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Kelm Hjälmås

Bio: Kelm Hjälmås is an academic researcher from Boston Children's Hospital. The author has contributed to research in topics: Enuresis & Desmopressin. The author has an hindex of 25, co-authored 39 publications receiving 3591 citations.

Papers
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Journal ArticleDOI
TL;DR: In this article, the authors updated the terminology in the field of pediatric lower urinary tract function, taking into account changes in the adult sphere and new research results, and provided new definitions and a standardized terminology.
Abstract: Purpose: We updated the terminology in the field of pediatric lower urinary tract function. Materials and Methods: Discussions were held of the board of the International Children’s Continence Society and an extensive reviewing process was done involving all members of the International Children’s Continence Society as well as other experts in the field. Results and Conclusions: New definitions and a standardized terminology are provided, taking into account changes in the adult sphere and new research results.

900 citations

Journal Article
TL;DR: Urodynamic examination yields invaluable information about lower urinary tract function in infants and children in the following clinical situations: Daytime urinary incontinence, suspected infravesical obstruction, overt or suspected neurogenic bladder dysfunction, vesico-ureteral reflux with upper tract dilatation and chronic or recurrent bacteriuria.
Abstract: Urodynamic examination yields invaluable information about lower urinary tract function in infants and children in the following clinical situations: Daytime urinary incontinence, suspected infravesical obstruction, overt or suspected neurogenic bladder dysfunction, vesico-ureteral reflux with upper tract dilatation and chronic or recurrent bacteriuria. A normal development of lower urinary tract function during the first 5 years of life means that detrusor contractility will be successively more inhibited; furthermore, the child will become aware of bladder filling and will be able to postpone or initiate micturition. A disturbed or delayed development may well be the most important cause of dysfunctional states in the lower urinary tract later in life. Most urodynamic variables are age-dependent. Normal bladder capacity can be fairly well assessed by: Bladder capacity in ml = 30 + (age in years x 30). Normal maximum urinary flow during micturition (in ml/s) should approximately equal the square root of voided volume (in ml). The normal range (+/- 2SD) is given by the value thus obtained +/- 7 ml/s. Intravesical pressure is lower in girls than in boys, and lower in infants than in older children, but otherwise it does not vary with age. A tense and apprehensive child will not produce reliable urodynamic data. This is, no doubt, the most important source of error when examining children. It is strongly emphasized, therefore, that the examination has to be performed in a kind, understanding and relaxed atmosphere.

222 citations

Journal ArticleDOI
TL;DR: A strong correlation was established between recurrences of urinary tract infections, as well as disappearance of vesicoureteral reflux (negative correlation) and nonneuropathic bladder/sphincter dysfunction.

150 citations


Cited by
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Journal Article
TL;DR: In this age of modern era, the use of internet must be maximized, as one of the benefits is to get the on-line analysis of human genetic linkage book, as the world window, as many people suggest.
Abstract: In this age of modern era, the use of internet must be maximized. Yeah, internet will help us very much not only for important thing but also for daily activities. Many people now, from any level can use internet. The sources of internet connection can also be enjoyed in many places. As one of the benefits is to get the on-line analysis of human genetic linkage book, as the world window, as many people suggest.

1,000 citations

Journal ArticleDOI
TL;DR: In this article, the authors updated the terminology in the field of pediatric lower urinary tract function, taking into account changes in the adult sphere and new research results, and provided new definitions and a standardized terminology.
Abstract: Purpose: We updated the terminology in the field of pediatric lower urinary tract function. Materials and Methods: Discussions were held of the board of the International Children’s Continence Society and an extensive reviewing process was done involving all members of the International Children’s Continence Society as well as other experts in the field. Results and Conclusions: New definitions and a standardized terminology are provided, taking into account changes in the adult sphere and new research results.

900 citations

Book Chapter
01 Jan 2009

877 citations

Journal ArticleDOI
TL;DR: The present document serves as a stand‐alone terminology update reflecting refinement and current advancement of knowledge on pediatric LUT function.
Abstract: Purpose: We updated the terminology in the field of pediatric lower urinary tract function. Materials and Methods: Discussions were held in the board of the International Children's Continence Society and an extensive reviewing process was done involving all members of the International Children's Continence Society, the urology section of the American Academy of Pediatrics, the European Society of Pediatric Urology, as well as other experts in the field. Results and Conclusions: New definitions and a standardized terminology are provided, taking into account changes in the adult sphere and new research results.

845 citations

01 Jan 2011
TL;DR: The presente estudo 3 as mentioned in this paper analyzes the condições de vida, trabalho, moradia, and escolarização of trabalhadores temporários nordestinos diante do crescimento das migraçóes na atualidade.
Abstract: O presente estudo 3 tem como tema a produção e reprodução da vida de trabalhadores migrantes temporários nordestinos da construção civil que trabalham no Campus central da Universidade Federal de Santa Catarina — UFSC, em Florianópolis/SC. Seu objetivo principal é analisar as condições de vida, trabalho, moradia e escolarização dos trabalhadores diante do crescimento das migrações na atualidade. Na pesquisa empírica foi realizado um trabalho de campo nos canteiros de obras no campus, com o propósito de identificar as empresas que prestam serviço na universidade e também quais as empresas que empregavam maior número de trabalhadores migrantes temporários nordestinos. Na coleta de dados foram realizadas entrevistas semiestruturadas com os trabalhadores migrantes e com as empresas nos canteiros de obras da universidade. A pesquisa de campo envolveu ainda conversas informais com os trabalhadores migrantes, com as empresas e registros fotográficos.

821 citations