1.Results of a comparative study on the effects of a mixture of bacterial metabolites and aloe vera (Aloe barbadensis Miller) on burn wound healing
Nyam-Erdene N ; Sevjidmaa B ; Manaljav B ; Munkhtushig O ; Barsbold M ; Otgonsuren B ; Arvinzaya B ; Uugangerel E ; ; Enkhmaa D ; ; Tsevelmaa N ; ; Nandin-Erdene M ; ; Suvdaa B ; Battogtokh Ch ; Khongorzul B ;
Mongolian Journal of Health Sciences 2026;91(1):32-37
Background:
Skin wounds can occur for many reasons, including UV radiation, mechanical burns, trauma, and chronic
inflammation caused by metabolic factors. In Mongolia, as of 2022, household burns were the top 5 causes of injuries, the
leading cause of injuries in children aged 0-5, and accounted for 18.4% of all illnesses in children aged 0-5. Skin burns
and wounds take a long time to heal, which causes emotional, aesthetic, and economic stress for doctors. Developing in
novative, effective, and low-side effects therapeutic products to improve wound healing is of great clinical and economic
importance. The lack of research on the effects of bacterial metabolites and aloe vera (Aloe barbadensis Miller) on burn
wounds was the basis for our research.
Aim:
To determine the effects of a mixture of bacterial metabolites and aloe vera on burn wounds in experimental animals.
Materials and Methods:
Eight-week-old BALB/c mice were divided into three groups: control group, bacterial metabo
lite group, and aloe vera group. The mice were anesthetized, and the dorsal hair was shaved over a 2×2 cm area using an
electric clipper. A second-degree burn wound model was created by exposing the shaved dorsal skin to hot air at 200°C for
10 seconds. A total of 100 μL of a bacterial metabolite suspension mixed with aloe vera at a 1:1 ratio was applied evenly
to the center of the wound. Wound images were captured daily, and wound areas were measured using ImageJ software.
Healing was evaluated on days 7, 14, and 21 of treatment and compared with the control group. The initial wound size was
defined as 100%, and wound closure percentages were calculated accordingly. Burn skin tissues from both experimen
tal and control groups were subjected to immunofluorescence staining for the vascular marker α-SMA (Thermo Fisher
Scientific). Statistical analysis: The differences between the control and experimental groups were analyzed using an
independent t-test using GraphPad Prism 10 software, and the mean, standard deviation, and statistical correlation were
calculated.
Results:
The effect of the mixture of bacterial metabolites and aloe vera (Aloe barbadensis Miller) on the healing of burn
wounds in experimental mice was compared with the control group. The wound size at 7 days was 82.1% in the control
group and 83.7% in the experimental group (p<0.197), at 14 days was 62.6% in the control group and 58.1% in the exper
imental group (p<0.0001), at 21 days was 50.7% in the control group and 32.7% in the experimental group (p<0.0001).
No statistically significant difference in wound healing was observed between the groups at day 7; however, significant
differences were observed at days 14 and 21. Immunofluorescence analysis revealed uniform expression of α-SMA-pos
itive cells in the experimental group at 7, 14, and 21 days of treatment, whereas α-SMA expression was not detected in
the control group.
Conclusion
The combination of bacterial metabolites and aloe vera promotes wound healing in experimental mouse
burn wounds.
2.A comparative study of clinical characteristics and severity of hemophilia
Munkhuu A ; Munkhtsetseg M ; Battogtokh Ch ; Khongorzul B ; Odgerel Ts ;
Mongolian Journal of Health Sciences 2026;91(1):49-53
Background:
Hemophilia is a congenital bleeding disorder caused by a lack of clotting factor in the blood. Hemophilia A, B, and C are caused by congenital deficiencies of clotting factors VIII, IX, and IX which are involved in thrombin generation of intrinsic coagulation pathway. Hemophilia A and B is a recessive X-linked congenital bleeding disorder but hemophilia C is typically inherited in an autosomal recessive, these are rare inherited coagulation disorders. This study was conducted based on the lack of database on the epidemiology, clinical type and severity in hemophilia in Mongolia.
