1.Arterial blood gas and acid base disbalance in intracranial hemorrhage
Mongolian Medical Sciences 2013;166(4):27-31
Introduction. Approximately fifteen million people worldwide have a stroke each year. 1in 6 people around the world will have a stroke in their life time. Two-thirds of stroke deaths occur in less developed countries. PH is format used to describe the proton concentration in a solution. It is the negative logarithm10 of the H+ concentration, so when the blood pH is normal (7.35-7.45) the H+ concentration in the blood is 40 nmol.L. An acid is a substance that has the ability to give up a proton(H+-a positively charged hydrogen ion) and so when in an aqueous solution they have a low pH. A base is a substance that has the ability to accept a proton and has a high pH in solution. Respiratory alkalosis is results from the excessive excretion of CO2, and occurs when the PaCO2 is less than 4.5 kPa (34mmHg).Goal. To study and evaluate the change occurred in Glasgow coma scale and arterial blood gas, acid base balance of the patients suffering from intracranial stroke.Materials and Methods. Test for Arterial Blood Gas and Acid Base Balance were used on 112 patients with Intracranial Hemorrhage.Results. There were 66 men and 46 women between the ages of 25 and 83. Nineteen patients (17%) had normal, seventy seven (68.8%) patients had respiratory alkalosis, five patients (4.5%) had respiratory alkalosis and metabolic acidosis, two patients (1, 8%) had respiratory acidosis, four patients (3, 6%) had metabolic alkalosis, four patients (3.6%) had mixed alkalosis, and one patient (0.9%) had mixed acidosis. In cases of intracranial hemorrhage Arterial Blood Gas and Acid Base Balance is affected in most patients in the character of respiratory alkalosis and hypocapnia, due to hyperventilation. By Glasgow coma scoring system, twenty seven (24.1%) patients had 3 score, twenty eight (25%) patients had 4-8 score, twenty seven (24.1%) patients had 9-12 score, ten patients (8.9%) had 13-14 score, twenty (17.9%) patients had 15 score. In 3 score group 21 (77.8%) patients had respiratory alkalosis, 2 (7.4%) patients had respiratory acidosis, 1 patient had (3.7%)metabolic alkalosis, 1 (3.7%) patients had respiratory alkalosis and metabolic acidosis, 2 (7.4%) patients had mixed alkalosis, In 4-8 score group, 22 (78.6%) patients had respiratory alkalosis, 2 (7.1%) patients had normal, 2 (7.1%) patients had respiratory alkalosis and metabolic acidosis, 1 (3.6%) patient had mixed alkalosis, 1 (3.6) patient had mixed acidosis, In 9-12 score group, 24 (88.9%) patients had respiratory alkalosis, 1 (3.7%) patient had metabolic alkalosis, in 1 (3.7%) patient had respiratory alkalosis and metabolic acidosis, 1 (3.7%) patient had mixed alkalosis, In 13- 14 score group, 7 (70%) patients had respiratory alkalosis, 1 (10%) patient had metabolic alkalosis, 2 (20%) patients had normal, In15 score group, 3(15%) patients had respiratory alkalosis, 1 (5%) patient had metabolic alkalosis, 15 (75%) patient had normal, 1 (5%) patient had respiratory alkalosis and metabolic acidosis.Conclusion. There were significant correlations between Glasgow Coma Scale and acid base (r=0.45* p<0.001). Acid base disbalance more likely to get increased as much the Glasgow Coma Scale evaluation gets decreased.
2. A study to determine actual daily consumption of drinking and residential water for households in Ulaanbaatar
Zolzaya D ; Suvd B ; Amgalan G ; Tsegmed S ; Bolor B ; Soyombo G ; Oyun-Erdene O ; Altangerel B ; Oyunchimeg D ; Enkhjargal A ; Bolormaa I ; Tsogtbaatar B
Mongolian Medical Sciences 2024;208(2):39-47
Introduction :
Water is a vital resource for human existence and is essential for daily food processing, preparation,
washing, hygiene, and sanitation. Furthermore, providing the population with safe drinking water is one
of the pressing problems of the world and some regions.
In recent years, population density and the scale of commercial and industrial activities, as well as clean
and dirty water consumption were increased in the capital city. As a result of these, ground and surface
water resources are becoming scarce and polluted.
Therefore, assessment of daily drinking and residential water consumption of Ulaanbaatar should be
determined to use drinking water properly in daily life and water loss. This study assessed the actual
amount of households’ daily water consumption.
Goal:
The purpose of this study is to determine the daily consumption of drinking water for households in ger
areas and apartments in Ulaanbaatar.
Materials and Method:
This study covers 30 households in ger areas and 15 apartment households, in Ulaanbaatar.
Household members performed 6-10 types of measurements every day, within 7 days. As a result of
these measurements, actual consumption of water quantity used for drinking and household purposes
was calculated. Statistical analysis was done by SPSS Version 21 to calculate the true probability of
difference between parameters.
Result:
67.9% of the households in the ger areas were 4-5 family members. The average daily household
consumption of drinking and domestic water were 68.3 ± 3.57 L (95% 61.3-75.3), the minimum
consumption was 12 L, and the maximum was 227 L. Average of the household water consumption
water was 97.6-108.9 liters during the weekends, and water consumption was statistically higher than
weekdays (p=0.001; p=0.01).
The water consumption of residential households with 3 family members accounted for the majority
(30.8%) in this study. The average daily consumption of drinking and domestic water was 297.67±19.7
liters. There was no statistically significant difference (p=0.96) in week. The average daily water
consumption including drinking and residential was 270.3-335.97 L.
The total daily drinking and residential water consumption per person was 15.57 L for households in ger areas and 90 L for apartment households. Calculating the daily water consumption of households in ger areas, 60.3% of it is used for laundry, washing dishes, food preparation, washing face and hands, and clothes, 31% for drinking, and 8.7% for outdoor water use. While apartment households, approximately 94.1%, were used for household and 5.9% for drinking purposes.
Research ethics approval :
This study was discussed at the meeting of the Academic Council of the National Center for Public
Health. In addition, this study was carried out according to the methods and methods discussed and
approved at the meeting of the Medical Ethics Control Committee of the Ministry of Health (Resolution
No. 08).
Conclusion
The total daily consumption of drinking and residential water per person were 15.57 litres for the
households in the ger areas and 90 litres for the apartment households. It implies that it does not exceed
the WHO recommendations