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31 Oct How to Untangle Your Heart Following a Miscarriage

“First comes love, then comes marriage…” Perhaps you remember the sound of a child’s voice reciting this playground song. For one patient of mine, “Natalie,” the memory of this poem was bittersweet. Somewhat wistfully, she said to me, “I recall hearing this for the first time when I was about five years old and playing on the playground. My friend Drew and I were swinging next to each other on the swing set, and a little girl named Ellie was reciting this poem and giggling with our friend Lucy. Those were such carefree days.”

“As I grew into adulthood, I remember that very moment I first desired to have the sound of a child’s laughter in my own home. At times, I became almost obsessed, wondering about what kind of parent I would be. I often imagined how much I would love that child. If only those deep longings to have a child were powerful enough to make my dreams become a reality”.

Miscarriages in early pregnancy are an all-to- common and sad occurrence. Scientific research suggests that about ten to twenty-five percent of women miscarry prior to twenty weeks. Researchers have discovered that the most common cause of miscarriage is a chromosomal abnormality in the DNA of the fetus, caused by a damaged egg or sperm cell. There are additional factors that could lead to miscarriage like maternal health conditions, unhealthy lifestyle (poor eating habits, drinking alcohol , smoking, etc.), and advanced maternal age.

Regardless of cause, a miscarriage not only takes a toll on a woman’s body, it may also bring about deep emotional anguish.

Natalie was a thirty year old woman psychotherapist and had been married for four years when she first came in to see me. She and her husband Daniel had just begun to live through the emotional after-effects of Natalie’s miscarriage. In our first session, she said to me, “I remember the very first moment I told Daniel that we were pregnant. I had been feeling weird recently and had already taken a pregnancy test, but it was difficult to read correctly, as it was one of those crummy paper strip ones. I went out and bought one of those Clearblue tests, you know, the digital ones that are more advanced, and Daniel wanted me to administer it as soon as possible. As we were anxiously awaiting the results, Daniel was really nervous and went outside to smoke a cigar. He had always told me that he would quit smoking the day I became pregnant. I waited for him to come back inside and, in the meantime, the results came back. When he walked through the front door, I asked him if he was ready to quit and he became teary eyed. It was our dream come true!”

Natalie began looking for an obstetrician and asked her female friends for recommendations. She found a doctor that she was comfortable with and scheduled the first appointment for the seven-week milestone. “I remember how excited and anxious Daniel and I were as we walked into that appointment. It was the first time we would see our “little bug.” The ultrasound tech warned us that we may only see something that looked like a peanut, but shared that we should be able to hear the heartbeat. As she ran the wand over my tummy, there was nothing but silence. Our anxiety went through the ceiling. We wondered aloud, ‘What’s wrong?” She told us that the ultrasound result was more consistent with what we should be seeing at five weeks, not seven, and went to get the doctor.” Natalie paused for a moment to collect herself, and then continued,“The doctor wanted to do a blood test right away to check HCG levels, and then do a second blood draw forty-eight hours later. She told us that if the HCG levels had doubled in that time, then I had just tracked my progress incorrectly. This was our hope. We felt somewhat desperate, and really scared.” I nodded to her and said, “Natalie, the waiting must have felt interminable, what happened next?”

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This article explains the concepts behind how WebAssembly works including its goals, the problems it solves, and how it runs inside the web browser's rendering engine.

WebAssembly is a new type of code that can be run in modern web browsers and provides new features and major gains in performance. It is not primarily intended to be written by hand, rather it is designed to be an effective compilation target for low-level source languages like C, C++, Rust, etc.

This has huge implications for the web platform — it provides a way to run code written in multiple languages on the web at near-native speed, with client apps running on the web that previously couldn’t have done so.

What’s more, you don’t even have to know how to create WebAssembly code to take advantage of it. WebAssembly modules can be imported into a web (or Node.js) app, exposing WebAssembly functions for use via JavaScript. JavaScript frameworks could make use of WebAssembly to confer massive performance advantages and new features while still making functionality easily available to web developers.

WebAssembly is being created as an open standard inside the W3C WebAssembly Community Group with the following goals:

Note : WebAssembly will also have uses outside web and JavaScript environments (see Non-web embeddings ).

The web platform can be thought of as having two parts:

Historically, the VM has been able to load only JavaScript. This has worked well for us as JavaScript is powerful enough to solve most problems people have on the Web today. We have run into performance problems, however, when trying to use JavaScript for more intensive use cases like 3D games, Virtual and Augmented Reality, computer vision, image/video editing, and a number of other domains that demand native performance (see WebAssembly use cases for more ideas).

Additionally, the cost of downloading, parsing, and compiling very large JavaScript applications can be prohibitive. Mobile and other resource-constrained platforms can further amplify these performance bottlenecks.

WebAssembly is a different language from JavaScript, but it is not intended as a replacement. Instead, it is designed to complement and work alongside JavaScript, allowing web developers to take advantage of both languages' strong points:

With the advent of WebAssembly appearing in browsers, the virtual machine that we talked about earlier will now load and run two types of code — JavaScript AND WebAssembly.

The different code types can call each other as required — the wraps exported WebAssembly code with JavaScript functions that can be called normally, and WebAssembly code can import and synchronously call normal JavaScript functions. In fact, the basic unit of WebAssembly code is called a module and WebAssembly modules are symmetric in many ways to ES2015 modules.

WebAssembly key concepts

There are several key concepts needed to understand how WebAssembly runs in the browser. All of these concepts are reflected 1:1 in the .