Aim:
The aim of this study was to investigate the relationship between clotting factor levels and bleeding severity of hemophilia.
Materials and Methods:
A cross sectional study included a total of 30 patients with hemophilia who were registered from May to October 2025 at the Comprehensive Hemophilia Center, MNUMS. The study was approved by the Research Ethics Committee of MNUMS.
Result:
In this study 30 patients with hemophilia mean age was 18.4±15.7 years, and 96.7% were male. When categorized by age group, 13.4% (n=4) were under 4 years, 40% (n=12) were 5–13 years, 10% (n=3) were 14–18 years, 33.3% (n=10) were 19–44 years, and 3.3% (n=1) were over 45 years. Of the total cases, 83.3% (n=25) had Hemophilia A and 16.7% (n=5) had Hemophilia B. Of the total case, 80% of cases were classified as severe and 20% as moderate hemophilia. Additionally, 40% of cases had joint complications.
Conclusion
Joint bleeding was observed in 41.6% of patients with severe hemophilia and in 33.3% of those with moderate hemophilia. Target joint damage was found in 40% of the study population because 86.6% of patients were not able to receive prophylactic factor replacement therapy. Joint damage, joint deformities, reduced range of motion, and deterioration in quality of life were all adverse outcomes related to the early onset of joint bleeding.
3.Determination of non-cytotoxic dose ranges of selected plant extracts in RBL-2H3 cells
Baasandash Ts ; ; Khaliun G ; Nurbyek S ; ; Uranbileg B ; ; Anujin Ts ; ; Khongorzul B ; ; Enkhmaa D ; ; Battogtokh Ch ; ; Enkhsaikhan L ; ; Tsevelmaa N ;
Mongolian Journal of Health Sciences 2026;96(6):211-216
Background:
Globally, research on identifying bioactive compounds from medicinal plants and characterizing their in vitro and in vivo pharmacological activities is progressing rapidly. Plants native to Mongolia have adapted to unique, extreme continental climatic conditions, accumulating distinct phytochemicals, and have historically been utilized in traditional medicine and dietary practices. Establishing the non-cytotoxic safety threshold of these wild and cultivated plant extracts in RBL-2H3 mast cells a universally accepted model for type I hypersensitivity and inflammation is a vital prerequisite. Determining these baseline non-toxic dose ranges provides the essential scientific foundation for subsequent cellular allergy models, animal studies, and the elucidation of molecular mechanisms underlying their therapeutic efficacy.
Aim:
To determine the cytotoxicity profile and establish the non-cytotoxic dose ranges of extracts from four selected Mongolian plant species (wild and cultivated) in RBL-2H3 cells.
Materials and Methods:
Plant samples including lingonberry (Vaccinium vitis-idaea), strawberry (Fragaria orientalis), black radish (Raphanus sativus), and blue-berried honeysuckle (Lonicera caerulea L.) were standardly collected, authenticated, and cataloged as herbarium specimens at the Botanic Garden and Research Institute, Mongolian Academy of Sciences. A total of 12 distinct extracts were prepared from plant leaves, stems, and fruits using water and ethanol extraction, followed by concentration via rotary evaporation and freeze-drying. Rat basophilic leukemia (RBL-2H3) cells were maintained in EMEM growth medium and utilized during the exponential growth phase. Cell viability and non-cytotoxic concentration thresholds were evaluated using the MTT [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide] assay.
Result:
Ethanolic extracts of strawberry leaves, black radish, and honeysuckle leaves (≥6.25 µg/mL), as well as aqueous extracts of honeysuckle fruits (≥6.25 µg/mL) and stems (≥25 µg/mL), exhibited dose-dependent cytotoxicity. Conversely, aqueous extracts of lingonberry leaves (≤200 µg/mL), strawberry leaves (≥100 µg/mL), and black radish (≤200 µg/mL), alongside ethanolic extracts of lingonberry leaves (≥50 µg/mL), demonstrated non-cytotoxic profiles. Furthermore, ethanolic extracts of honeysuckle stems (≤300 µg/mL) and fruits (≥12.5 µg/mL), as well as the aqueous extract of honeysuckle leaves (≤50 µg/mL), significantly enhanced RBL-2H3 cell viability.
