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Etiology, Concept And Prophylaxis Of Childbed Fever
''Etiology, Concept and Prophylaxis of Childbed Fever'' () is a pioneering medical book written by Ignaz Semmelweis and published in 1861, which explains how hygiene in hospitals can drastically reduce unnecessary deaths. The book and concept saved millions of mothers from a preventable streptococcal infection. The book is 524 pages long and includes studies in hospitals conducted in Vienna in 1847. It is claimed to be one of the most comprehensive medical studies ever published. It was translated into English in 1983 by Dr. K. Codell Carter. Semmelweis's findings challenged conventional ideas about the incidence of puerperal fever (also known as postpartum infections or childbed fever), finding that it could be drastically reduced by requiring hand disinfection in obstetrical clinics. He also cites bed hygiene by washing linens after each patient. Puerperal fever was a deadly infection, common in mid-19th-century hospitals. Semmelweis proposed the practice of washing hand ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Ignaz Semmelweis
Ignaz Philipp Semmelweis (; ; 1 July 1818 – 13 August 1865) was a Hungarian physician and scientist of German descent who was an early pioneer of antiseptic procedures and was described as the "saviour of mothers". Postpartum infections, Postpartum infection, also known as puerperal fever or childbed fever, consists of any bacterial infection of the reproductive tract following birth and in the 19th century was common and often fatal. Semmelweis discovered that the incidence of infection could be drastically reduced by requiring healthcare workers in Obstetrics, obstetrical clinics to disinfect their hands. In 1847, he proposed hand washing with calcium hypochlorite, chlorinated lime solutions at Vienna General Hospital's First Obstetrical Clinic, where doctors' wards had three times the mortality of Midwifery, midwives' wards. The maternal mortality rate dropped from 18% to less than 2%, and he published a book of his findings, ''Etiology, Concept and Prophylaxis of Child ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Incidence (epidemiology)
In epidemiology Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and Risk factor (epidemiology), determinants of health and disease conditions in a defined population, and application of this knowledge to prevent dise ..., incidence reflects the number of new cases of a given medical condition in a population within a specified period of time. Incidence proportion Incidence proportion (IP), also known as cumulative incidence, is defined as the probability that a particular event, such as occurrence of a particular disease, has occurred in a specified period: Incidence = \frac For example, if a population contains 1,000 persons and 28 develop a condition from the time the disease first occurred until two years later, the cumulative incidence is 28 cases per 1,000 persons, i.e. 2.8%. Incidence rate The incidence rate can be calculated by dividing the number of subjects developing a disease by the total time at risk from all patie ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Puerperal Fever
The postpartum (or postnatal) period begins after childbirth and is typically considered to last for six to eight weeks. There are three distinct phases of the postnatal period; the acute phase, lasting for six to twelve hours after birth; the subacute phase, lasting six weeks; and the delayed phase, lasting up to six months. During the delayed phase, some changes to the genitourinary system take much longer to resolve and may result in conditions such as urinary incontinence. The World Health Organization (WHO) describes the postnatal period as the most critical and yet the most neglected phase in the lives of mothers and babies. Most maternal and newborn deaths occur during this period. In scientific literature, the term is commonly abbreviated to P''x'', where ''x'' is a number; for example, "day P5" should be read as "the fifth day after birth". This is not to be confused with the medical nomenclature that uses G P to stand for number and outcomes of pregnancy ( gravidit ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Postpartum Infections
Postpartum infections, also known as childbed fever and puerperal fever, are any bacterial infections of the female reproductive tract following childbirth or miscarriage. Signs and symptoms usually include a fever greater than , chills, lower abdominal pain, and possibly odorous vaginal discharge. It usually occurs after the first 24 hours and within the first ten days following delivery. The most common infection is that of the uterus and surrounding tissues known as puerperal sepsis, postpartum metritis, or postpartum endometritis. Risk factors include caesarean section (C-section), the presence of certain bacteria such as group B streptococcus in the vagina, premature rupture of membranes, multiple vaginal exams, manual removal of the placenta, and prolonged labour among others. Most infections involve a number of types of bacteria. Diagnosis is rarely helped by culturing of the vagina or blood. In those who do not improve, medical imaging may be required. Other caus ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Obstetrics
Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgical field. Main areas Prenatal care Prenatal care is important in screening for various complications of pregnancy. This includes routine office visits with physical exams and routine lab tests along with telehealth care for women with low-risk pregnancies: Image:Ultrasound_image_of_a_fetus.jpg, 3D ultrasound of fetus (about 14 weeks gestational age) Image:Sucking his thumb and waving.jpg, Fetus at 17 weeks Image:3dultrasound 20 weeks.jpg, Fetus at 20 weeks First trimester Routine tests in the first trimester of pregnancy generally include: * Complete blood count * Blood type ** Rh-negative antenatal patients should receive RhoGAM at 28 weeks to prevent Rh disease. * Indirect Coombs test (AGT) to assess risk of hem ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Hand Washing
Hand washing (or handwashing), also known as hand hygiene, is the act of cleaning one's hands with soap, soap or handwash and water to remove viruses, bacteria, microorganisms, dirt, grease, and other harmful or unwanted substances stuck to the hands. Drying of the washed hands is part of the process as wet and moist hands are more easily recontaminated. If soap and water are unavailable, hand sanitizer that is at least 60% (v/v) Alcohol (chemistry), alcohol in water can be used as long as hands are not visibly excessively dirty or greasy. Hand hygiene is central to preventing the spread of Infection, infectious diseases in home and everyday life settings. The World Health Organization (WHO) recommends washing hands for at least 20 seconds before and after certain activities. These include the five critical times during the day where washing hands with soap is important to reduce Fecal–oral route, fecal-oral transmission of disease: after using the Toilet (room), toilet (for ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Calcium Hypochlorite
Calcium hypochlorite is an inorganic compound with chemical formula , also written as . It is a white solid, although commercial samples appear yellow. It strongly smells of chlorine, owing to its slow decomposition in moist air. This compound is relatively stable as a solid and solution and has greater available chlorine than sodium hypochlorite. "Pure" samples have 99.2% active chlorine. Given common industrial purity, an active chlorine content of 65-70% is typical. It is the main active ingredient of commercial products called bleaching powder, used for water treatment and as a bleaching agent. History Charles Tennant and Charles Macintosh developed an industrial process in the late 18th century for the manufacture of chloride of lime, patenting it in 1799. Tennant's process is essentially still used today, and became of military importance during World War I, because calcium hypochlorite was the active ingredient in trench disinfectant. Uses Sanitation Calcium hypochlor ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Vienna General Hospital
The Vienna General Hospital (), usually abbreviated to AKH, is the general hospital in Vienna, Austria. It is also the city's university hospital, and the site of the Medical University of Vienna. It is Europe's fifth largest hospital, both by number of employees and bed capacity. History Old AKH The origins of Vienna General Hospital go back to Dr. Johann Franckh, who donated properties in 1686, after the end of the second Siege of Vienna, at the corridor Schaffernack for the establishment of a military hospital. However, since money was lacking for the establishment of the buildings, the disabled veterans were quartered, including families, in the Kontumazhof (epidemic hospital), already in existence. In 1693, Emperor Leopold I arranged the establishment of the large hospital. In 1697, the first ward was finished, into which 1,042 persons were quartered. By 1724, 1,740 persons lived there. Extension of the complex was made possible by the will of Ferdinand Baron v ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Midwifery
Midwifery is the health science and health profession that deals with pregnancy, childbirth, and the postpartum period (including care of the newborn), in addition to the sexual and reproductive health of women throughout their lives. In many countries, midwifery is a medical profession (special for its independent and direct specialized education; should not be confused with the medical specialty, which depends on a previous general training). A professional in midwifery is known as a midwife. A 2013 Cochrane review concluded that "most women should be offered midwifery-led continuity models of care and women should be encouraged to ask for this option although caution should be exercised in applying this advice to women with substantial medical or obstetric complications." The review found that midwifery-led care was associated with a reduction in the use of epidurals, with fewer episiotomies or instrumental births, and a decreased risk of losing the baby before 24 weeks' gesta ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Medical Books
Medicine is the science and practice of caring for patients, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others. Medicine has been practiced since prehistoric times, and for most of this time it was an art (an area of creativity and skill), frequently having connections to the religious and philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing, or an anci ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
1840s Books
__NOTOC__ Year 184 ( CLXXXIV) was a leap year starting on Wednesday of the Julian calendar. At the time, it was known as the Year of the Consulship of Eggius and Aelianus (or, less frequently, year 937 ''Ab urbe condita''). The denomination 184 for this year has been used since the early medieval period, when the Anno Domini calendar era became the prevalent method in Europe for naming years. Events By place China * The Yellow Turban Rebellion and Liang Province Rebellion break out in China. * The Disasters of the Partisan Prohibitions ends. * Zhang Jue leads the peasant revolt against Emperor Ling of Han of the Eastern Han dynasty. Heading for the capital of Luoyang, his massive and undisciplined army (360,000 men), burns and destroys government offices and outposts. * June – Ling of Han places his brother-in-law, He Jin, in command of the imperial army and sends them to attack the Yellow Turban rebels. * Winter – Zhang Jue dies of illness while his broth ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
1861 Books
This year saw significant progress in the Unification of Italy, the outbreak of the American Civil War, and the emancipation reform abolishing serfdom in the Russian Empire. Events January * January 1 ** Benito Juárez captures Mexico City. ** The first steam-powered carousel is recorded, in Bolton, England. * January 2 – Friedrich Wilhelm IV of Prussia dies, and is succeeded by Wilhelm I. American Civil War: ** January 3 – Delaware votes not to secede from the Union. ** January 9 – Mississippi becomes the second state to secede from the Union. ** January 10 – Florida secedes from the Union. ** January 11 – Alabama secedes from the Union. ** January 12 – Major Robert Anderson sends dispatches to Washington. ** January 19 – Georgia secedes from the Union. ** January 21 – Jefferson Davis resigns from the United States Senate. ** January 26 – Louisiana secedes from the Union. * January 29 – Kansas is admitted ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
