1.Relation between adherence factors and the phylogenetic group of extraintestinal pathogenic Escherichia coli
Munkhdelger Ya ; Nyamaa G ; Undarmaa G ; Oyunchimeg R ; Munguntuul T ; Altantsetseg D ; Munkh-Od Ts ; Sarantuya J
Innovation 2015;9(2):28-31
Extraintestinal pathogenic Escherichia coli (ExPEC), the specialized strains ofE.coli that cause most extraintestinal infections, represent a major but littleappreciated health threat. Phylogenetic analysis has shown that ExPEC is composedof four main phylogenetic groups (A,B1, B2, and D) and that virulent extraintestinalstrains mainly belong to groups B2 and D.In this study, we aimed to assess therelation between adherence virulence and phylogenetic groups of ExPEC.A total of 161 E.coli samples were collected. Out of these 17 (10.6%) werefrom pus, 66 (41 %) from urine, 78 (48.4%) from cervical swab. The phylogeneticgroups and 6 virulence genes (fimH, papC, papGII, papGIII, fa/draBC,andSfa/focDE) encoding adhesins were identified by triplex PCR. Phylogeneticgroups distribution was as follows: B1 10.5%, A 24.7%, B2 25.3%, and D 38.9%. Virulence genes prevalence was fimH 90.1%, papC 23%, papGII 16.8%, papGIII1.9%, Afa/draBC 11.8%, andSfa/focDE 5.6%. The cell surface protein (curli) wasdetected 50,3% by Congo red agar. In conclusion: The most isolated strainsbelonged to the phylogenetic group B2 and D. The phylogenetic groups weresignificantly associated with some genes encoding
adhesins (fimH, papC) and cellsurface protein (curli).
2.Self-evaluation of practical skills of nurses during pre- and postoperative care
Nyamaa D ; Oyuntsetseg S ; Erdenekhuu N
Innovation 2017;11(1):34-38
BACKGROUND
The study was based on the facts that high patient satisfaction and good health indicators are
common in countries where quality of nursing care and organization has reached high level and
skill level of these professionals is the main factor for the improvement of health care service
quality.
OBJECTIVE
Evaluate practical skill levels of nurses who are responsible for pre- and post-operative care in
the National First Central Hospital (NFCH).
METHOD
Using cross-sectional design, we have conducted 120 questions questionnaire, which was
developed by Canadian Nursing Association and Kwantlen Polytechnic University in 2008, to
determine 4 levels of skill (never done – did independently) among 41 nurses who work in the
Department of Surgery of NFCH. Data was analyzed using social studies statistics software SPSS
21.
RESULT
Average age and average work years of the 41 nurses who work in the Department of Surgery were
29.9±8.6 and 7.7±9.1, respectively. In terms of specialty, 4 were anesthesiology and intensive
care nurse (9.8%) and 17 were surgical nurse (41.5%) while almost half of them (20, 48.8%) did
not have specialty certification. During the evaluation of practical skill levels of participants in
regards to pre- and post-operative care, for checking readiness of respiratory apparatus, there
were 9 (22%) nurses who had never done it, 11 (27%) nurses who did it with assistance, 9 (22%)
nurses who did it under guidance, and 12 (29%) nurses who did it independently, for checking
neurologic function, there were 4 (11%) nurses who had never done it, 3 (7%) nurses who did
it with assistance, 7 (17%) nurses who did it under guidance, and 27 (65%) nurses who did it
independently, for operation wound care, there were 5 (12%) nurses who had never done it, 2
(5%) nurses who did it with assistance, 11 (27%) nurses who did it under guidance, and 23 (56%)
nurses who did it independently, for using nasal and tracheal intubation, there were 10 (24%)
nurses who had never done it, 4 (10%) nurses who did it with assistance, 10 (24%) nurses who
did it under guidance, and 17 (42%) nurses who did it independently. There was correlation
between average work years and skill level (p<0.001).
CONCLUSION
Varying skill levels (never done it 17.25%, with assistance 12.25%, under guidance 22.5%, and
independently 48%) of surgical nurses who are responsible for pre- and post-operative care show
that there is a need for improving practical skills of nurses in the Department of Surgery of NFCH.
3. Relation between adherence factors and the phylogenetic group of extraintestinal pathogenic Escherichia coli
Munkhdelger YA ; Nyamaa G ; Undarmaa G ; Oyunchimeg R ; Munguntuul T ; Altantsetseg D ; Munkh-Od TS ; Sarantuya J
Innovation 2015;9(2):28-31
Extraintestinal pathogenic Escherichia coli (ExPEC), the specialized strains ofE.coli that cause most extraintestinal infections, represent a major but littleappreciated health threat. Phylogenetic analysis has shown that ExPEC is composedof four main phylogenetic groups (A,B1, B2, and D) and that virulent extraintestinalstrains mainly belong to groups B2 and D.In this study, we aimed to assess therelation between adherence virulence and phylogenetic groups of ExPEC.A total of 161 E.coli samples were collected. Out of these 17 (10.6%) werefrom pus, 66 (41 %) from urine, 78 (48.4%) from cervical swab. The phylogeneticgroups and 6 virulence genes (fimH, papC, papGII, papGIII, fa/draBC,andSfa/focDE) encoding adhesins were identified by triplex PCR. Phylogeneticgroups distribution was as follows: B1 10.5%, A 24.7%, B2 25.3%, and D 38.9%. Virulence genes prevalence was fimH 90.1%, papC 23%, papGII 16.8%, papGIII1.9%, Afa/draBC 11.8%, andSfa/focDE 5.6%. The cell surface protein (curli) wasdetected 50,3% by Congo red agar. In conclusion: The most isolated strainsbelonged to the phylogenetic group B2 and D. The phylogenetic groups weresignificantly associated with some genes encodingadhesins (fimH, papC) and cellsurface protein (curli).
4.Video-assisted thoracic surgery versus open thoracotomy for non-small cell lung cancer: Systematic review of matched case control studies
Sundui-Yanjmaa L ; Tuvshinbayar E ; Nyamaa D ; Ganzorig B ; Ganbat O ; Orgilmaa R
Innovation 2020;14(2):56-61
Introduction:
The introduction of minimally invasive surgery has revolutionized multiple
disciplines of surgical practice.
Objectives:
This meta-analysis of matched case control studies aimed to compare the
perioperative outcomes of video-assisted thoracic surgery (VATS) with open thoracotomy for
patients with early-stage non-small cell lung cancer (NSCLC).
Methods:
We searched from PubMed and Embase electronic database and revealed seven
relevant studies. Endpoints included perioperative mortality and morbidity, postoperative
complications and duration of hospitalization. Two investigators (L.S and D.N) independently
reviewed each retrieved article. The values of RR and 95% CI were estimated. We used the fixed
and random-effects models to estimate the size of the treatment benefit.
Results:
Results indicate that perioperative mortality was similar between VATS and open
thoracotomy (RR-0.62(95%CI 0.39-0.98). However, patients who underwent VATS were found to
have fewer overall complications (RR-0.68(95%CI 0.59-0.78), and patients who underwent VATS
had a significantly shorter length of hospitalization compared with those who underwent open
thoracotomy (MD= -2.98(95%CI-4.09:-1.87)).
Conclusions
The present meta-analysis demonstrated superior perioperative outcomes for
patients who underwent VATS, including overall complication rates and duration of hospitalization.
Therefore, our study suggests that VATS should be performed widely to treat patients with lung
cancer in the future.