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    Determination of Survival Time Following Isolated Head Trauma by Histopathological Method
    (Mongolian National University of Medical Sciences, 2018-12-29) ;
    Zhi Xiong Wang
    ;
    ; ;
    Objectives: The objectives of this study were determine the demographic characteristics of patients who died from isolated head injuries having no surgery and to determine their survival time based on histopathological changes in the injury hematoma and brain. Methods: Between 2016 and 2017 the Department of Forensic Medicine of the National Institute Forensic Science recorded 3640 deaths of which 757 cases had skull and brain trauma. A subset of 372 of these patients with isolated head trauma who did not have surgery were analyzed. The tissues from 30 of these patients underwent histopathological analysis to determine the time from injury to death. Results: Out of 372 cases studied, 152 (83%) were male, 32 (17%), were female (male to female ratio 5:1) and most (n=53, 28.8%) were within 40-49 years of age (mean age 42±15.9). Trauma to the anterior head was the most common location of injury (257, 69.1%). We identified 30 cases to estimate time from injury to death by histological examination using Martius Scarlet Blue stain. Among these cases 10 died between 0-6 hours after head trauma, 2 died between 6-12 hours, 13 cases died between 12-18 hours, 3 cases died between 18- 24 hours, 1 case died 24-48 hours, and 3 cases died 48 hours after head injury. Conclusion: Males who suffered death from traumatic head injuries from blunt objects were most frequently identified in our research. Brain edema, subarachnoid hemorrhage, frontal skull fracture and brain contusion were most common. The interval of time from the head trauma to death was determined by the age of the fibrin using histochemistry stain.
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    A Study of Head injury-related mortality in Ulaanbaatar of Mongolia, 2018-2020
    Background: This study aims to determine the causes and risk factors of head injury cases, and causes of head injury-related mortality. Methodology: All deaths registered in Department of Forensic Medicine, National Institute Forensic Science, National Trauma and Orthopedic Research Center from 2018 to 2020, total 5450 mortality cases were reviewed and 536 head injury-related cases were collected for this study. Results: We reviewed 536 head injury-related deaths, which represented 8% of all mortality cases during 2018-2020. 470 (87.7%) were male and 66 (12.3%) were female. Male to female ratio was 7:1 and mean age was 42±15. Among head injury-related deaths, 363(67.7%) cases were from direct by firm and dull stuffs, 130(24.3%) from road traffic accidents and 34 (6.3%) falls from height. One hundred eighty three cases (34.1%) showed alcoholic consumption at the injury time. By the characteristics of injury, 286 (53.3%) cases showed subdural, 129 (24%) epidural hematoma, 400(74.6%) subarachnoid hemorrhage, and 332 (64%) cases showed cerebral contusion. Conclusion: Male adults have more deaths due to direct head injury from assaults. Head injury progresses to death by its own pathogenesis.
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    COVID-19 цар тахлын хөл хорионы үед Улаанбаатар хот дахь гавал тархины гэмтлийн судалгаа
    (2021-09-01) ;
    Э.Шинэцэцэг
    ;
    Х.Батбаяр
    ;
    ;
    Э.Баярмаа
    Дэлхий дахинд тархаж буй корона вируст халдвар COVID-19 цар тахлын үед манай улсад халдвар илэрснээс хойш 2020 оны 11 дүгээр сарын 11-нээс хойш шүүх эмнэлэгт бүртгэгдсэн гэмтлийн шалтгаант нас баралт болон гэмтлийн зэрэг тогтоох үзлэгийн тоо эрс буурсан бөгөөд бид хөл хорионы үеийн гавал тархины гэмтлийн улмаас нас барсан тохиолдлуудын шалтгаан, зарим нөлөөлөх хүчин зүйлийг харьцуулан судалсан юм. Корона вируст халдвар COVID 19–ийн цар тахлын хөл хорионы дэглэмийн үед бүртгэгдсэн гавал тархины гэмтлийн шалтгаан нас баралтад эрэгтэйчүүд дийлэнх нь өртөж, өмнөх оны мөн үеийнхтэй харьцуулахад 18.5 хувиар буурч, харилцан зодоон, зам тээвэр, санамсаргүй ослын шалтгаант нас баралт багассан байна. Харин өндрөөс уналт, амиа хорлолтын шалтгаант нас баралт нэмэгдсэн нь цар тахлын хөл хорионы үед гэр бүлийн хүчирхийлэл, стресст нөхцөл байдал нөлөөлж байна гэж дүгнэв.