Secular Changes in Mongolia: Shift in Tempos of Growth

The patterns of secular changes in children and adolescents of the city of Ulаan-Baatar in the Republic of Mongolia measured in 2010–11 by the authors and in the group of children observed by Uranchimeg in the same place in 19891 have been analyzed. Total number of the investigated children and adolescents from 9 to 17 years of age was 1351. The last survey was conducted in accordance with bioethical procedures. The program included standard anthropometric measurements, descriptive characteristics2 and pubertal stages evaluation3. Mean age of development of secondary sexual characteristics was calculated graphically. For most of the anthropometric indices significant differences between the Mongolian teenagers of two series of measurements were revealed. The patterns of secular changes in body size confirmed the interaction of »tempo and amplitude«4: significant changes in pubertal growth were observed with the same average values at 16–17-year old boys and girls. The increase in body circumferences observed in modern Mongolian schoolchildren was possibly based on the increase of body fat component, parallel to the global trend worldwide

Secular Changes in Mongolia: Shift in Tempos of Growth

The patterns of secular changes in children and adolescents of the city of Ulаan-Baatar in the Republic of Mongolia measured in 2010–11 by the authors and in the group of children observed by Uranchimeg in the same place in 19891 have been analyzed. Total number of the investigated children and adolescents from 9 to 17 years of age was 1351. The last survey was conducted in accordance with bioethical procedures. The program included standard anthropometric measurements, descriptive characteristics2 and pubertal stages evaluation3. Mean age of development of secondary sexual characteristics was calculated graphically. For most of the anthropometric indices significant differences between the Mongolian teenagers of two series of measurements were revealed. The patterns of secular changes in body size confirmed the interaction of »tempo and amplitude«4: significant changes in pubertal growth were observed with the same average values at 16–17-year old boys and girls. The increase in body circumferences observed in modern Mongolian schoolchildren was possibly based on the increase of body fat component, parallel to the global trend worldwide

Secular Changes in Mongolia: Shift in Tempos of Growth

The patterns of secular changes in children and adolescents of the city of Ulаan-Baatar in the Republic of Mongolia measured in 2010–11 by the authors and in the group of children observed by Uranchimeg in the same place in 19891 have been analyzed. Total number of the investigated children and adolescents from 9 to 17 years of age was 1351. The last survey was conducted in accordance with bioethical procedures. The program included standard anthropometric measurements, descriptive characteristics2 and pubertal stages evaluation3. Mean age of development of secondary sexual characteristics was calculated graphically. For most of the anthropometric indices significant differences between the Mongolian teenagers of two series of measurements were revealed. The patterns of secular changes in body size confirmed the interaction of »tempo and amplitude«4: significant changes in pubertal growth were observed with the same average values at 16–17-year old boys and girls. The increase in body circumferences observed in modern Mongolian schoolchildren was possibly based on the increase of body fat component, parallel to the global trend worldwide

Multicenter study of device-associated infection rates in hospitals of Mongolia: Findings of the International Nosocomial Infection Control Consortium (INICC)

Methods: A device-associated health care-associated infection prospective surveillance study in 3 adult intensive care units (ICUs) from 3 hospitals using the U.S. Centers for Disease Control and Prevention (CDC) and National Healthcare Safety Network (NHSN) definitions and INICC methods. Results: We documented 467 ICU patients for 2,133 bed days. The central line-associated bloodstream infection (CLABSI) rate was 19.7 per 1,000 central line days, the ventilator-associated pneumonia (VAP) rate was 43.7 per 1,000 mechanical ventilator days, and the catheter-associated urinary tract infection (CAUTI) rate was 15.7 per 1,000 urinary catheter days; all of the rates are higher than the INICC rates (CLABSI: 4.9; VAP: 16.5; and CAUTI: 5.3) and CDC-NHSN rates (CLABSI: 0.8; VAP: 1.1; and CAUTI: 1.3). Device use ratios were also higher than the CDC-NHSN and INICC ratios, except for the mechanical ventilator device use ratio, which was lower than the INICC ratio. Resistance of Staphylococcus aureus to oxacillin was 100%. Extra length of stay was 15.1 days for patients with CLABSI, 7.8 days for patients with VAP, and 8.2 days for patients with CAUTI. Extra crude mortality in the ICUs was 18.6% for CLABSI, 17.1% for VAP, and 5.1% for CAUTI. Conclusion: Device-associated health care-associated infection rates and most device use ratios in our Mongolian hospitals' ICUs are higher than the CDC-NSHN and INICC rates

