1.STRENGHTENING NURSING CARE TO DECREASE GASTRIC DISEASE PREVEALANCE
Bulganchimeg A ; Bolormaa Z ; Otgonchimeg B ; Khishigzaya O ; Munkhbayar B
Innovation 2017;1(1):14-16
BACKGROUND
Inflammation, ulcer and cancer are the popular diseases of stomach. The number of
stomach cancer was placed on the second place after liver cancer and if reached
a peak of 14,7% of all kind of cancer. Unfortunately, the number of these cases about
stomach cancer took the second place, also the number of death caused by stomach
cancer took the first place by it is happening. In Mongolia, because of stomach cancer
around 500 people pass away. Helicobacter infection is considered as a main reason of
stomach cancer and besides that, there are so many influencing factors such as smoking
habits, nutrite, abuse of salt, genetic parameters.
METHODS
537 patients have endoscopy done and 121 of them have analyze of helicobacter
infection taken randomly in the 1st season of 2017 in gastroenterology department of
Medipas hospital. The number of patients who have taken helicobacter analyze was
computed by theorem of Japanese scientist Taro Yamane. Results of research was
processed by spss-v.24.
RESULTS
65 of patients, who were participated in this research were male and other 56 were
female. Most of them were at the age between 40-50. 64% of them haven’t known
about helicobacter and have never taken this analyze, 36% of them have taken analyze
helicobacter in blood but they haven’t treated fully and haven’t known about infection
of helicobacter by the way of transferring.
2.Newborn Pulse Oximetry Screening for Congenital Heart Disease
Ulziikhishig B ; Bolormaa T ; Gerelmaa Z
Mongolian Medical Sciences 2017;181(3):39-44
Congenital heart disease (CHD) is one of the most common birth defects, with an incidence of nine out of every 1,000 live births. Critical CHD (CCHD) is defined as cardiac lesions that require surgery or cardiac catheterization within the first month (or within the first year by different definitions) of life to prevent death or severe end-organ damage. An early diagnosis and timely intervention can significantly reduce the likelihood of an adverse outcome. However, studies from the United States and other developed countries have shown that as many as 30%–50% of infants with CCHD are discharged after birth without being identified. Pulse oximetry is a tool to measure oxygen saturation, and based on the presence of hypoxemia, many cardiac lesions are detected. Due to its ease of application to the patient, providing results in a timely manner and without the need for calibrating the sensor probe, pulse oximetry offers many advantages as a screening tool. Pulse oximetry was recommended as a screening tool to detect critical CHD in 2011 by the American Academy of Pediatrics and the American Heart Association. Pulse oxymetry screening (POS) for early detection of CCHD is a simple, noninvasive, and inexpensive test, which meets the necessary criteria for inclusion to universal newborn screening panel. Wider acceptance and adoption can significantly decrease morbidity and mortality in infants with CCHD.
3.RETROSPECTIVE GASTRIC CANCER STUDY
Shagdarsuren G ; Bolormaa Z ; Bolortungalag Sh ; Tserentogtokh T
Innovation 2017;1(1):10-12
BACKGROUND
In Mongolia, Gastric cancer is second most common cancer. 904 (603-men, 301-
women) new gastric cancer cases reported in 2016 and is about twice as common in
men than women. The number of new gastric cancer cases was 29.3 per 100.000 men
and women in Mongolia. A greater percentage of total gastric cancer cases were III,
IV stage(85.5%). In 2016, The Orkhon province had the highest rate in Mongolia (54.3
cases per 100.000 men and women). In Mongolia and Orkhon province, gastric cancer
remains an important public health problem.
METHODS
A total of 60 gastric cancer cases diagnosed at Medipas Hospital between March 2016
and October 2017 were analyzed retrospectively.
RESULTS
The average age of all gastric cancer patients was 59.75±9.91 years. The men to women
ratio was 1:0.28. The most common location of gastric cancer was upper third(59.7%),
followed by middle third (26.9%) and lower third (13.4%) of the stomach. Thepercentage
of total gastric cancer cases were advanced gastric cancer (66.7%) than early gastric
cancer (31.7%). And One case(1.6%) diagnosed MALT lymphoma. 55% of total gastric
cancer cases were treated by Endoscopic submucosal dissection and Gastroectomy
surgery.
CONCLUSION
One reason the overall survival rate is poor in the Mongolia is that most stomach cancers
are diagnosed at an advanced rather than an early stage. The stage of the cancer has
a major effect on a patient’s prognosis.
4.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%.