1.A study of complications in recipients with early kidney dysfunction after liver transplantation
Batsaikhan B ; ; ; Shiirevnyamba A ; ; Tserenbat B ; Bayarbileg G ; Bat-Ireedui B ; Ariunaa T ; Sergelen O ;
Mongolian Journal of Health Sciences 2025;89(5):150-157
Background:
Liver transplantation (LT) recipients frequently develop complication kidney dysfunction (KD), but the
predisposing factors and long-term consequences of KD are not well understood. Post-LT complications that lead to graft
failure and patient morbidity/mortality can be generally categorized as vascular, biliary, parenchymal and malignant.
Main reasons for our study are to identify complications’ rate for early post-transplant KD and to evaluate the post-LT
patients and graft survival rate.
Aim:
Our aim was to evaluate complications in recipients with early post-transplant KD and to investigate the survival
rate after LT.
Material and Methods:
This study retrospectively and prospectively analyzed the demographic characteristics, preoperative
and perioperative clinical parameters, as well as postoperative outcomes of patients who underwent liver transplantation
(LT) at the First Central Hospital of Mongolia (FCHM) between September 2011 and December 2024. Renal
function was evaluated by estimating the glomerular filtration rate (GFR) using the Cockcroft-Gault creatinine clearance
formula at baseline (pre-transplantation) and at 24 hours, 72 hours, 7 days, 14 days, and 28 days following LT. Early
and late complications following LT were classified according to the international classification. Ethical approval for the
study was obtained at a meeting of the Research Ethics Review Board of the Mongolian National University of Medical
Sciences (MNUMS).
Results:
In our study KD rate was 29.7%. Several factors increased the risk of KD among recipients. Post-LT complications’
related risk factors for KD was high MELD score (OR, 1.11; 95%CI, 1.06-1.16), Child-Turcotte-Pugh scores of B
and C (OR, 5.57; 95%CI, 1.27-24.52 and OR, 8.21; 95%CI, 1.87–36.54), comorbidities (OR, 1.92; 95%CI, 1.14-3.23),
post-LT acute bleeding (OR, 3.22; 95%CI, 1.22-8.46), early relaparotomy for revision (OR, 3.12; 95%CI, 1.34-7.28
respectively. Additionally, the survival rates for recipients with post-LT KD were 90.7% at 1 year and 81.3% at 3 years.
Conclusions
1. Variables like a recipient high age (p<0.001), female gender (p<0.001), elevated liver function scores (p<0.002),
comorbidities (p=0.013), severe ascites (p=0.001), preop intensive care (p=0.026) are pre-LT risk factors for post-
LT KD.
2. Acute bleeding (p=0.013), early revision (p=0.006) are risk factors for post-LT KD.
3. Early KD in recipients who underwent LT affects both patient survival (Log Rank p=0.522; HR 1.3) and graft
survival (Log Rank p=0.457; HR 1.26).
2.УЛААНБААТАР ХОТЫН ХҮН АМЫН ДУНДАХ АМИА ЕГҮҮТГЭХ ТОХИОЛДЛЫН СУДАЛГАА
Ariunjargal B ; Uranbileg D ; Ishkhand B ; Nomingerel E ; Tserenbat M ; Unurmaa B
Innovation 2017;11(2):13-15
BACKGROUND. In the worldwide every 40 seconds one person takes their life, annually 1
million people die on Earth by the means of suicide. Regardless of gender it is one of the
main 3 causes of death in the population aged between 15-29. There have a tendency
to increase of suicide rates with each passing year in the Mongolia. Therefore, our study
goal is to determine the utilized methods and to identify some of the factors influencing
the escalation of this phenomenon. The data and materials were gathered by quantitative
research method from the post-mortem examination reports provided from the
central archive of National Institute of Forensic Science according to the descriptive
research design.
The fact that the bulk of the increasing suicide cases might be attributed to the unemployed
and working-age men without any chronic illnesses suggests correlation with
gender and socio-economic status.
3.RESULT OF DISABILITY STATUS STUDY AMONG POPULATION
Tsend B ; Tserenbat M ; Naransukh D
Innovation 2017;11(2):81-84
BACKGROUND. Tn 2016, determination on the extent of disability degree, assessment
of further allowance terms of people were 5.1% of total population nationwide and
most of them commission of disability assessment and hospital-labor identification determined
cause of disabilities such as ordinary disorders, home and industrial accidents,
profession related diseases and Social Insurance and Social Welfare fund grants disability
pension. Total budget for these pensions were 158.9-252.4 billion MNT during last
5 years and it was 1.6 fold increased if compared to previous years. For nationwide
consideration of disability by percent, 41% of total disabled people completely disabled
and 59% of them incompletely disabled. There is a need to improve regulatory
framework and suitable job employment for disabled people, rehabilitation for affected
organ systems and treatment of insured people and others illnesses to get healthy.