Conclusion
The tested plant extracts influenced RBL-2H3 cell viability in a solvent polarity and plant organ dependent manner. Ethanolic extracts of strawberry leaves, black radish, and honeysuckle leaves, along with aqueous extracts of honeysuckle fruits and stems, demonstrated relatively high cytotoxicity, reducing cell viability by >40% starting at concentrations of 12.5, 25, and 50 µg/mL. In contrast, aqueous extracts of strawberry leaves and black radish, as well as both aqueous and ethanolic extracts of lingonberry leaves, maintained low cytotoxicity at concentrations below 200 µg/mL. Notably, ethanolic extracts of honeysuckle stems and fruits (>12.5 µg/mL) and its aqueous leaf extract (<100 µg/mL) enhanced cell viability, exhibiting significant cell proliferation promoting activity.
4.Development of a dental caries model caused by Streptococcus mutans infection in rats
Zolzaya D ; Tumur-Ochir U ; Galindev B ; Soyolmaa M ; Battogtokh Ch ;
Mongolian Journal of Health Sciences 2026;96(6):223-227
Background:
According to the World Health Organization’s 2022 Global Oral Health Status Report, approximately 3.5 billion people worldwide - nearly half of the global population - suffer from some form of oral disease, among which dental caries is the most prevalent, affecting close to 2 billion people in permanent teeth (global average prevalence of 29%) and 514 million people in primary teeth (global average prevalence of 43%). In Mongolia, the prevalence of dental caries also remains high: a 2017 survey of 1,754 individuals from six provinces and five districts found caries prevalence of 82.9% among children under 5 years of age, 80.9% among those under 12, 97.8% among the population aged 35-44, and 99.1% among those aged 65-74. A 2010 study among Mongolian preschool and school-age children found a caries prevalence of 87.8-90%, with S. mutans identified alone in 75% of culture-positive plaque samples and together with S. sobrinus in the remaining 25%. Given the persistently high global burden of dental caries, preventing the disease rather than merely treating it - for example through “replacement therapy,” in which a less cariogenic strain of S. mutans is used to colonize the oral cavity - requires a reliable rat model in which standard and clinical strains of S. mutans can reproducibly induce dental caries, so that the efficacy of such preventive strategies can be properly evaluated. Untreated dental caries is also estimated to impose an annual global economic burden of approximately US$387 billion in direct costs and US$323 billion in indirect costs, underscoring the growing importance of research into new preventive approaches.
Aim:
Development of a dental caries model caused by Streptococcus mutans infection in rat teeth.
Materials and Methods:
This study used an experimental research design. It was conducted from March 30 to April 14, 2021, at the Core Laboratory and the Education Laboratory of the Department of Microbiology and Infection Prevention Control of the Mongolian National University of Medical Sciences (MNUMS). Ethical approval was obtained from the Medical Ethics Review Committee under the Ministry of Health (meeting No. 02, March 18, 2019). Five 8-week-old Wistar rats were divided into four experimental groups - differing by bacterial strain (S. mutans ATCC 25175 standard strain versus a clinical isolate) and by drinking-water composition (with or without sucrose) - plus one negative control group, with one rat assigned to each group. A bacterial suspension was applied to the rats’ molar teeth with a sterile cotton swab three times daily at two-hour intervals for 28 consecutive days. Rats were lightly sedated with midazolam during application, and the suspension was applied during the daytime, when salivary flow is naturally reduced in rodents, in order to promote bacterial colonization of the tooth surface.
Result:
On day 28, microscopic examination of each rat’s maxillary and mandibular teeth revealed carious spots and cavities in all groups except the sucrose-free negative control. Cavities were deeper in the groups that received sucrose-supplemented drinking water, whereas the sucrose-free groups showed comparatively milder lesions, indicating that bacterial infection alone was sufficient to induce caries.
