1.Estimated glomerular filtration rate in alcohol use disorder people
Erdenebat N ; Khorolgarav A ; Narantsatsral D ; Zoljargal S ; Oyunchimeg Ch
Diagnosis 2024;111(4):42-46
Background:
The purpose of this study is to evaluate serum creatinine as a marker of estimated glomerular filtration rate (eGFR) in alcohol use disorder people, and to determine correlation between mean arterial pressure (MAP) and eGFR in chronic kidney disease classification level.
Methods:
In this study, 99 people were examined between January 2024 to November 2024. We measured serum
creatinine based GFR using the Cockroft Gault formula. Results were analyzed SPSS.
Result:
The mean subject age was 48.2±9.9 years, male: female ratio was 5:1. Mean arterial pressure was 103±13.5 mmHg, eGFR 95.5±28.8 ml/min/1.73m2, and mean arterial pressure was significantly correlated with estimated glomerular filtration rate (P<0.05) and no difference between male and female recipients.
Conclusion
According to our research, one of the optimal methods for assessing kidney function is the creatinine-based CKD calculation method, and excessive alcohol consumption is a risk factor for chronic kidney disease, as well as one of the main causes of complication and mortality in cardiovascular disease.
2.Estimated glomerular filtration rate in alcohol use disorder people
Khorolgarav A ; Narantsatsral D ; Oyundelger M ; Zoljargal S ; Oyunchimeg D ; Erdenebat N
Diagnosis 2025;112(1):5-9
Background:
The purpose of this study is to evaluate serum creatinine as a marker of estimated glomerular filtration rate (eGFR) in alcohol use disorder people, and to determine correlation between mean arterial pressure (MAP) and eGFR in chronic kidney disease classification level.
Methods:
In this study, 118 people were examined 2024. We measured serum creatinine based GFR using the Cockroft Gault formula. Biochemical analysis and serum creatinine were evaluated using a fully automatic analyzer (GOLSITE, China). Statistical results were analyzed SPSS.
Result:
The mean subject age was 48.6±10.3, BMI 25.3±3.7 and male: female ratio was 5:1. Mean arterial pressure was 104±12.8 mmHg, eGFR 94±28 ml/ min/1.73m2, and mean arterial pressure was significantly correlated with estimated glomerular filtration rate (P<0.05) and no difference between male and female recipients. Mean eGFR was calculated into 4 groups of 10-year intervals, that eGFR was decreased significantly with age groups. For the alcohol dependence stages of the Michigan Test, the mean eGFR was stage 1 is 112 ml/min/1.73m2, stage 2 is 89 ml/min/1.73m2, stage 3 is 97 ml/min/1.73m2 and there is not statistically significant correlation between Michigan test scores and eGFR.
Conclusion
According to our research, one of the optimal methods for assessing kidney function is the creatinine-based CKD calculation method, and long-term excessive alcohol consumption is a risk factor for CKD, as well as one of the main causes of death due to hypertension and cardiovascular disease.
3.Evaluation of some changes in liver function in patients with alcohol use disorder
Udmaral B ; Byambajargal D ; Pagmadulam B ; Oyundelger M ; Zoljargal S ; Oyunchimeg D ; Erdenebat N
Diagnosis 2025;112(1):75-79
Background:
To evaluate changes in liver function in patients with alcohol use disorder and propose preventive measures.
Methods:
In this study, 118 people were examined between January 2024 to December 2024. Results were analyzed SPSS.
Result:
The mean subject age was 48.6± 10.3 years, male: female ratio was 5:1. Mean arterial pressure was 104±12.8 mmHg, ALT 86.7 ± 93.8 (U/L), AST 89.3±82.8 (U/L), GGT 213.8±252.3 (U/L). A statistically
significant correlation was found between AST and ALT levels (R² = 0.562). However, no significant correlation was observed between body mass index (BMI) and blood glucose levels (R² = 0.002). The AST/ALT ratio was also statistically significant (p = 0.0001).
Conclusion
Excessive alcohol consumption increases the levels of liver enzymes AST 89.3 ± 82.8 (U/L), ALT 86.7
± 93.8 (U/L), and GGT 213.8 ± 252.3 (U/L), leading to increased liver cell damage. Therefore, it is necessary to reduce alcohol consumption and implement preventive measures.
