the more entertaining games (especially for children), it requires basic colour and number combinatory skills only. You have to match numbers such as by collecting all fours and all aces, and then release all your cards onto the game deck. The focus of this game is not that much on winning, but on not losing and that is what adds the extra spice to it. It does not matter who throws his cards down first, but the player who notices it last and his cards are the last to hit the table: loses.

List of Most Difficult Games to Learn
1) Bridge:
An old but still popular game, here, you partner with someone and decide before playing how many hands you will win. The complexity of bridge lies not in the rules, which are relatively easy to pick up, but in the intricate game plans and maneuvers one has to master to play well.

2) Dragon Poker:
Dragon Poker is not totally unlike poker. Any of the different variations of poker can be used as the base for the game, but the general rules are very different. There are no official rules for dragon poker, they must be thought up and written down by the group of people you are playing with, and it is the duty of each player to memorize the rules, if you forget a rule it goes against you and if someone else does not remember a rule that can hurt you, do not worry you do not have to remind them. The best games have the most rules. An example of a rule can be if the date ends in an odd number and the dealer is wearing a shirt that the color of the shits spelling is an even number, then each player must pay the dealer 100 dollars. This rule can only be used once and whoever is the first to call out the rule during their deal gets it.

3) Baccarat:
Just like in poker, you have to study and memorize the value of certain cards such as that tens and face cards (Jack to King including Ace) are zero. In addition, you need to learn specific rules such as that if you get an eight or nine no more cards are dealt. To conclude, this game is not for beginners.

Get Control Of Your Personal Finance With A Budget

It is fairly common knowledge that money matters can be simplified and controlled with a budget. One of the keys to personal finance management is creating and using a household budget. It is not a really hard task, but one that many people avoid. The reason is that it can often be hard to avoid overspending and having a budget really puts spending problems out there.

A budget is basically a list of expenses and income. It should include all expenses, even the seemingly little expenses like a morning coffee purchase. The budget can be made out weekly or monthly, whatever way is best for the household. For someone who gets paid once a week, a weekly budget may be best. For someone who gets paid once a month, a monthly budget would work nicely. Although, it is really a matter of personal choice as to how the budget is made out.

The income section of a budget is usually fairly simple. Most people can easily track their income. Some people choose to list their income after taxes, while others list the income before taxes and include taxes as a expense. That is strictly a matter of choice.

The expenses section is where most people have trouble. It can be hard to see our spending habits in black and white. It is really important, though, to be honest and list everything. You may find it is helpful to keep a spending log for a week. Your spending log is where you will write down every purchase you make. This can be a good way of tracking all the little expenses you incur throughout a week.

Your expenses section of your budget should also include utilities and housing expenses. If you have a car payment, include here as well. You need to include money spent on gasoline, bathroom items, food and any other thing you spend money on. You do not have to include large, one time purchases, though, as they are not a routine part of your expenses.

Once you have your income and expenses listed you need to add each up. The total of your expenses should not exceed the total of your income. If it does then you need to cut back on your expenses. You may have to stop some spending or try to find creative ways of reducing your spending.

The whole idea of a budget is to ensure that you are not spending more then you are earning. Your budget is a blueprint for how you should be spending your money. Once you have your budget made out and it is balanced you need to stick to it. Only spend as much as you have allotted in your expenses and you should find your personal finance situation becomes much easier to deal with.

Investment And Financial Planning

On a general man to man basis Financial Planning is of more importance when compared to investment planning. If a man fails to save money, then where is he going to make the investment from? It is here that the need to emphasize on a strong financial plan comes to play. Financial planning is on a larger scale compared to Investment planning. Where investment planning is individual oriented, financial planning takes into account the needs of the individual and family. Financial planning is the process of assessing the financial goals of an individual at different junctures of his life. It takes into account all assets and investments that he already has and what others he may require to achieve his financial goals in the near future. The prime objective here is to ensure that the required amount of money is there with him at the time of an investment, thereby enabling him to meet his personal goals. This is how financial planning and investment planning relate to each other. Coming to the investment part, security along with profit is a big question?
Any investment depicts a clear picture of your current financial situation. Bifurcate your investments amongst various assets to reduce the risk factor. Asset Allocation is the best way to ensure that a particular investment made is a success. Monitoring your investment to maintain the allocation with your financial goals makes the investment tax efficient.

Following are certain points as to how one can better their investment and financial planning:

Investment Planning:

1) Create a Budget for Monthly Expenses: This enables you to get a clear picture as to where your expenses lie and how much unnecessary expenditure you could curtail to save a decent percentage of your income.

2) Paying of Debts: Once you clear of your debts, a certain amount of your expenditure is saved. This can be used for investment purposes.

3) Emergency Savings: Emergencies do arrive unannounced. One has to ensure that a certain amount is kept aside to meet these situations. These funds should be invested or kept aside to meet these situations. These funds should be invested or kept aside in investments that can be accessed anytime you need cash.

