Creatinine-to-cystatin C ratio estimates muscle mass correlating the markers of the patients with severe motor and intellectual disabilities

2021 ◽  
Author(s):  
Hirotomo Nakahara ◽  
Naoki Hashizume ◽  
Motomu Yoshida ◽  
Suguru Fukahori ◽  
Shinji Ishii ◽  
...  
Keyword(s):  
Intellectual Disabilities ◽  
Muscle Mass ◽  
Cystatin C ◽  
Severe Motor

OXIDATIVE STRESS IN PATIENTS WITH SEVERE MOTOR AND INTELLECTUAL DISABILITIES

2006 ◽  
Vol 37 (S 1) ◽  
Author(s):  
N Tanuma ◽  
Y Hachiya ◽  
R Miyata ◽  
M Hayashi
Keyword(s):  
Oxidative Stress ◽  
Intellectual Disabilities ◽  
Severe Motor

Echocardiographic and electrocardiographic analyses of patients with severe motor and intellectual disabilities

2009 ◽  
Vol 24 (1) ◽  
pp. 46-53 ◽  
Author(s):  
Keiichi Hirono ◽  
Tohru Konishi ◽  
Hideki Origasa ◽  
Fukiko Ichida ◽  
Toshio Miyawaki
Keyword(s):  
Intellectual Disabilities ◽  
Severe Motor

The Ratio Serum Creatinine/Serum Cystatin C (a Surrogate Marker of Muscle Mass) as a Predictor of Hospitalization in Chronic Obstructive Pulmonary Disease Outpatients

Respiration ◽  
2018 ◽  
Vol 97 (4) ◽  
pp. 302-309 ◽  
Author(s):  
Carlos Antonio Amado ◽  
Maria Teresa García-Unzueta ◽  
Bernardo Alio Lavin ◽  
Armando Raúl Guerra ◽  
Juan Agüero ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Serum Creatinine ◽  
Pulmonary Disease ◽  
Muscle Mass ◽  
Cystatin C ◽  
Surrogate Marker ◽  
Chronic Obstructive ◽  
Serum Cystatin C ◽  
Serum Cystatin ◽  
Obstructive Pulmonary Disease

scholarly journals Inverse T-shaped sternotomy as novel thoracoplasty for severe chest deformation and tracheal stenosis

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Hirofumi Tomita ◽  
Akihiro Shimotakahara ◽  
Naoki Shimojima ◽  
Hideo Ishihama ◽  
Miki Ishikawa ◽  
...  
Keyword(s):  
Intellectual Disabilities ◽  
Tracheal Stenosis ◽  
Respiratory Symptoms ◽  
Subacute Sclerosing Panencephalitis ◽  
Periventricular Leukomalacia ◽  
Stable Condition ◽  
Stage Iv ◽  
Brachiocephalic Artery ◽  
Case Presentation ◽  
Severe Motor

Abstract Background Patients with severe motor and intellectual disabilities often suffer from tracheal stenosis due to chest deformation and brachiocephalic artery compression, which sometimes leads to serious complications, such as dying spell and tracheobrachiocephalic artery fistula. We herein described our experience of performing a novel and simple thoracoplastic procedure combined with brachiocephalic artery transection in two patients with severe chest deformation and tracheal stenosis. Case presentation The patients were a 12-year-old female with cerebral palsy due to periventricular leukomalacia and a 21-year-old male with subacute sclerosing panencephalitis stage IV in the Jabbour classification following a laryngotracheal separation. Both patients showed severe chest deformation and symptoms of airway stenosis resulting in dying spells. The sternum was laterally transected between the manubrium and the sternal body, and a manubriotomy was performed longitudinally, ending with an inverse T-shaped sternotomy. Since the clavicle and the first rib remained attached to the halves of the divided manubrium, the sternum was allowed to be left open, resulting in improvement of the mediastinal narrowing and tracheal stenosis. Postoperative computed tomography (CT) showed that the distance between the halves of the manubrium was maintained at 10–11 mm, and that the mediastinal narrowing in both patients improved; the sternocervical spine distance increased from 20 mm to 22  and 13 mm to 16 mm, respectively. The patients’ tracheal stenosis below the sternal end of the clavicle and the manubrium and respiratory symptoms improved, and the patients are currently at home in a stable condition with no chest fragility and no upper limb movement disorder 1 year after surgery. Conclusions Our observations suggested that the inverse T-shaped sternotomy combined with brachiocephalic artery transection may relieve symptoms of tracheal stenosis due to severe chest deformation in patients with severe motor and intellectual disabilities.

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