4.Open broström-gould repair vs arthroscopic anatomical repair of the anterior talofibular ligament for chronic lateral ankle instability
Amgalankhuu O ; Shiirevnyamba A ; Batsukh S ; Erdenebold B ; Zoljargal S ; Naranbat L ; Munkhsaikhan T
Mongolian Journal of Health Sciences 2025;88(4):221-225
Background:
During inversion injuries of the ankle joint, the anterior talofibular ligament (ATFL) is the most commonly
injured structure. Injuries to the lateral collateral ligaments of the ankle, either in isolation or in combination with injury
to the calcaneofibular ligament (CFL), account for approximately 60-65% of all ankle ligament injuries. In recent years,
several studies have examined the impact of lateral ankle ligament injuries on lifestyle and overall health. Repeated inversion injuries-particularly those occurring three or more times-can lead to chronic ankle instability (CAI). In the treatment
of ankle instability, both open and arthroscopic surgical techniques are widely used internationally. In Mongolia, there is
an increasing clinical need to evaluate and compare the outcomes of arthroscopic versus open surgical repair of lateral
ankle ligament injuries. This need forms the basis of the current study.
Aim:
The comparative studies on open vs arthroscopic anterior talofibular ligament (ATFL) repair are limited. This study
aimed to compare the early therapeutic efficacy and cost between the traditional open Broström-Gould repair and all-arthroscopic anatomical repair of the ATFL for chronic lateral ankle instability.
Materials and Methods:
A total of 40 patients with chronic lateral ankle instability undergoing repair of the ATFL be
tween September 2024 and February 2025 were retrospectively included with a traditional open surgery (n=10) group
and an arthroscopy (n=17) group. The surgery duration, surgical cost, postoperative complications, and the preoperative/postoperative American Orthopaedic Foot & Ankle Society Score (AOFAS) and Karlsson-Peterson score were compared
between groups.
Results:
Compared to the anatomical group, the non-anatomical group had significantly shorter surgery and hospitalization durations. Three months after the operation, the AOFAS and Karlsson scores significantly improved in both groups.
Nevertheless, there was no significant difference in the AOFAS and Karlsson scores between groups at both preoperative
and postoperative assessments. No significant difference was found in the incidence of postoperative complications between the two groups.
Conclusion
1. These results suggest that open Broström-Gould repair and all-arthroscopic anatomical repair of the ATFL have
comparable therapeutic efficacy for chronic lateral ankle instability.
2. The arthroscopic surgery had a smaller incision, while the open Broström-Gould had a shorter surgery duration and
lower cost.
5.The research review study result of craniometrical parameters of facial bone during fetal development
Enebish S ; Zoljargal P ; Batmunkh G ; Nomiungerel R ; Baasansuren S ; Dorjjagdag G ; Handin G ; Dolgorsuren A ; Erdenezaya O ; Nyamsurendejid D ; Juramt B ; Purevsuren Kh
Diagnosis 2024;109(2):15-21
Background:
Studying the human embryonic and fetal organ systems development patterns and determining their quantitative indicators is of scientific and practical importance in medicine and health in every nation.
Distortions and pathologies during the development of the embryo are the causes of congenital disabilities. Among the congenital malformations, facial malformations are the 3rd place, including cleft lip and palate in 70% and Srouzon's syndrome in 30%. In addition, abnormalities due to changes in the size, shape, and position of the jaw are also mentioned in the 2021.04.21 issue of Morphology magazine in the study "Morphometric parameters of the bones of the skull and face during the development of newborns and fetuses". In our country, Ariuntuul G (2005) determined that cleft lip and cleft palate occur at 0.76/1000 or 1 in 1314 live births, while Ayanga G (2012) found that it occurs at 1 in 1072 live births or 0.93/1000. Moreover, the eye cup dimensions of Mongolian fetuses aged 16 36 weeks have a positive linear relationship with the gestational age determined using ultrasound by Nandintsetseg B (2015) et al. Compared with the other countries, the eyecup is slightly wider, and the outer edge distance is similar, whereas the inner edge distance is shorter.
Purpose:
To summarize research work and determine the embryonic development of bones involved in the formation of the face and facial parts, the period of bone formation, the point of ossification, and the period of formation.
Methods:
During fetal development, human organ systems grow and develop at different rates but in a particular relationship. This feature of growth and development is also clearly observed in the structure of the head and facial bones, and the results of researchers who have studied this aspect are selected in the articles.
Results:
Embryonic and fetal development of bone are clinically significant not only from the point of view of its morphogenesis but also from the point of view of congenital disabilities.
Conclusion
In the analysis of the sources, most of the works on the prenatal period of the development of the same body have studied the development of specific structures of the face and facial area, such as the palatine bones and nasal bones, or have generally covered the development of particular systems in the embryo and fetus, and face, there are relatively few works that show the entire dynamics of growth and development of facial bones.