Conclusion
Infection of 8-week-old Wistar rats with either the standard or a clinical strain of S. mutans for 28 days successfully induced dental caries, and sucrose intake increased the severity of the lesions. This baseline model can be reproduced within a relatively short time frame and at low cost, and may be applied in future studies evaluating the efficacy of replacement-therapy strains or probiotic products against dental caries.
5.Antibiotic Resistance of Helicobacter pylori in Mongolia
Oyunbaatar A ; ; Gerelmaa E ; ; Narmandakh B ; Birgit Henrich ; Battogtokh Ch ; Avarzed A
Mongolian Journal of Health Sciences 2026;93(3):78-84
Background:
Helicobacter pylori is a highly prevalent pathogen infecting more than half of the global population, with considerable geographic variation in its genetic characteristics and antibiotic resistance patterns. The EPIYA motifs of the CagA protein play a critical role in bacterial virulence; however, data on the association between CagA genotypes and antibiotic resistance remain limited in Mongolia.
Aim:
To determine the antibiotic resistance, CagA EPIYA patterns, and clarithromycin resistance-associated mutations of H. pylori strains in Mongolia, and to evaluate the agreement between phenotypic and molecular diagnostic methods.
Materials and Methods:
Gastric biopsy specimens were collected from 210 patients undergoing endoscopy and cultured for H. pylori. Antibiotic susceptibility to metronidazole, clarithromycin, amoxicillin, levofloxacin, and tetracycline was determined using the E-Test method according to EUCAST guidelines. CagA EPIYA patterns were analyzed, and clarithromycin resistance-associated mutations (A2142C, A2142G, A2143G) were detected using real-time PCR.
Result:
H. pylori was successfully cultured in 86 of 210 samples (41%), and 61 isolates were included in the final analysis. CagA-positive strains accounted for 86.9%, with a predominance of Western-type CagA (52/53), while only one East Asian-type strain was identified. Among Western-type strains, the ABC (58.5%) and ABCC (37.7%) patterns were most common. The highest resistance rate was observed for metronidazole (70.5%), followed by levofloxacin (50.9%). Clarithromycin and amoxicillin resistance were both 19.7%, whereas no resistance to tetracycline was detected. Multidrug resistance (≥2 antibiotics) was observed in 45.9% of isolates, and 14.8% showed resistance to ≥3 antibiotics. Clarithromycin resistance-associated mutations were detected in 21.3% of isolates, predominantly A2143G. The agreement between E-test and real-time PCR methods was excellent (κ=0.95, p<0.001).
Conclusion
H. pylori strains in Mongolia are characterized by a predominance of Western-type CagA, with ABC and ABCC as the most common subtypes. Notably, the AAABC and AAAAB subtypes were identified for the first time. High levels of antibiotic resistance, particularly to metronidazole and levofloxacin, as well as a substantial prevalence of multidrug resistance, highlight the need for region-specific treatment strategies. In Mongolia, H. pylori demonstrated the highest resistance to metronidazole, accompanied by a high proportion of multidrug-resistant isolates.
6.Oral mucosal pigmentation as a visible biomarker of secondhand smoke exposure: potential applications for Identifying high-risk groups and informing Tobacco control policy
Otgontsetseg D ; Delgertsetseg J ; Bayarchimeg B ; Damdindorj B ; Uurtuya Sh ; Battogtokh Ch ; Nyamdelger B ; Gurragchaa O ; Dariimaa G
Mongolian Journal of Health Sciences 2026;95(5):288-292
Background:
Conventional methods for assessing exposure to environmental tobacco smoke rely mainly on questionnaires and biomarkers with short half-lives, such as urinary cotinine. In contrast, oral mucosal pigmentation may represent a visible, non-invasive biomarker of chronic exposure. However, its clinical and policy relevance, as well as its validity for screening purposes, remain insufficiently established.
Aim:
To summarize the evidence on the association between exposure to environmental tobacco smoke and oral mucosal pigmentation and to assess some confounding factors.