4) Investing in Long term Assets: Investing in long term Assets is a good decision. Purchasing a house is considered to be a good investment as payments towards interest and real estate taxes are tax deductible. Secondly the value of property increases with time. Other then this investing wisely in Mutual Funds, stocks and insurance will provide you with a good return on your investment.

Financial Planning:

1)Using a monthly spending plan or budget to keep finances on track
2)Making decisions about the job and its benefits
3)Getting the most out of other financial resources, including insurance and employer provided benefits.
4)Saving and investing money
5)Controlling expenses and staying out of debt.
6)Planning for estate transfer.

Generally people enlist the services of a financial planner prior to making any major investments. A financial planner is a professional who helps people deal with various personal financial issues through proper planning, which includes cash flow management, education planning, retirement planning, investment planning, risk management and insurance planning, tax planning, estate planning and business succession planning. While dealing with Mutual Fund Investments they are called �Fund

Five Key Principles To Real Estate Investment Riches

Real Estate Investing is the craze today with people involved in the Carlton Sheets program spending money on courses to find out how they can make money in no money down real estate investing. This article hopes to help you create some sort of mental picture of five key principles that can help you make more money with real estate today.

Principle #1- The money is made in the purchase
Real estate investing is like value investing in stocks and you want to purchase the real estate during a period of a real estate slump. The reason for this is so that you can get a huge capital appreciation when the real estate market heats up again.

Spending time doing real estate valuation is critical since if you cannot satisfy yourself on the maths that is a viable proposition, there is no way that your real estate investment would be a good one.

Principle #2- Monitor Cash flow
Real Estate investment typically have a monthly rental income which then is used to pay for mortgage instalments and other problems with the building like a roof leak. You would thus have to keep a close watch on interest rate hikes since they can potentially erode any calculated return on investment quite quickly. Once you have enough cash coming in, it is suggested that you then keep some of it in a rainy day fund in case some of the rental tenants do not renew their property and then take the rest and consider investing in another real estate investment property.

Principle #3- Leverage on other people’s time
Remember that no one can do everything, so the key is to focus on what you do best. If your strength is in negotiating deals, spend time looking for property and then get professionals and contractors to handle all the rest of the deal for you. Similarly, if you are good at decorating property, then find deals and focus on the interior design of the property. By focusing on what you do best and getting other people to do the rest of the work, you are leveraging on their time and you can then make more money from each new real estate investment that you undertake. Spend your time to build your team of advisors and employees who work for you and you will see your profits start going up. Remember that by rewarding them financially, you will get a group of dedicated people helping you make more money from your real estate investment.

Principle #4- Learn how to use leverage with a good rainy day cash balance
Did you know that many real estate investors started off with very little money to invest? Even large real estate developers like Donald Trump have learnt the power of leverage when investing in property deals. You want to leverage as much as you can so that you can control property worth many times more than what you own. Remember however to keep a rainy day fund containing a portion of the rental payments so that you can hedge yourself against a possible period where unit occupancy of your real estate investment is low. Leverage when used well can make you lots of money but if managed badly, will bankrupt you. Thus planning your cash flow and learning how to use debt is critical before you start serious real estate investment.

Principle #5- Spend time networking with real estate professionals
Do you want the latest real estate investment deals? The best way to learn of them is to break into the local real estate professional group and make friends with them. Learn some real estate investment lingo and spend time making friends with them because they are your eyes and ears on the ground and they can tell you about recent developments and changes in rental, property and infrastructure of their geographical location. Having the first player advantage is what many large real estate investors have and by spending time to network with real estate brokers, you will substantially close the gap.

In conclusion, spend time looking at these five principles and determine how they can be applied to your real estate investment and you might start seeing an increase in your real estate income.

Financial Planning Software

When it comes to planning your financial well-being, it might be helpful to use one of the many tools available today. Some of these tools include financial planning software. Depending on the type of software you purchase, it could help you in a variety of different areas, such as planning for your retirement or keeping track of your personal and business dealings. Many of the financial planning software that is available today can do all of this and so much more.

There are several different types of financial planning software available on the market today, that you will have no problems in finding one. However, whichever type you choose, you should ensure that it performs exactly as you need it to, in your financial planning venture. For example, some software can help you in managing and calculating your 401k, estimate the costs of college or savings, keep track of your stock portfolio, or analyze the goals of your IRA.

Some other features include keeping track of your profit and loss in regards to your business, balancing your checking account or multiple accounts; maintain a organized list of your customers, contacts, or even employees. There are so many features that come with various financial planning software that it is imperative that you research the software to ensure it can offer you exactly what you need.

The prices vary greatly depending on the financial planning software you purchase. For example, the latest version of Microsoft Money Home and Business, which is perfect for home-based business owners, personal finances, or businesses that employ less than five people, runs for a cost of around $60.00.

