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Biomedical subjects

J Winberg

Publications and source records attributed to J Winberg.

At least 73 records · Page 4Linked to original sources
PubMed1987

Management of children with unobstructed urinary tract infection.

There are two major considerations when taking care of children with urinary tract infection (UTI): firstly to prevent renal damage and secondly to relieve symptoms. A distinction should always be made between these two aims, since they often concern separate populations that may need different treatment and follow-up strategies. Acute pyelonephritis is a common disorder of infancy and early childhood which is easily overlooked. In all infants and children in whom the cause of fever is not apparent and in all those failing to thrive, urine should be examined by dip slide culture and by an estimation of leucocyte content. With adequate care the immediate and long-term prognosis of acute pyelonephritis is excellent. Thus prevention of kidney damage is mainly a matter of putting existing knowledge into practice. Uncomplicated recurrent lower UTI involves a low risk of renal damage. Short courses of antibiotic treatment easily eradicate most such infections but have no effect on the mechanisms underlying the susceptibility to recurrence. Single-dose therapy should be considered in such instances. Long-term antibiotic prophylaxis is mainly indicated in children with a high risk of renal scarring. Treatment is not recommended for children with asymptomatic bacteriuria.

Child↗
PubMed1987

Gastric suction in healthy newborn infants. Effects on circulation and developing feeding behaviour.

Gastric emptying of newborn infants is a procedure performed to prevent aspiration of gastric contents. The present investigation was conducted to study the effects of gastric suction on circulatory and behavioural parameters in 21 healthy newborn children (11 cases, 10 controls). A small elevation in mean arterial blood pressure was observed during gastric suction. The incidence of retching was also increased. In all children spontaneous sucking and rooting movements, as well as state of sleep and wakefulness were recorded. In the control group spontaneous sucking and rooting movements started occur 15 min after birth and reached a maximum at 45 and 60 min, respectively. The first hand to mouth movement was observed after a mean of 34 min and the infants found the nipple and started to suckle at about 55 min. This sequence of prefeeding behaviour was disrupted in children who had undergone gastric suction. The physiological side-effects induced by gastric suction are minor, but it seemed to be unpleasant for the child and no clear advantages are gained by the procedure.

Feeding Behavior↗
PubMed1987

The effect of non-nutritive sucking on plasma insulin, gastrin, and somatostatin levels in infants.

The aim of the present investigation was to study the effect of non-nutritive sucking on plasma levels of insulin, gastrin, and somatostatin in infants. These hormones were measured with radioimmunoassay in plasma collected from fullterm and preterm infants sucking a pacifier. In fullterm infants, sucking caused a significant increase of insulin levels from 13 +/- 10 microU/ml to 40 +/- 36 microU/ml and 21 +/- 17 microU/ml after 45 sec and 5 min respectively, from when the infants started sucking. A similar pattern was seen in preterm infants. In contrast, gastrin and somatostatin levels were not significantly affected. We suggest that sucking causes an activation of the vagal nerve, which results in the release of insulin. We also suggest that in infants, oral feeding is superior to bolus feeding, since in the latter case no vagal activation and consequently no release of hormones with anabolic properties occurs.

Gastrins↗
PubMed1987

Release of GI hormones in mother and infant by sensory stimulation.

It is well established that sensory stimulation is of great importance for the growth of and for the physiological and psychological development of infants. Supplementary sensory stimulation such as non-nutritive sucking and tactile stimulation has been shown to increase the growth rate and the maturation of premature infants. In human neonates non-nutritive sucking has a vagally mediated influence on the levels of some gastrointestinal hormones. In animal experiments afferent electrical stimulations of the sciatic nerves at low intensity leads to an activation of the vagal nerves and to a consequent release of vagally controlled gastrointestinal hormones such as gastrin and cholecystokinin. We therefore assume that both non-nutritive sucking and tactile stimulation trigger the activity of sensory nerves which leads to a release of vagally regulated gut hormones. Since gut hormones stimulate gastrointestinal motor and secretory activity and the growth of the gastrointestinal tract, and enhance the glucose-induced insulin release, they may contribute to the beneficial effects on maturation and growth caused by sensory stimulation. In the breast-feeding situation, the sucking of the child elicits similar reflexes in the mother leading to an activation of the maternal gut endocrine system and a consequent increase in energy uptake. These data indicate that many types of neurogenic reflexes induced in mother-infant interactions are of importance for the energy economy of both mother and child.

Female↗
PubMed1985

The composition of the faecal microflora in breastfed and bottle fed infants from birth to eight weeks.