International Nosocomial Infection Control Consortium report, datasummary of 50 countries for 2010-2015 : Device-associated module

Q3Artículo original1495-1504Background: We report the results of International Nosocomial Infection Control Consortium (INICC) sur-veillance study from January 2010-December 2015 in 703 intensive care units (ICUs) in Latin America,Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific.Methods:During the 6-year study period, using Centers for Disease Control and Prevention National Health-care Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DA-HAI), we collected prospective data from 861,284 patients hospitalized in INICC hospital ICUs for an aggregateof 3,506,562 days.Results:Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAIrates were higher in the INICC ICUs: in the INICC medical-surgical ICUs, the pooled rate of central line-associated bloodstream infection, 4.1 per 1,000 central line-days, was nearly 5-fold higher than the 0.8per 1,000 central line-days reported from comparable US ICUs, the overall rate of ventilator-associatedpneumonia was also higher, 13.1 versus 0.9 per 1,000 ventilator-days, as was the rate of catheter-associated urinary tract infection, 5.07 versus 1.7 per 1,000 catheter-days. From blood cultures samples,frequencies of resistance ofPseudomonasisolates to amikacin (29.87% vs 10%) and to imipenem (44.3%vs 26.1%), and ofKlebsiella pneumoniaeisolates to ceftazidime (73.2% vs 28.8%) and to imipenem (43.27%vs 12.8%) were also higher in the INICC ICUs compared with CDC-NHSN ICUs.Conclusions:Although DA-HAIs in INICC ICU patients continue to be higher than the rates reported inCDC-NSHN ICUs representing the developed world, we have observed a significant trend toward the re-duction of DA-HAI rates in INICC ICUs as shown in each international report. It is INICC’s main goal tocontinue facilitating education, training, and basic and cost-effective tools and resources, such as stan-dardized forms and an online platform, to tackle this problem effectively and systematically

Land cover patterns in Mongolia and their spatiotemporal changes from 1990 to 2010

© 2019, Saudi Society for Geosciences. Mongolia is in the hinterland of the Mongolian Plateau, which has a varied, fragile, and sensitive geographical environment. Understanding its land cover pattern and change is of great significance for the resources, environment, ecology, and sustainable development of the Mongolia Plateau and Northeast Asia. In this study, land cover products of Mongolia in 1990 and 2010 were obtained via Landsat thematic mapper remote sensing images using an object-oriented classification method. The overall classification accuracies were 82.26% and 92.34%, respectively. Based on the products, the land cover patterns of Mongolia in 2010 and the land cover changes from 1990 to 2010 were analyzed. The spatial pattern presented an obvious regional difference and a land cover type transition from forests, real steppes, and desert steppes to barren from north to south. The provinces with the highest grassland and forest cover were Dornod in Eastern Mongolia and Selenge in Northern Mongolia. From 1990 to 2010, the area of forest, real steppe, cropland, and sand presented a decreasing trend and decreased by 27337.47, 24071.44, 5256.6, and 3868.16 km2, respectively. The area of meadow steppe, desert steppe, bare land, and desert showed an increasing trend and increased by 2943.32, 27815.71, 27721.03, and 2110.26 km2. Our results indicate that the vegetative cover of Mongolia showed a decreasing trend, and the desertification was severe. These changes could be attributed to a combination of climate change, increased livestock grazing and natural disasters, socioeconomic shifts, and exhaustive exploitation of natural resources