1.Investigation of relationship between functional level, cognitive status, emotional status, and quality of life in elderly people living at their own home and in Batsumber
Munkhkhand J ; Jargalsaikhan T ; Sugjlkham D ; Gerelmaa A ; Delgermaa S
Mongolian Medical Sciences 2015;172(2):78-81
PurposeThe aim of our study is to investigate the relationship between cognitive status, depression level,functional status and quality of life in elderly people living at home and in Batsumber.Methods158 voluntary elderly subjects, older than 60 ages were included in the study. The data was obtained byface to face interviews. The questionnaire covered socio-demographic characteristics, administrationof the standardized Mini mental test (SMMT), Geriatric Depression scale (GDS), Lawton instrumentalactivities of daily living (IADL) scale and World health organization Quality of life instrument-olderadults module (WHOQOL-OLD). Data analysis was performed using SPSS 22 software.ResultsThe living at their own home subjects (77.4%) had a high cognitive level and the living in nursing homesubjects (88.2%) low cognitive level. In both groups appeared in high levels of depression. Therewas a positive correlation between IADL, cognitive status and quality of life (p<0.05) and a negativecorrelation between cognitive status, quality of life and depression status.Conclusion: Our results suggest that elderly are more susceptible to the risk of developing psychiatricproblems especially depression. And this study indicated importance of the relationship betweenfunctional level, cognitive status, depression level and quality of life of elderly people living at homeand in Batsumber.
2.Maternal smoking during pregnancy of risk factor avascular necrosis of the femoral head disease
Otgonchimeg T ; Naranbat L ; Budee B ; Otgonsaikhan N ; Erdenbileg A ; Jargalsaikhan B ; Zulai D ; Gantuya D
Innovation 2020;14(2):40-45
Purpose:
The etiology of Legg-Calve-Perthes disease (LCPD) remains unknown until today. A few
studies have suggested passive smoke inhalation may be a risk factor, although the association
is not confirmed and a causal relationship has not been established. Most mothers who smoke
during pregnancy may continue smoking after giving a birth, it would be difficult to determine
to what extent passive smoke inhalation adds to the risk of LCPD in these children. The causes
of Legg-Calve-Perthes disease are largely unknown, but this pediatric disease seems to result
from interruption of the blood supply to the proximal femur and is considered a vascular disease.
Because maternal smoking during pregnancy influences fetal development and is associated
with cardiovascular diseases in offspring, we hypothesized that this exposure and passive Tabaco
smoke exposure are risk factors for Legg-Calve-Perthes disease and also investigated other
markers of impaired fetal development and early-life exposures.
Methods:
We prospectively recruited total 96 patients, among those 32 patients with LCPD as
a case group and 64 patients attending the hospital for other orthopedic complaints as control
group. Conditional logistic regression was used to assess the association between the exposures
and risk of LCPD.
Results:
The main risk factors for LCPD were family background, indoor use of a wood stove,
having a family member who smoked indoors (passive smoke) and smoke during pregnancy.
Children from the middle socioeconomic group appeared to be at a greater risk of developing
LCPD.
Conclusions
This study provides further evidence that environmental tobacco smoke is
associated with an increased risk of LCPD. Family background and exposure to wood smoke
also appears to be risk factors. Maternal smoking during pregnancy and other factors indicated
by impaired fetal development may be associated with an increased risk of Legg-Calvé-Perthes
disease. However, it remains unclear why there are profound differences in the incidence of
the disease between regions when the prevalence of smoking is comparable and why bilateral
involvement is infrequent, and it needs further study.
3.Coronary computed tomography angiography (CCTA) signs of unstable plaques of coronary artery disease
Badamsed Ts ; Delgertsretseg D ; Jargalsaikhan S ; Erdenechimeg E ; Sodgerel B ; Bayaraa T ; Galsumiya L ; Natsagdorj U ; Pilmaa Yo
Mongolian Medical Sciences 2021;197(3):48-51
Background:
The American Heart Association estimates that more than 1 million people die each
year from acute coronary heart disease and half a million from acute coronary syndrome, and
that $ 115 billion a year is spent on diagnosing and treating coronary heart disease [Word Health
Organization, 2013].
Goal:
In this study we aimed to using coronary computed tomography angiography (CCTA) to
diagnose unstable plaques in coronary artery disease.
Material and methods:
From 2018 to 2021, we performed a coronary computed tomography
angiography (CCTA) scan with a Philips Ingenuity 64-slice computed tomography (64 MD-CT)
device and examined 47 patients diagnosed with unstable coronary artery disease at the Reference
centre on Diagnostic Imaging named after R.Purev State Laureate, People’s physician and Honorary
professor of the State Third Central Hospital.
Common statistical measurements such as means and standard errors were calculated. Probability
of results were checked using Student’s test.
