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Biomedical subjects

B Hellström

Publications and source records attributed to B Hellström.

9 recordsLinked to original sources

Is beta-receptor blockade of value in continence training of children?

The relaxation of the outlet region of the bladder is subserved by beta-adrenergic receptors. It is conceivable, therefore, that inhibition of beta-adrenergic function should be of value as part of a continence training program in patients with neurogenic bladders. This hypothesis was tested in a series of thirteen children with spinal lesions. A double-blind, cross-over study of alprenolol versus placebo was performed during conventional continence training. The number of "dry periods", however did not differ during the alprenolol and placebo periods. One reason for the lack of clinical effect may be that the drug simultaneously blocked the beta receptors in the corpusfundus of the bladder, thereby decreasing the volume capacity.

Adolescent

Prophylaxis in urinary tract infection in children with myelomeningocele.

In 39 infants and children with myelomeningocele, no lower incidence of urinary tract infection was obtained by a trial of prophylaxis treatment with nitrofurantoin. Instead, nitrofurantoin-resistant strains appeared in some children, with the accompanying higher risk of re-infection.

Adolescent

Results of treatment in myelomeningocele.

A follow-up study was made in 48 surviving children with myelomeningocele, the material being derived from a time when all infants were operated upon in the newborn period without primary selection. The follow-up revealed several children with severe physical handicap, whereas relatively few were both physically and intellectually handicapped. The results were compared with two earlier published studies of which one from Sheffield comprised cases where selection had not been applied and the other from Edinburgh in which certain criteria had been set up as contra-indications to early closure of the lesion. The effect of a hypothetical selection applied to the Swedish material is discussed. It is recommended that a uniform system of assessment in grading of handicap is applied to facilitate a comparison between different follow-up investigations.

Child

Plasma levels of diazepam after parenteral and rectal administration in children.

Plasma levels of diazepam and N-desmethyldiazepam were investigated in 19 children by a gas chromatographic method permitting the use of capillary sample. Intravenous administration was studied in 3 children and the plasma level curves showed a rapid decline during the first hour. Absorption and elimination after rectal administration of a solution in 16 children were similar to those after intramuscular administration. Diazepam given by suppository to 5 children gave much lower plasma levels and delayed time to peak levels. Recurrence of seizures in 2 children indicated that the anticonvulsants plasma level was of the order of 150 to 200 mug/liter. No significant side effects were observed. Thus rectal administration of a solution of diazepam is a practical method to arrest convulsions in children.

Child

Heat vasodilatation of the rat tail.

The vasomotor response of the tail of the albino rat to total-body heating and cooling was studied by skin-temperature recording and plethysmography with the tail at 25 degrees C air temperature. Tail vasodilation started at core temperatures lightly above 37 degrees C and increased to a core temperature up to about 39 degrees C. During cooling of warm rats, tail vasoconstriction started at significantly higher levels of core temperature than the values at which vasodilation appeared when the rat was warmed.

Animals