Childbirth In Rural Appalachia
Childbirth in rural Appalachia has long been a subject of concern amongst the population because infant mortality rates are higher in Appalachia than in other parts of the United States. Additionally, poor health in utero, at birth, and in childhood can contribute to poor health throughout life. The region's low income, geographic isolation, and low levels of educational attainment reduce both access to and utilization of modern medical care. Traditional medical practices, including lay midwifery, persisted longer in Appalachia than in other U.S. regions. Health statistics The Appalachian region has higher overall mortality rates than the United States as a whole. Factors considered to contribute to the region's poor health outcomes include low income, geographic isolation and low levels of educational attainment. As of 2017, 15% of women live in rural areas, with many of them facing challenges such as having to travel far distances for healthcare as well as the potential to no ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
Infant Mortality
Infant mortality is the death of young children under the age of 1. This death toll is measured by the infant mortality rate (IMR), which is the probability of deaths of children under one year of age per 1000 live births. The under-five mortality rate, which is also referred to as the ''child mortality rate'', is also an important statistic, considering the infant mortality rate focuses only on children under one year of age. In 2013, the leading cause of infant mortality in the United States was birth defects. Other leading causes of infant mortality include birth asphyxia, pneumonia, congenital malformations, term birth complications such as abnormal presentation of the fetus umbilical cord prolapse, or prolonged labor, neonatal infection, diarrhea, malaria, measles, and malnutrition. One of the most common preventable causes of infant mortality is smoking during pregnancy. Lack of prenatal care, alcohol consumption during pregnancy, and drug use also cause complications ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
Primary Care Physician
A primary care physician (PCP) is a physician who provides both the first contact for a person with an undiagnosed health concern as well as continuing care of varied medical conditions, not limited by cause, organ system, or diagnosis. The term is primarily used in the United States. In the past, the equivalent term was 'general practitioner' in the US; however in the United Kingdom and other countries the term general practitioner is still used. A core element in general practice is continuity that bridges episodes of various illnesses. Greater continuity with a general practitioner has been shown to reduce the need for out-of-hours services and acute hospital admittance. Furthermore, continuity by a general practitioner reduces mortality. All physicians first complete medical school ( MD, MBBS, or DO). To become primary care physicians, medical school graduates then undertake postgraduate training in primary care programs, such as family medicine (also called family practi ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
Camphor
Camphor () is a waxy, colorless solid with a strong aroma. It is classified as a terpenoid and a cyclic ketone. It is found in the wood of the camphor laurel ('' Cinnamomum camphora''), a large evergreen tree found in East Asia; and in the kapur tree ( ''Dryobalanops'' sp.), a tall timber tree from South East Asia. It also occurs in some other related trees in the laurel family, notably '' Ocotea usambarensis''. Rosemary leaves (''Rosmarinus officinalis'') contain 0.05 to 0.5% camphor, while camphorweed (''Heterotheca'') contains some 5%. A major source of camphor in Asia is camphor basil (the parent of African blue basil). Camphor can also be synthetically produced from oil of turpentine. The compound is chiral, existing in two possible enantiomers as shown in the structural diagrams. The structure on the left is the naturally occurring (+)-camphor ((1''R'',4''R'')-bornan-2-one), while its mirror image shown on the right is the (−)-camphor ((1''S'',4''S'')-bornan-2-one). ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
Mastitis
Mastitis is inflammation of the breast or udder, usually associated with breastfeeding. Symptoms typically include local pain and redness. There is often an associated fever and general soreness. Onset is typically fairly rapid and usually occurs within the first few months of delivery. Complications can include abscess formation. Risk factors include poor latch, cracked nipples, use of a breast pump, and weaning. The bacteria most commonly involved are '' Staphylococcus'' and '' Streptococci''. Diagnosis is typically based on symptoms. Ultrasound may be useful for detecting a potential abscess. Prevention is by proper breastfeeding techniques. When infection is present, antibiotics such as cephalexin may be recommended. Breastfeeding should typically be continued, as emptying the breast is important for healing. Tentative evidence supports benefits from probiotics. About 10% of breastfeeding women are affected. Types When it occurs in breastfeeding mothers, it is known as puer ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
Placenta
The placenta is a temporary embryonic and later fetal organ that begins developing from the blastocyst shortly after implantation. It plays critical roles in facilitating nutrient, gas and waste exchange between the physically separate maternal and fetal circulations, and is an important endocrine organ, producing hormones that regulate both maternal and fetal physiology during pregnancy. The placenta connects to the fetus via the umbilical cord, and on the opposite aspect to the maternal uterus in a species-dependent manner. In humans, a thin layer of maternal decidual (endometrial) tissue comes away with the placenta when it is expelled from the uterus following birth (sometimes incorrectly referred to as the 'maternal part' of the placenta). Placentas are a defining characteristic of placental mammals, but are also found in marsupials and some non-mammals with varying levels of development. Mammalian placentas probably first evolved about 150 million to 200 million years ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
Hemorrhaging