The JavaScript API provides developers with the ability to create modules, memories, tables, and instances. Given a WebAssembly instance, JavaScript code can synchronously call its exports, which are exposed as normal JavaScript functions. Arbitrary JavaScript functions can also be synchronously called by WebAssembly code by passing in those JavaScript functions as the imports to a WebAssembly instance.

Since JavaScript has complete control over how WebAssembly code is downloaded, compiled and run, JavaScript developers could even think of WebAssembly as just a JavaScript feature for efficiently generating high-performance functions.

In the future, WebAssembly modules will be 2015 New class man shoe leisure casual canvas shoe with low price 2018 New Online Latest Collections Sale Top Quality RUDszw
(using ), meaning that JavaScript will be able to fetch, compile, and import a WebAssembly module as easily as an ES2015module.

Module
3-15% - Slight discoloration (eg, pale, gray, blue) of the skin
15-20% - Cyanosis, though patients may be relatively asymptomatic
25-50% - Headache, dyspnea, lightheadedness (even syncope), weakness, confusion, palpitations, chest pain
50-70% - Abnormal cardiac rhythms; altered mental status, delirium, seizures, coma; profound acidosis
>70% - Usually, death

Physical findings may include the following:

Discoloration of the skin and blood (the most striking physical finding)
Cyanosis – This occurs in the presence of 1.5 g/dL of methemoglobin (as compared with 5 g/dL of deoxygenated hemoglobin)
Seizures
Coma
Dysrhythmia (eg, bradyarrhythmia or ventricular dysrhythmia)
Acidosis
Cardiac or neurologic ischemia
Pallor of the skin or conjunctiva (suggestive of anemia and possible hemolysis )
Skeletal abnormalities and mental retardation

See Clinical Presentation for more detail.

Laboratory studies that may be ordered include the following:

Studies to rule out hemolysis – Complete blood count (CBC), reticulocyte counts, lactate dehydrogenase (LDH), indirect bilirubin, haptoglobin
Studies to test for organ failure and general end-organ dysfunction – Liver function tests, electrolyte concentrations, blood urea nitrogen (BUN), creatinine
Urine pregnancy tests
Heinz body preparation
Hemoglobin electrophoresis to identify hemoglobin M (Hb M); some difficult cases require DNA sequencing of the globin chain gene or mass spectrometry for diagnosis
Specific enzyme assays for causative deficiencies
Bedside tests for methemoglobinemia - Examination of blood color on white filter paper after exposure to room air or after aerating a tube of blood with 100% oxygen; if the blood remains dark with these maneuvers, then methemoglobinemia is likely
Serum levels of nitrites or other offending drugs

Oxygen-carrying capacity of the blood may be determined with the help of the following:

Arterial blood gas (ABG) determination
Co-oximetry (if available)
Pulse oximetry (typically less accurate than co-oximetry in the setting of methemoglobinemia, with the exception of newer multiwavelength pulse oximeters)

Other studies that may be considered are as follows:

Potassium cyanide test to distinguish methemoglobin from sulfhemoglobin
CT of the head
Chest radiography to exclude pulmonary or cardiac disease
Echocardiography to determine the presence of congenital heart disease

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for more detail.

Early clinical recognition of methemoglobinemia is paramount. Treatment is determined by the symptoms:

Acute cystitis with hematuria can also occur. This is aa sudden inflammation of the bladder, usually caused by a bacterial UTI. ()

It is possible for anyone of any age, young or old, to have hematuria. However, there are some risk factors that can make the presence of red blood cells in the urine more likely to occur:()

NSAIDs Conventional Treatment

If you can clearly see that your urine is orange, pink, red or dark reddish brown in color, then your doctor may not order any additional tests to confirm that you have hematuria. Even if your urine suddenly goes back to looking normal, it’s still recommended that you see a urologist for an evaluation. If you have blood in your urine, then your doctor will most likely conduct a physical exam and run some additional tests including urine tests, imaging test and/or a cystoscopy . (, )

Similar to blood in stool , there is no specific conventional treatment of hematuria. Like seeing blood in your poop, seeing blood in your urine is a symptom of something else going on in your body. Since it’s possible for some serious health concerns to cause hematuria, it’s always a good idea to see your doctor. When you see your doctor for hematuria, they can conduct testing that can hopefully get to the root of the problem. ()

blood in stool 4 Natural Treatments of Hematuria Causes

Here are some of the natural ways to approach several of the possible underlying causes ofhematuria.

If your hematuria is caused by:

1. Urinary Tract Infection

A urinary tract infection is a very common cause of hematuria. Thankfully, there are a lot of natural home remedies that can help a UTI and its resulting symptoms such as blood in the urine. One of the primary ways to help a UTI is to urinate often. Studies showthat holding urine for a lengthy amount of time permits bacteria to grow and multiply within the urinary tract. Thiscan lead to a urinary tract infection. () The next and somewhat related natural remedy is to stay hydrated! When you have a UTI, you want to be flushing that bacteria out. So make sure you’re drinking enough water and urinating as needed.

Another beverage that can help with UTIs is cranberry juice, but make sure that it is unsweetened. Research points towardscranberry juice decreasingthe number of UTIs a person develops over the course of a one year time period, especially for women who struggles with recurrent UTIs. () Eating fermented foods, which are rich in probiotics , and taking a probiotic supplement are also really helpful because they put the good flora into the body to help bad that bad bacteria that causes a UTI.

probiotics

For more ideas, check out: Top 12 Natural Home Remedies for UTI .

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