Recent technical advances have improved the possibilities to classify anaerobic bacteria. The aim of the present study was to examine the validity of the time-honoured opinion that the faecal flora is dominated by bifidobacteria in breastfed infants but not in bottle fed ones. The composition of the faecal flora of 15 breastfed and of 7 bottle fed infants was followed from birth to 8 weeks. Strictly anaerobic conditions were carefully applied. At 5 days and 3 weeks the incidence of Staph. epidermidis was significantly greater in the breastfed group compared to the bottle fed one. We were unable to confirm earlier reports of difference in the anaerobic flora between breastfed and bottle fed infants. In both feeding groups Bacteroides dominated among the anaerobic bacteria and bifidobacteria occurred in less than half of the faecal specimens. The results of the study add to other recent observations that it has been increasingly difficult to demonstrate bifidobacteria in babies delivered in large, urban hospitals. We found different frequencies of bifidobacteria in infants from different wards, suggesting the importance of environmental factors in gut colonization after delivery.

Bacteria, Aerobic↗
PubMed1984

Infants with congenital limb reduction registered in the Swedish Register of Congenital Malformations.

Limb reduction defects reported to the Swedish Register of Congenital Malformations 1965-1979 have been analyzed from a monitoring point of view. The infants were first studied with respect to the site of reduction malformation and the simultaneous presence of more than one such reduction site. Reductions often occurring together were thought to have a common pathogenesis (etiology) and were therefore treated as one unity although some such groups (e.g., radial longitudinal reductions) are probably heterogeneous. The material was therefore divided into 11 subgroups; the eleventh is represented by infants with more than one unrelated reduction. Maternal age distribution was approximately normal. There is a male preponderance of all reduction types. In the whole group, 20% of the infants died perinatally, but this percentage was higher for some groups (e.g., amelia/phocomelia) than for others (e.g., amputations and unspecific hand/foot reductions). In more than 30% of the infants, nonlimb malformations were also present. Such infants showed the highest death rate of all. The infants had a lower than expected birth weight (gestational length was not known). The time trends for the various subgroups differed. Amelia/phocomelia declined in frequency but the unspecific hand/foot reductions showed a marked increase during the last few years, possibly owing to better ascertainment. The significance of monitoring reduction malformations as smaller subgroups is stressed, as marked changes may occur within a subgroup without a noticeable change in the total number of reductions.

Bone and Bones↗
PubMed1984

Suckling in lactating women stimulates the secretion of insulin and prolactin without concomitant effects on gastrin, growth hormone, calcitonin, vasopressin or catecholamines.

The levels of growth hormone, vasopressin, prolactin, calcitonin, gastrin, insulin, epinephrine, norepinephrine and dopamine were measured in six lactating women during breast feeding. Prolactin levels increased in response to suckling as expected. In addition, insulin levels rose two-fold. No consistent changes were observed in the levels of the other hormones. It is suggested that the suckling related insulin release is either secondary to a reflexly induced activation of the vagal nerves or to the increased circulating levels of prolactin. Furthermore, it is suggested that the insulin release in response to suckling participates in the stimulation of milk production.

Adult↗
PubMed1984

Receptors for pyelonephritogenic Escherichia coli in primates.

P-fimbriated Escherichia coli adhere to uroepithelial cells of monkeys by binding to receptors which are identical or very similar to those of man. In atraumatic experimental infections of monkeys, a P-fimbriated Escherichia coli strain induced ureteral malfunction with subsequent pyelonephritis. A non-P-fimbriated Escherichia coli strain did not. Thus, P-fimbriation of Escherichia coli represents a true virulence factor in the acquisition of pyelonephritis.

Adhesiveness↗
PubMed1982

Rapid identification of P-fimbriated Escherichia coli by a receptor-specific particle agglutination test.

Most (greater than 90%) Escherichia coli strains isolated from children with acute non-obstructive pyelonephritis exhibit a specific type of filamentous protein appendage known as P-fimbriae. These fimbriae enable the bacterium to adhere to human uroepithelial cells by the specific recognition of and binding to a particular class of glycosphingolipids correlated to the human P-blood group antigens. In this paper a new method for the rapid and reliable identification of such P-fimbriated pyelonephritogenic bacteria is described. The method is based on particles to which the minimal glycoside receptor structure recognized by P-fimbriae is attached. Mixing these receptor-containing particles with P-fimbriated bacteria results in a strong and immediate agglutination reaction. The specificity and sensitivity of this new particle agglutination test proved to be superior to the haemagglutination assay previously used.

Agglutination Tests↗
PubMed1982

Immunoreactive calcitonin in maternal milk and serum in relation to prolactin and neurotensin.

Maternal milk four days post partum contained immunoreactive calcitonin in concentrations which were 22-89 times higher than those noted in concomitantly sampled maternal sera. Neurotensin-like immunoreactivity was barely detectable in milk. It is suggested that calcitonin may be a prerequisite for the concentration of calcium ions in milk but there is also possibility that it acts locally on the intestinal mucosa.

Adult↗