1. Malnutrition in the critically ill child
Enkhtsolmon S ; Bayarmaa N ; Malchinkhuu D ; Batsolongo R ; Erdenechimeg T ; Enkhtaivan B ; Gereltuya B
Innovation 2015;9(4):62-64
Children under 5 years of age in developing countries are particularly vulnerable to malnutrition. Malnutrition affects 50% of hospitalized children and 25–70% of the critically ill children. Malnutrition interferes with the appropriate response of the body to disease and predisposes to infection and to the onset of multiorgan failure, increasing morbidity and mortality, the mean length of hospital stay, and health costs. Aim: A prospective cohort study of children admitted to the tertiary pediatric ICU between January 2009 and January 2014 was carried out. To assess the malnutrition type, and impact of nutritional status on outcomes like mortality rate, disease, complication in critically ill children.To the study were enrolled 138 children admitted to the pediatric intensive care units of the NationalCenter for Maternal and Childrens Hospital. The study protocol was approved by the Ethics Committee of the MNUMS, and written informed consent was obtained from all study participants. Nutritional status was determined using Waterlow criteria.Total participants were 49.3% (n=68) of male, 50.7% (n=70) female. 138 children with a mean age 4.4 months ±3.6/ Std.Er/, min = 1 month, max = 12 months, mode = 1 month. n=70(50.7%) acute malnutrition, n=58(42%) chronic malnutrition by Waterlow criteria. In malnutrition group was assessed patient with ricket n=36 (26.1%), patient with anemia n=56(58.9%)While malnutrition is a major problem in pediatric intensive care units. Acute malnutrition moreoccurred in the pediatric intensive care.Malnutrition more occurring of intrauterine infection, genetic disorder, hematology disease’s patients.
2.Understanding about mental illness among population and attitude to patient with mental illness
Khishigsuren Z ; Buyantugs L ; Byambasuren S ; Tsetsegdary G ; Tuya NAI ; Bayarmaa V ; Altanzul N ; Amgalan E ; Nasantsengel L
Mongolian Medical Sciences 2012;159(1):43-48
Introduction. Stigma and discrimination against patients with mental illness is very common amongst the society. Therefore, this study aims to study the knowledge and understanding of mental illness and attitudes to patient with mental illness, among the general population.Goal. To assess the knowledge and understanding of mental illness and attitude to patient with mental illness among population of Ulaanbaatar city and compare its results with a similar research in carried out in 2002.Methods. The study was conducted in Ulaanbaatar city from February to April, 2008 and included 991 people aged over 18 years. The sample was selected from 30 micro districts of Ulaanbaatar city, The method of sampling was using primary dot in first step, sampling households in mid step and selecting people by using method of Sweden key from household in final step. The study used 30 item standardized questionnaires. Also there were 2 extra cards to read for respondents.Result. Among the respondents, 45% were males and 55 % females. Average age was 37 years. In view of identifying negative attitude of patient with schizophrenia, majority of respondents answered as “loony person” (n=136) and “mad person” (n=83). Conclusion. Although there was stigma amongst the study population, 66% of subjects who were involved in study could give right diagnosis in non professional level and were able to identify symptoms of mental illness suggesting that more than half of the sample studied had some knowledge of mental illness.
3.Sonographic examination in children with pneumonia
Dashmaa T ; Gerelmaa Z ; Bolormaa B ; Bayarmaa S ; Baatartsogt U ; Munkhbaatar D
Innovation 2020;14(1):32-34
Background:
Pneumonia is one of the leading causes of morbidity and mortality in children
around the world. Annually, it’s estimated about total of 120 million cases of pneumonia occur
in children under the age of five around the world and about 2 million of them end in mortality.
In 2017, respiratory diseases constituted 31.3% of all diseases in children under the age of five in
Ulaanbaatar city. 268 cases of respiratory diseases occur in every 1000 children, making it the
leading disease in children of that age group. Sonographic examination has several advantages
including lack of radiation, accessibility, portable (can easily bring it next to the patient’s bed),
cost effective, and can be used repeatedly on the patients. To our knowledge, currently in
Mongolia, there are no published research materials on sonographic examination in children
with pneumonia. Given, the lack of study, increased rate of pneumonia and advantages of
ultrasonographic, the present study was performed to detect lung ultrasound sign of pneumonia
and determine the specificity and sensitivity of lung ultrasound and X-ray.