PURPOSE: To study extent of disability degree among population of Songinokhairkhan
district during last 5 years. MATERIALS AND METHODS: We performed document analyzing
method. For statistical analyzes we used data analyzing software Stata 22.0. RESULTS:
For percentage of disability among population of Songinokhairkhan district during last 5
years showed 3.20% in 2012, 3.22% in 2013, 3.60% in 2014, 3.85% in 2015 and 3.66% in 2016
respectively. By gender status, dominantly males were affected or 2.85% of total population
and females were 1.98% affected in average status of last 5 years. By education
level, there were mainly secondary or uneducated people. By social and employment
status, unemployed people dominantly affected. CONCLUSION: There is a tendency
that may increase criteria in study of disability prevalence, circumstance and etiology
during last 5 years. Average of last 5 years, extent on disability degree and assessment
of further allowance terms of newly determination was 6.5% and people who extended
their terms were 79.5% and 14% of them cancelled. Total amount of money spent for
disabled people during last 5 years was 18.8 billion which increased by 55% from previous
budget of 8.29 billion.
4.2014-2016 ОНД УЛААНБААТАР ХОТОД ТОЛГОЙН ГЭМТЛИЙН УЛМААС НАС БАРСАН ТОХИОЛДЛУУДЫГ СУДАЛСАН ДҮН
Dolgormaa D ; Amartuvshin T ; Selenge T ; Sergelen B ; Batbayar Kh ; Tserenbat M ; Bayarmaa E
Innovation 2017;11(2):108-110
BACKGROUND OF STUDY: For the past 10 years, accidents and trauma are ranking third
in the cause of Mongolian population’s death. Russian scientists have defined that skull
and brain trauma comprise of 40% of the total traumas and is one of the serious injuries
that have damaging effect to the health. Defining its creation, injury period, death
cause in the leading direction of science of forensic medicine in our country are still the
urgent issues. Nowadays little research which studied case mortality due to accident
and trauma has been studied, this became background of our research work.
PURPOSE OF STUDY: To study cause and peculiarity of pathology of case mortality due
to brain trauma, in the condition of our country and to consider the result.
OBJECTIVE OF STUDY:
To study the cause, some risks of head injury.
To define pathology of case mortality due to head injury.
MATERIAL AND METHODOLOGY: We did retrospective study in 555 case material of an
autopsy of case mortality of head injury of forensic medicine and research department
of national institute of forensic science. Statistical work out was done by Microsoft excel
and extensive index.
RESULT OF STUDY: 84.5% (n=459) is male and 15.5% (n=86) is female out of our 555 involved
cases and the gender ratio is 5:1. The most or 81% of the research participants
had head injuries due to hitting with firm and dull stuffs and 15.9% head injury as a result
of traffic accident follows in the second place. To analyze from the characteristics of
mortality, 93% is subarachnoid hemorrhage, subdural, epidural hematoma, 64% is brain
tissue injury were detected.
CONCLUSION: Young manhood men mortality that has head injury resulted from the
firm and dull things occupies most of the percentage in our research. The head injury
can lead to the mortality of his ordinary process.
5.ШИНЖЭЭЧИЙН ЭРХ ЗҮЙН БАЙДАЛ, ТУЛГАМДАЖ БУЙ АСУУДАЛ
Mungunshagai B ; Purevjargal A ; Tserenbat M
Innovation 2017;11(2):114-116
As a result of research exploration patronage appointments to the experts from the
International Court institutes Mongolian investigators and the court, responsible for the
prosecution of all subjects are interrelated trial research organizations on what industry
experts dispute appointment, without question important to them in the case, We are
hoping that we will improve awareness of the trial research group. This case will be
much easier to defend the interests of participants in the dispute as a possible peace
party funds to resolve the case easy to save money and time. Administrative regulations
of the Criminal Procedure Code, Civil Procedure Code, Trial expert law has no regulation
of expert safety circumstance, but regulated the case participants, and the integrity
of the trial exploration object and rights. Moreover, it regulates about that expert must
explore inton of criminal case. And there is problem that anyone can threat the experts
because of lack of regulation about it. Therefore, Trial experts must provide bythe legal
framework ensure in order to protect them from any pressure and subjectively impact.
6.АМЬГҮЙ ДОНОРООС ЭД, ЭРХТЭН ШИЛЖҮҮЛЭН СУУЛГАХТАЙ ХОЛБООТОЙ ЭРХ ЗҮЙН ЗОХИЦУУЛАЛТЫН СУДАЛГАА
Innovation 2017;11(2):124-126
Mongolian legal environment was reorganized by donor regulation of brain death surgery
in 2008, and nowadays transplantation is currently dead donors is being made of
13 organs. Now it forced to take the problem of transplant organs or tissues dead donors
amendment to draft legislation and the donor of the donor are provisions designed to
protect an appropriate or a living donor, activating the dead donor. And there was no
legal regulation of the Law of dead donors cells, tissue and organ transplantation for
coordinating management, organization, system, the donor is reflected in addition to
the revised draft.
Result Analysis
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