1.Management and monitoring of hypokalemia occurring during certain diseases
Temuulen Ts ; Maral B ; Baasanjargal B ; Agidulam Z ; Burenbayar Ch ; Ankhbayar D ; Tsogdulam S ; Amardulguun S ; Otgon-Erdene M ; Anujin G ; Khongorzul U1 ; Delgermaa Sh ; Odgerel Ts
Mongolian Journal of Health Sciences 2025;86(2):51-54
Background:
Hypokalemia is considered when the serum potassium level is less than 3.5 mmol/L. Clinical research indicates
that hypokalemia affects 20% of hospitalized patients, and in 24% of these cases, inadequate interventions result
in life-threatening complications. At present, there is no research available on the prevalence, management, and outcomes
of hypokalemia in hospitalized patients, which justifies the need for this study.
Aim:
The study aimed to examine the prevalence of hypokalemia and the effectiveness of its management in hospitalized
patients within the internal medicine department, in relation to the knowledge of doctors and resident physicians.
Materials and Methods:
This hospital-based retrospective study included a total of 553 cases of patients hospitalized in
the Internal Medicine Department of the Mongolia Japan Hospital between January 2024 and August 2024. Patients with
a potassium level of <3.5 mmol/L were diagnosed with hypokalemia, and the effectiveness of potassium replacement
therapy was evaluated according to the method of supplementation employed.
Results:
The prevalence of hypokalemia among hospitalized patients in the Internal Medicine Department was 9.8%
(54 cases). Based on the study criteria, 42 cases of hypokalemia were selected for further analysis, and a total of 118 potassium
replacements were performed through oral, intravenous, and mixed methods. Following potassium replacement
therapy, 37.3% (44) of patients achieved normalized potassium levels, while 62.7% (74) still had persistent hypokalemia.
Conclusion
According to the study results, the prevalence of hypokalemia among hospitalized patients in the Internal
Medicine Department is 9.8%. The method of potassium replacement and the severity of hypokalemia do not impact the
normalization of potassium levels, with the critical factor being the proper dosage of supplementation. The knowledge
of doctors and resident physicians regarding hypokalemia is insufficient, and there is a need to implement guidelines and
protocols for potassium replacement therapy in daily clinical practice.
2.Results of evaluation of spinal pain condition
Altankhundaga N ; Myagmarsuren M ; Gerel B ; Delgermaa E ; Bold Sh
Mongolian Medical Sciences 2023;205(3):11-15
Background:
Spine diseases, back pain, curvature, and intervertebral disorders are increasing among the population
of Mongolia. According to a study of diseases covering 195 countries of the world in 1990-2016, spine
disease ranked third among non-communicable diseases. However, at present, very little research
has been done on the prevalence of spinal diseases among the population of Mongolia.
Research goal:
Detecting the location of spinal pain in patients with back pain, curvature and other pains who visited
“Altanmed” hospital.
Research methods:
The study was conducted in a hospital setting using a snapshot survey method. From January 1,
2021, to January 1, 2022, a total of 2,210 patients were examined and treated at “Altanmed” hospital,
of which 560 therapists were randomly selected from patients over 18 years old and participated in the
study. Subjects were asked to complete a questionnaire and rate their pain on a 0-10 scale.
Conclusion
1. 69.8% (n=391) of 560 patients who came to “Altanmed” hospital with back pain were lumbar and
lower back pain.
2. 74.4% (n=291) or the majority has lumbar and lower back pain among patients aged 31-50. Of the
391 clients with lower back pain, 11.5% or 45 had mild (pain score 1-3), 52.9% (n=207) moderate
(pain score 4-6), and 35.5% (n=139) severe pain (pain score 7-10), and the groups differ with
statistical probability (p<0.01).
3. Regarding the duration of pain, 8.4% (n=33) had acute pain up to the last 3 months, and the
remaining 91.6% had chronic back pain. The average pain scale was 5.76 (SD±1.8).
3.The review about seed oils used in the treatment of traditional medicine
Odgerel B ; Delgermaa E ; Bold Sh ; Bolor B ; Bat-Erdene E
Mongolian Pharmacy and Pharmacology 2018;12(1):7-10
Background:
The basics of the development of the Traditional Medicine (TM) in the XXI century
are to study medical books created by physicians of the early period; and need to scientific - based
understanding the concepts in those scripts.
Goals:
To investigate the physical properties and the composition of saturated and unsaturated
fatty acids (FA) sesame oil which used the symptoms of the wind humor root diseases (the symbolic
terminology in TM) comparing with some vegetable oils or seed oils.
Materials and methods:
We are used “The Instruction Tantra” of “The Quintessence Tantras”,
“The Golden Decoration” (གསེར་རྒྱན།) of Darma maaramba Luvsanchoidog which is the explanation
scripts of “The Instruction Tantra”. The research was conducted through the method of original
manuscript analysis, the comparison method, induction and deduction method.
Results:
The sesame oil has the saturated FA (14.2%) and unsaturated FA (81.4%) and which
approximately amount with the olive oil (13.8%; 83.5%), sunflower oil (9.7%; 87.4%), corn oil
(12.9%; 82.3%), soybean oil (15.6%; 80.5%).
Conclusions
Sesame oil has saturated (14.2%) and unsaturated fatty acids (81.4%); and
has been used for the treatment of wind humor such as light, mobile, non-oily, cool nature –
external characteristics of body in Ancient Indian Ayurvedic Medicine. We can be substitute olive
oil, sunflower oil, corn oil, soybean oil which have rich of the amount of unsaturated FA (especially
high level of mono and poly unsaturated FA) instead of the sesame oil in the treatment.
Result Analysis
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