The financial planning software that is the most popular and used by many is Quicken. The home and business version of Quicken, gives you power to categorize expenses both personal and business, in efforts to help you when it comes to taxes and reports. Quicken helps you in finding all the deductions you can claim and simplifies the process of preparing your taxes, as well as helping you in managing your flow of cash in an effective manner. This program runs at a cost of about $80.00.

Of course, the choice is yours and you should only make the decision after conducting research on the different financial planning software, determining what your needs are, comparing prices, and comparing support of the company. Make sure when you make any type of investment that you only do so after gaining knowledge and the best information.

Home Improvement Tips To Help Sell Your Home

If you are a total layperson as far as home improvement is concerned, then you should hire help or enlist friends if you’re tackling areas where it does make a difference how you get the job done. Simple home improvement projects like painting can be attempted by everyone as the worst you can do is a patchy job that can be painted over.

Have Realistic Time, Money and Expertise Expectations – If you want to replicate a room that you have seen on Trading Spaces or Design on a Dime, get the inspiration but keep your expectations in check.

The people behind the work in such shows are experts; professionals in their field with years of experience. They can do things faster and better than an average person and if things go wrong, they also know how to make them right. When planning home improvement projects, keep your expectations real as far as budget and time considerations go as well.

The designers on the show often get great discounts from others in the business as they need the promotion on popular television shows. Plus, they often accessorize rooms with flea market finds and things picked up at garage sales. You could strike gold too, but it doesn’t happen very often.

Home improvement shows boast of the latest faux paint techniques and the hottest colors for the season. However, the green you like for your master bedroom may not appeal to prospective homeowners. If you do have hot pink bedroom walls for your daughter, tone them down or make them neutral as well. This is because new owners may not have a daughter who will use that room and they may want to move in to something that requires minimum effort.

The designers on the show are experts themselves plus they have a lot of help from back up crew and the like so they can delegate tasks and get more done in less time.

What You Can Do On Your Own – There are things shown on home improvement shows that you can easily replicate like rearranging your furniture, de-cluttering and even painting so don’t give up a home improvement project just because you can’t compete with the pros. However, assess your strengths and keep a plan B in mind. For instance, while you are redoing your kitchen, factor in the cost of eating out for all the days that the floor is ripped out and the appliances unusable.

Go through the entire home and toss, donate or store anything you do not need immediately. This will free up walking space, wall space, counter space and the like and prospective owners will feel they are getting more footage for their dollar. If there are pieces you can not part with, hold them in a separate storage area not your garage or basement. Then if you still feel they are important, bring them back in your new home.

Easy Card Games To Entertain

My own experience makes me feel that every child will benefit from playing card games.

It is a healthy experience for a child to play with grownups as an equal; and to play with other children without noticing difference in age.

It is good for the child’s character to get practice in losing without squawking and in winning without crowing. (Many adults could use some of this practice too!)

A young child can learn about numbers and easy arithmetic from a simple card game. A child of any age can exercise his brain by the logical thinking that is needed in the more advanced games.

Moreover, card games are fun. And this is the best of all reasons for teaching them to children.

These games are for children who are too young to think… and for grownups who would rather not think! Sometimes it’s hard to tell whether the children or the grownups laugh harder!

PIG

This is a very hilarious game for children or for adults to play with children. Anybody can learn the game in two or three minutes, and one extra minute makes you an expert!

Number of Players: 3 to 13. Five or 6 make the best game.

Cards: Four of a kind for each player in the game. For example, 5 players would use 20 cards: 4 Aces, 4 Kings, 4 Queens, 4 Jacks, and 4 10′s. For 6 players you would add the four 9′s.

The Deal: Any player shuffles and deals 4 cards to each player.

Object: To get 4 of a kind in your own hand, or to be quick to notice it when somebody else gets 4 of a kind.

The Play: Each player looks at his hand to see if he was dealt 4 of a kind. If nobody has 4 of a kind, each player puts some unwanted card face down on the table and passes it to the player at his left, receiving a card at the same time from the player at his right.

Each player looks at his hand as it appears with the newly-received card. If, still, nobody has 4 of a kind, each player once again passes a card to the left and gets a new card from the right.

The play is continued in this way until some player has 4 of a kind in his hand. That player stops passing or receiving cards since he is satisfied with his hand as it is. Instead of playing on, he puts his finger to his nose.

The other players must be quick to notice this, and each of them must stop passing in order to put a finger to his nose. The last player to put a finger to his nose is the Pig.

DONKEY

This is the same game as Pig, except that when a player gets 4 of a kind he puts his hand face down on the table quietly instead of putting his finger to his nose. He still gets a card from his right and just passes that along to the left, leaving his 4 of a kind untouched on the table.

As each player sees what has happened, he likewise puts his hand down quietly. The idea is to keep up the passing and the conversation while some player plays on without realizing that the hand has really ended.

The last player to put his cards down loses the hand. This makes him a D. The next time he loses, he becomes a D-O. The third time, he becomes a D-O-N. This keeps on, until finally some player becomes a D-O-N-K-E-Y.