Methods:
The study used cross-sectional studies of analytical study. 379 inpatient children aged
between 1 month to 14 years old who are in the children’s hospital of Bayangol district between
1st of September 2019 to 1st of December 2019 participated in the study. Procedures included
collection of questionnaires from the parents or the guardians, random collection of data from
the patients’ history, and assessment of results from ultrasound and X-ray examination. The study
used Stata software to analyze the statistics.
Results:
56% or 210 cases showed decreased echogenicity in the ultrasound examination.
Incorporated B line sign (р=0.001),, decreased echogenicity in the consolidation (р=0.001), and
presence air positive bronchus (р=0.001), are shown to the major sign of pneumonia in ultrasound
examination.
Conclusions
In pneumonia, following signs are present in lung ultrasound: Unilateral B-lines,
consolidation, hypoechoic, irregular shaped consolidation, positive air bronchogramm sign
in lung. From the results of our research, we discovered diagnosis sensitivity of pneumonia in
ultrasound is 85%, specificity of pneumonia in ultrasound is 87%, sensitivity of pneumonia in Х ray is
78%, specificity of pneumonia in Х ray is 84%.
4.Etiology and risk factors of intracerebral hemorrhage
Dembereldorj S ; Bayarmaa P ; Jargalsaikhan S ; Tovuudorj A ; Shin-Joe Yeh ; Lkhamtsoo N
Mongolian Journal of Health Sciences 2025;88(4):178-182
Background:
Non-traumatic intracerebral hemorrhage (ICH) represents the most devastating subtype of stroke, charac
terized by spontaneous bleeding into the brain parenchyma. This neurological emergency carries a burden of mortality
and long-term disability worldwide. Timely identification causal pathways is priority objective for adequate primary and
secondary prevention of ICH. Risk factors may differ between ICH subtypes, and stratified approaches to management
may be appropriate.
Aim:
This study is to identify cause and risk factors of ICH.
Materials and Methods:
A single centre descriptive study was carried out in Stroke Center of the State Third Central
Hospital, Mongolia, including 718 consecutive acute patients with ICH during October 2022 to September 2024. Patients
were classified using SMASH-U, an etiological based classification system.
Results:
Out of a total of 718 cases diagnosed with ICH, hypertension caused 75.3%, amyloid angiopathy 12%, unde
termined 7%, structural lesions 2.92%, systemic disease 2.37%, medication 0.48% in 718 ICH patients. The mean age of
the cases was 57.5 жил, and was the most common in men of the 50-59 age group (p<0.001). The main risk factor in hy
pertension and amyloid angiopathy groups was arterial hypertension (93.7%), in undetermined group alcohol consump
tion (48%), in structural group AVM and other vascular causes (23.8%), in systemic group chronic kidney insufficiency
(29.4%), in medication group atrial fibrillation (100%), respectively.
Conclusion
1. ICH was mostly caused by hypertension, amyloid angiopathy, systemic disease.
2. Arterial hypertension, heart disease, atrial fibrillation, previous stroke, oral anticoagulants, smoking, alcohol con
sumption, obesity/BMI≥25, liver cirrhosis, chronic kidney insufficiency, AVM and other structural anomalies were
the most common risk factors.
5.Polysaccharides study of cultivating mushroom Pleurotus Ostreatus
Munkhgerel L ; Erdenechimeg N ; Odonchimeg M ; Mukhjargal S ; Mungunnaran D ; Bayarmaa B ; Regdel D
Mongolian Pharmacy and Pharmacology 2024;24(1):27-32
:
Pleurotus ostreatus (Jacq) P. Kumm) is the second cultivated and most popular edible mushroom after Agaricus bisporus in the world. The fruiting bodies of these mushrooms have high nutritional value and are beneficial for health. Pleurotus ostreatus are an interesting source of bioactive glucans and other polysaccharides. This study focuses on the isolation and structural characterization of glucans from the fruiting bodies and stems cultivated mushrooms Pleurotus ostreatus.
Methods:
Physicochemical properties of fruiting bodies and stems cultivated Pleurotus ostreatus in Mongolia,
were studied using standard methods. Glucans were extracted and purified using the precipitation method
and Sevag reagent, and functional groups were determined by FT-IR.
Conclusion
The characteristic absorption bands of the water and alkali-soluble fractions were found near
1070, 1044, 869 and 777-769 cm-1. These IR bands are characteristic of fungal (1→3)(1→6)-β-D- glucans,
and indicating these fractions are glucan-type polysaccharides