Materials and Methods:
We synthesized findings from observational studies that examined the association between environmental tobacco smoke exposure and oral mucosal pigmentation across all age groups. International electronic databases, including PubMed, Embase, Web of Science, and Scopus, were searched. Data were extracted on exposure–response relationships, measurement instruments, anatomical distribution of pigmentation, confounding by physiological pigmentation, and biochemical validation. The quality of included studies was assessed using the Mixed Methods Appraisal Tool (MMAT). A narrative synthesis was conducted, focusing on the biological plausibility of the biomarker, standardization of measurement, and its potential implications for screening and tobacco control policy.
Results:
Thirteen observational studies from seven countries, involving a total of 3,284 participants, met the inclusion criteria. Four studies reported a statistically significant association between duration of exposure and severity of pigmentation, while one cohort study showed that urinary cotinine levels increased with age among children. The Gingival Pigmentation Index and the Dummett Oral Pigmentation Index were the most commonly used assessment tools; however, methodological heterogeneity limited direct comparability across studies. The anterior gingiva was the most frequently affected anatomical site. Only a limited number of studies adequately controlled for physiological pigmentation, and skin color was identified as an important confounding factor. The pooled odds ratio was 2.35; however, the certainty of evidence was low due to the observational nature of the included studies.
Conclusion
Oral mucosal pigmentation may serve as a potential biomarker of long-term exposure to environmental tobacco smoke. Nevertheless, standardized assessment protocols, adequate control for physiological pigmentation, and validation against “gold-standard” biomarkers are required. If validated, this marker could be used for rapid identification of high-risk groups and incorporated into tobacco control policies.
7.Hepatitis B virus infection and vaccination coverage among children aged 0-9 years in urban and rural areas
Bulgankhishig M ; Ser-Od Kh ; Oyu-Erdene Sh ; Shatar Sh ; Battogtokh Ch ; Gereltsetseg Z ; Khurelbaatar N ; Davaalkham D
Mongolian Journal of Health Sciences 2025;85(1):185-190
Background:
Hepatitis virus infections are widespread and highly endemic in Mongolia and ranks first in the world for
liver cancer mortality per 100,000 population, eight times the world average. The World Health Organization estimates
that more than 2 billion people are infected with the hepatitis B virus. Each year, 1 million people die from the infection,
4 million are newly infected, and approximately 350-400 million are chronic carriers. In 2018, 475 cases of viral hepatitis
were recorded nationwide, accounting for 1.1 percent of all communicable diseases, a decrease of 59 cases or 0.2 per
10,000 population compared to the previous year. In 2016, 194 WHO member countries joined forces to develop a strategy to reduce viral hepatitis, with the goal of reducing mortality by 65% and new infections by 90% by 2030. In order
to achieve this goal, the strategic goal states that each country must conduct a comprehensive public health study and
intervention on the spread of infection, risk factors, and early detection.
Aim:
Study to the coverage of hepatitis B immunization among children aged 0-9 years in urban and rural Mongolia and
to determine the influencing factors.
Materials and Methods:
A Nationwide population based cross-sectional study design was used in this study. Mongolia
is geographically divided into the western, Khangai, eastern, and central regions. A total of 14 provinces were selected
randomly in addition to Ulaanbaatar city. The appropriate sample size was estimated at 4500 children aged 0-9 years,
based on 2019 demographic data from the National Statistics Office.
The questionnaire contained closed and semi-closed questions on demographics, socio-economic status, vaccination history and etc.