Bleeding, hemorrhage, haemorrhage or blood loss, is blood escaping from the circulatory system from damaged blood vessels. Bleeding can occur internally, or externally either through a natural opening such as the mouth, nose, ear, urethra, vagina or anus, or through a puncture in the skin. Hypovolemia is a massive decrease in blood volume, and death by excessive loss of blood is referred to as exsanguination. Typically, a healthy person can endure a loss of 10–15% of the total blood volume without serious medical difficulties (by comparison, blood donation typically takes 8–10% of the donor's blood volume). The stopping or controlling of bleeding is called hemostasis and is an important part of both first aid and surgery. Types * Upper head ** Intracranial hemorrhage – bleeding in the skull. ** Cerebral hemorrhage – a type of intracranial hemorrhage, bleeding within the brain tissue itself. ** Intracerebral hemorrhage – bleeding in the brain caused by the rupture of ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
Quinine
Quinine is a medication used to treat malaria and babesiosis. This includes the treatment of malaria due to ''Plasmodium falciparum'' that is resistant to chloroquine when artesunate is not available. While sometimes used for nocturnal leg cramps, quinine is not recommended for this purpose due to the risk of serious side effects. It can be taken by mouth or intravenously. Malaria resistance to quinine occurs in certain areas of the world. Quinine is also used as an ingredient in tonic water to impart a bitter taste. Common side effects include headache, ringing in the ears, vision issues, and sweating. More severe side effects include deafness, low blood platelets, and an irregular heartbeat. Use can make one more prone to sunburn. While it is unclear if use during pregnancy causes harm to the baby, treating malaria during pregnancy with quinine when appropriate is still recommended. Quinine is an alkaloid, a naturally occurring chemical compound. How it works as a medicin ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
Phase Of The Moon
Concerning the lunar month of ~29.53 days as viewed from Earth, the lunar phase or Moon phase is the shape of the Moon's directly sunlit portion, which can be expressed quantitatively using areas or angles, or described qualitatively using the terminology of the 4 major phases: new moon, first quarter, full moon, last quarter and 4 minor phases: waxing crescent, waxing gibbous, waning gibbous, and waning crescent. The lunar phases gradually change over a synodic month (~29.53 days) as the Moon's orbital positions around Earth and Earth around the Sun shift. The visible side of the Moon is variously sunlit, depending on the position of the Moon in its orbit. Thus, this face's sunlit portion can vary from 0% (at new moon) to 100% (at full moon). Each of the 4 major lunar phases (see below) is ~7.4 days, with +/− 19 hours in variation (6.58–8.24 days) due to the elliptical shape of the Moon's orbit. Phases of the Moon There are four ''principal'' (primary/major) lunar phase ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
Leslie County, Kentucky
Leslie County is located in the U.S. state of Kentucky. Its county seat is Hyden. Leslie is a prohibition or dry county. History Leslie County was founded in 1878. It was named for Preston H. Leslie, Governor of Kentucky (1871-1875). The Hurricane Creek mine disaster in a Leslie County coal mine in 1970 killed 38 people. After resigning the presidency, Richard Nixon made his first public appearance, in July 1978, at the Leslie County dedication of a recreation facility named for him. County Judge-Executive C. Allen Muncy claimed the Nixon invitation prompted the U.S. Department of Justice to obtain indictments of him and his associates on vote-fraud charges; while on appeal for his conviction, he won renomination in the Republican primary but lost the 1981 general election to independent Kermit Keen. Geography According to the U.S. Census Bureau, the county has a total area of , of which is land and (0.9%) is water. Adjacent counties * Perry County (northeast) * Harlan C ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
Frontier Nursing Service
The Frontier Nursing Service was founded in 1925 by Mary Breckinridge and provides healthcare services to rural, underserved populations and educates nurse-midwives. The Service maintains six rural healthcare clinics in eastern Kentucky, the Mary Breckinridge Hospital (now part of Appalachian Regional Healthcare), the Mary Breckinridge Home Health Agency, the Frontier School of Midwifery and Family Nursing and the Bed and Breakfast Inn at Wendover, Kentucky. History The organization was founded in 1925 in Leslie County, Kentucky by Mary Breckinridge (1881–1965) shortly after she had witnessed the operation of the Highlands and Islands Medical Service which had been founded in Scotland twelve years earlier. Breckinridge intended that the Frontier Nursing Service would provide healthcare for children in remote rural areas, being moved to this work by the deaths of her own two children. Frontier Nursing Service was the first group in the United States to employ nurses who are ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
Mary Carson Breckinridge
Mary Carson Breckinridge (February 17, 1881 – May 16, 1965) was an American nurse midwife and the founder of the Frontier Nursing Service (FNS), which provided comprehensive family medical care to the mountain people of rural Kentucky. FNS served remote and impoverished areas off the road and rail system but accessible by horseback. She modeled her services on European practices and sought to professionalize American nurse-midwives to practice autonomously in homes and decentralized clinics. Although Breckinridge's work demonstrated efficacy by dramatically reducing infant and maternal mortality in Appalachia, at a comparatively low cost, her model of nurse-midwifery never took root in the United States. Early childhood and family Mary Breckinridge was born February 17, 1881, in Memphis, Tennessee, the second of four children, into the wealthy southern family of Katherine Carson and Clifton Rhodes Breckinridge. As the granddaughter of Vice President John C. Breckinridge, wh ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
FNU Building On Hickory Street, Hyden
FNU can refer to: * Fiji National University * Florida National University, in Hialeah, Florida, United States * Frontier Nursing University, in Hyden, Kentucky, United States * Fujian Normal University, in China * Oristano-Fenosu Airport Oristano-Fenosu Airport is a small regional airport in central western Sardinia, Italy. It is in the farming village of Fenosu, approximately east of the town of Oristano, and is lapped by highway 131, the island's most important road artery. I ..., in Sardinia, Italy * ''First Name Unknown'', a placeholder name for an unknown first name. {{Disambiguation ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |