J Gynecol Obst Bio R
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J Gynecol Obst Bio R · Feb 2003
Review[Smoking, fetal pulmonary development and lung disease in children].
Prenatal exposure to tobacco smoke is associated with a significant increase in respiratory symptoms and a decrease in lung function in children. Epidemiological studies have demonstrated that tobacco smoke exposure represents one of the most important respiratory risk factors in childhood. Nicotine crosses the placenta and activates the nicotinic receptors which are present in a wide range of lung cells during the prenatal period. ⋯ These structural and functional disturbances explain why these infants are more susceptible to respiratory irritants. The alterations in ventilatory control induced by prenatal exposure to nicotine explain the link between tobacco smoke exposure and the sudden infant death syndrome. This underlines the importance of adequate information and preventative measures to decrease this major and avoidable cause of respiratory morbidity and mortality in infants.
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J Gynecol Obst Bio R · Feb 2003
Case Reports[Intrauterine device appendicitis: an exceptional complication].
We report a case of migration of an intrauterine contraceptive device to the appendix. In this patient with a clinical presentation suggestive of appendicitis, transvaginal ultrasonography visualized a device located outside the uterus, near the small bowel. ⋯ A literature review spanning the past years only revealed a few reported cases. Most of the authors recommend removal because of the potential for inflammatory reactions that can cause bowel obstruction and perforation.
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Recruitment, work load and morbidity linked to newborn asphyxia during delivery at term: a study from Pediatric Mobile Intensive Care Units. ⋯ Pediatric MICUs transport the most severely affected neonates. The initial clinical state is critical, and systemic and neurological complications are frequent and severe. Calls to the MICU should be made earlier in order to enable a better impact of new neuroprotective strategies.