Results:
A total of 5027 children aged 0-9 years were enrolled in this study out of which 33.7% (n=1692) and 66.3%
(n=3335) were enrolled from capital city Ulaanbaatar and provinces, respectively. Almost half (n=2552) of the study participants were boys whereas the remaining were girls 50.0% (n=2554). According to the history of Hepatitis B vaccination
by questionnaire of parents’, 91.2% [91.2-92.0] were vaccinated with Hepatitis B. The proportion was 89.7% [89.7-90.8]
and 94.1% [94.1-95.2] in rural and urban areas, respectively. Nearly 90% [89.6-90.5] of children were vaccinated in hospitals, 2.3% [2.0-5.0] were vaccinated at home, 8.1% [7.9-10.7] were unaware of the study participants’ location of vaccination. There were no statistically significant differences by urban and rural residences. Vaccination coverage against
Hepatitis B was 91.5% (n=2300) and 90.9% (n=2284) among boys and girls, respectively and 89.6% (n=4506) were vaccinated at hospitals. Vaccination coverage were similar by sex. We also used Health Documents /pink book of children/
or vaccination card for each child to determine the coverage. According to the data from the children’s vaccination card
and health documents’, 917 (18.2%) children were not vaccinated against hepatitis, 57 (1.1%) children received 1 dose,
235 (4.7%) children received 2 doses, and 3818 (75.9%) children received all 3 doses of hepatitis B vaccine. There was
no significant difference by sex, though the coverage varied by age. For instance, proportion of children with no written
documentation in the vaccination card was 13.5% among children aged 1 years that increased to 22.5% and 25.3% among
children aged 8 and 9 years, respectively. In contrast the coverage rate of 3 doses of hepatitis B vaccination declined from
77.8% to 70.7% among children aged 1 years and 9 years, respectively. Hepatitis B vaccination coverage according to the
vaccination card was different by provinces and within the districts of Ulaanbaatar city.
Conclusion
A total of 5027 children aged 0-9 years were included in the study, of which 917 (18.2%) children were not
vaccinated against hepatitis, 57 (1.1%) children were vaccinated against the first dose, 235 (4.7%) children were vaccinated against the second dose, and 3818 (75.9%) children were fully vaccinated against the first-third dose. Although
the coverage of the study participants varied depending on age and place of residence, no significant differences were
observed in terms of gender. The current rate of children who are not fully vaccinated stands at 18.2%, emphasizing the
need to ensure all children receive full vaccinations for hepatitis B and the required five doses as per the schedule. Furthermore, it is essential to mandate booster vaccinations for those with delayed immunizations and improve the accuracy
of registration data.
8.Assessment of Prebiotic Activity of Xylooligosaccharides Extracted from Food Industry By-Products via Microwave assisted enzymatic hydrolysis
Odgerel Ch ; Purevdulam E ; Anuujin G ; Buyankhuu T ; Munkhjargal B ; Battogtokh Ch ; Munkhtsetseg J
Mongolian Journal of Health Sciences 2025;86(2):183-190
Background:
This study explores the potential of food industry by-products, such as plant peels, stems, and slags, as
valuable sources of lignocellulosic material (LCM), which contains 25-40% xylan. These underutilized resources, often
discarded as waste, hold the promise of sustainable applications in biotechnology. By safely extracting xylooligosaccharides
(XOS) from LCM biomass, the value of these materials can be significantly enhanced, contributing to green production
and supporting sustainable development. XOS, recognized for its prebiotic activity, has been shown to promote the
growth of beneficial gut bacteria, making it a vital research area in the fields of food science, medicine, and technology.
Aim:
To extract and characterize oligosaccharides derived from by-products of the food industry, evaluate their physicochemical
properties, and investigate selected biological activities.
Materials and Methods:
This study utilized microwave pretreatment and enzymatic hydrolysis to isolate and purify
XOS from wheat bran and brewers’ spent grains (BSG), provided by Altan Taria LLC and APU CoL, respectively. Microwave
irradiation at 200°C for 5 minutes was employed as a pretreatment step, followed by hydrolysis using commercial
xylanase (Thermomyces lanuginosus, recombinant Aspergillus oryzae, 2500 BXU/g) at 55°C for 24 hours. The resulting
hydrolysate underwent filtration with activated carbon and ethanol precipitation to yield purified XOS. Analytical methods,
including FTIR spectroscopy, TLC and HPLC, were used for structural and compositional analysis of the purified
oligosaccharides. In vitro tests evaluated the ability of XOS to support the growth of beneficial gut bacteria, including
Bifidobacterium spp., Lactobacillus fermentum (ATCC 9338), and Lactobacillus casei (ATCC 344), using XOS-enriched
media. Additionally, in vivo studies were conducted on rats to determine the biological effects of XOS on gut microbiota.
