1.Study On Adverse Drug Reactions In Mongolia During 2010-2012
Delgerzaya E ; Erdenetuya M ; Undram L
Journal of Oriental Medicine 2015;8(1):45-48
Abstract To study adverse drug reactions registered in 2010-2012 in
Mongolia. This study has descriptive design. 280 yellow forms for
recording adverse drug reaction, which were registered by the Drug
assurance department of the Department of Health-Implementing
Agency of the Government, were used. Yellow forms were from 2010-
2012. Statistical analysis was performed in SPSS 17.0. More than half of
cases (51%) of drug adverse reaction were in people over 41 years old.
Psychotropic medications and antibiotics were the most drugs with
adverse reaction having 31.1% and 27.1% respectively. The common
adverse reactions were dysfunctions of central nervous system (38.6%),
skin rashes (22.5%), dysfunctions of digestive system (11.1%), allergic
reactions (7.9%) and other symptoms (15.5%). In 4% of cases the
symptoms were not described. Countries of production of medications
causing drug reactions were Russia in 26.1%, China 13.2%, Моngolia
12.2%, India 11.4%, Indonesia 3.2% and other countries in 15.3%. In
18.6% the country was not recorded. In 18.9%, 16.4% and 9.6% of
reactions were from tablets, intramuscular injections and drippings. The
forms filled in by the patients in 31% did not have their names, and in
48% there were no records on reasons for taking medicines. Conclusion
Psychotropic medications and antibiotics were the most drugs with
adverse reaction. The common adverse reactions were dysfunctions of
central nervous system, skin rashes and dysfunctions of digestive.
Adverse drug reactions were identified insufficiently and forms for
recording the adverse reactions were filled incompletely and incorrectly.
2. SURGICAL REHABILITATION OF NERVUS FACIALIS LESION
Erdenechuluun B ; Jargalkhuu E ; Zaya M ; Enkhtuya B ; Olziisaikhan D ; Gansukh B ; Jargalbayar D ; Ariunchimeg M ; Dolgorsuren L ; Adiya T ; Chuluunsukh D ; Erdenechimeg B ; Batkhishig B ; Altantsetseg Z ; Ranjiljov V ; Delgerzaya E ; Baigal M
Innovation 2016;2(2):13-16
There are a lot of influencing factors of facial nerve palsy; experts believe that is most likely caused by a Virus (54%) and Bacterial infections. Noninfectious causes of facial nerve palsy induce tumors (28%) and less commonly influences head trauma (18%). The retrospective analysis of WHO, in 2012. There are some cases of postoperative complication in middle ear surgery is facial nerve palsy and the total recovery outcome of function was not good. From 2013 to 2016 in EMJJ hospital, Mongolia, we enrolled 16 cases with facial nerve damaged in intratympanic canal but we could not recruit some patients with facial palsy over 6 months. Each subject was tested with pure tone test, ABR, Tympanometry. These were performed for the detection of hearing loss after Temporal bone injury. Then we also investigated location of facial nerve damages of patients by MRI and CT before reconstructive surgery. After that surgery, all patients were given corticosteroid treatment (20mg/day) and physical therapy performed such as acupuncture for a week. Study results revealed that 6 cases after 18 days, 2 cases after 30 days, 1 patient after 45 days of reconstructive surgery regained good symmetry. Therefore, we considered that, postoperative treatments like physical therapy with B12, steroid had good benefits for operation result and to shorten the recovery time. There was a patient who had damaged facial nerve in the tympanic segment during Mastoidectomy. In that case, we performed cable nerve grafting using the r.auricularismagnium but we could not recover facial nerve function. Traumatic facial nerve paralysis is the second most common type. We discussed that performing reconstruction surgery within first 3 months after intratemporal facial nerve injury is extremely desirable and more effective. In our opinion, nerve recovery might be not successfully cause of injured myelin sheet of facial nerve during middle ear surgery.