Result:
In studying signs of coronary computed tomography angiography (CCTA) to diagnose unstable
plaques in coronary artery disease that coronary artery diameters more widening to compared healthy
artery 16(34.0%±6.9), low density sites clarify in plaque (lower than +30HU)- 14(29.8%±6.7), small
calcification detect in plaque 36 (74.5%±6.4), ring liked additional density (lower than +130 HU)
sees in edge of plaque (Halo sign)-9(19.2%±5.8), plaque edge roughness, erosion liked changes- 18
(38.3%±7.1), rupture of intima (dissection)- 8(17.0%±5.5).
Conclusion
We detect that computed tomography angiography (CCTA)’s specific signs of unstable
plaque of coronary artery disease are coronary artery diameters widening, low density sites clarify in
plaque (lower than +30HU), small calcification detect in plaque, ring liked additional density (lower
than +130 HU) sees in edge of plaque (Halo sign), plaque edge roughness, erosion liked changes
and rupture of intima.
4.Result of studying lower extremity arterial occlusive disease by CTA-TASC classification of aorta-iliac and femoral popliteal lesions
Badamsed Ts ; Jargalsaikhan S ; Delgertsretseg D ; Tsetsegmaa B ; Sodgerel B ; Bayaraa T ; Galsumiya L ; Natsagdorj U ; Pilmaa Yo
Mongolian Medical Sciences 2021;197(3):52-58
Background:
Lower extremity arterial diseases are chronic stenosis of the artery and occlusive arterial diseases,
which are commonly caused by atherosclerosis. Prevalence of lower extremity arterial diseases has
positive proportional relationship with age of the patients. Furthermore, prevalence of lower extremity
arterial disease is 16% among the males over the age of 60, whereas prevalence among same aged
woman is 13%. Among the age group of 38 to 59 age, 60 to 69 age and 70-82 age group, prevalence
of lower extremity arterial disease was 5.6%, 15.9%, and 33.8%, respectively.
Goal:
Identifying lower extremity arterial occlusive disease and chronic stenosis of arteries by CTA-TASC
classification of aorta-iliac and femoral popliteal lesions.
Obiective:
1. To identify age and sex of the patients with lower extremity arterial occlusive disease and chronic
stenosis of arteries.
2. To identify lower extremity arterial occlusive disease and chronic stenosis of arteries by CTA-TASC classification of aorta-iliac and femoral popliteal lesions.
Material and methods:
Study sample consisted of 237 patients, who were diagnosed with lower extremity arterial occlusive
disease and chronic stenosis of arteries from 2019 to 2020 at reference centre on Diagnostic Imaging
na after R.Purev State Laureate, People’s physician and Honorary professor of the State Third Central
Hospital. Computed angiogram images of lower extremity arteries were examined. Contrast agent
“Ultravist” was pumped by automatic syringe. Lower extremity arterial occlusive disease and chronic
stenosis of arteries are categorized by CTA-TASC classification of аorta-iliac and femoral popliteal
lesions. The youngest participant was 20 years old and the oldest participant was 76 years old.
Common statistical measurements such as means and standard errors were calculated. Probability
of results were checked using Student’s test.
Results:
We have found following results: 185(78.1%±3.0) cases out of 237 diagnosed patients with lower
extremity arterial occlusive disease and chronic stenosis of arteries are males and 52(21.9%±3.0)
cases are female. Distribution of lower extremity arterial occlusive disease and chronic stenosis of
arteries by the age group of patients are: up to 20 years of age is 3 (1.3%±0.7), 21 to 40 years of age
is 14(5.9%±1.5), 41 to 60 years of age is 86(36.3%±3.1) and over the age of 61 is 134(56.5%±3.2).
It is statistically highly significant that experiencing lower extremity arterial occlusive disease and
chronic stenosis of arteries among the age group of over 61(P<0.001).
The result of lower extremity arterial occlusive disease and chronic stenosis of arteries by the CTA-TASC classification of aorta-iliac and femoral popliteal lesions are: CTA-TASS аorta-iliac lesions
A-16(6.8%±1.8), B-8(3.4%±1.2), C-12(5.1%±1.4), D-41(17.3%±2.5), CTA-TASS femoral popliteal
A-41(17.29%±2.5), B-53(22.36%±3.6), C-47(19.83%±2.6), D-96(40.5%±3.2), respectively.
Conclusions
1. Lower extremity arterial occlusive disease and chronic stenosis of arteries occurs 46.5% over the
age of 60 and 78.1% of the patients are males.
2. Following two categories have identified more than the rest, 17.3% CTA-TASC classification of
аorta-iliac lesions, type D and 23.3% CTA-TASC classification of femoral popliteal lesions, type D.