Results:
The results demonstrated that prolonged enzymatic hydrolysis for more than 10 hours, using 0.25 g of xylanase
per 100 g of substrate, resulted in optimal yields. XOS purity was measured at 87.6% with an 8.1 g yield from wheat bran
and 89% purity with a 7.2 g yield from brewers’ spent grains. Structural analysis confirmed the presence of xylobiose,
xylotriose, and xylotetraose, with xylotetraose being the most abundant component in WBP-XOS (47.5%), and xylobiose
dominating BGS’s derived XOS (47.8%). Biological effects revealed that wheat bran-derived XOS significantly supported
the growth of Bifidobacterium spp. and L. fermentum (ATCC 9338) in a concentration-dependent manner, whereas
no significant effect was observed on L. casei (ATCC 344). In vivo studies confirmed that XOS consumption increased
populations of Bifidobacterium spp. and Akkermansia muciniphila spp. in gut microbiota (p<0.05). Furthermore, XOS
consumption reduced plasma cholesterol, triglycerides, and LDL-C levels while increasing HDL-C levels, demonstrating
metabolic benefits.
Conclusion
This research establishes that XOS with prebiotic activity can be efficiently extracted and purified from food
industry by-products using microwave-assisted enzymatic hydrolysis. This approach highlights the potential of utilizing
agricultural and industrial waste for producing functional prebiotics, contributing to sustainable practices and offering
valuable applications in health and nutrition.
9.Result for comparative study of automatic analyzer and vaginal smear test for diagnosis of vaginal secretion
Nomin-Erdene B ; Battogtokh Ch ; Batsuren Ch
Mongolian Medical Sciences 2022;200(2):8-15
Introduction :
Women’s age and reproduction system are always changed from many factors such as communicative and non- communicative diseases, pregnancy and menopause et cetera. Especially, the kinds of vaginal microflora and their proportions are changed too. In the world, the expansion of women’s vaginitis from bacteria was over 29.2% in 2021. For our country, 7486 as 6.9% vaginitis cases occurred within 10,000 people and 3683 as 26.3% cervical inflammation cases occurred by 2019. Vaginitis is asymptomatic for 50-75% of women. Sometimes it is not easy to diagnose vaginitis from bacteria because the fact that it doesn’t create a single type of bacteria. To diagnose vaginitis from bacteria in practice, Amsel’s criteria and Nugent testing methods are mostly used. The methods need much time, doctors’ skills and laboratory devices. It is a disadvantage of these methods. Thus, it needs to find a special method it meets people’s satisfaction, money-saving and more effective.
Goal:
Comparative research on the traditional and automatic testing methods for vaginal secretion
Materials and Methods:
We included 47 women in menopause age in analytic study design. All test of participants was tested with Nugent score and automatic analyzer. Data were analyzed using SPSS 25.0 version interpreted according to frequency distribution and percentage. A chi – square test and risk test was used to determine significant association wherever applicable with a p-value of less than 0.05 regarded as significant. The sensitivity, specificity, positive predictive value, and negative predictive value of Automat analyzer were calculated, and each component of Automat analyzer was compared to the Nugent scoring system.
This study protocol was approved by the ethics committee of “Mongolian National University of Medical Sciences” university.
Results:
Evaluating the vaginal discharge from participants in the research by Nugent score, 17% (8/47) of them had bacterial vaginitis, 34% (16/47) was uncertain or they needed to be tested again, 17% (9/47) was normal. But evaluating their test of vaginal discharge by GMD-S600 automatic analyzer, 17% (8/47) had Fungal vaginitis, 57,4% (27/47) had Bacterial vaginitis, 25,5% (12/47) lost their uterus acidic balance. Evaluating the reason of vaginitis with device test by Nugent test, it fits 17%. The test diagnoses it very effective in statistics.
Conclusion
Comparing traditional method to automatic analyzer testing method for vaginal secretion, the automatic analyzer method is more effective to diagnose and it has an advantage of detecting vaginal abnormality. Also, working unhealthy condition, smoking, making wash are the defends of having vaginitis.
10.The study of the intestinal microbiota among Mongolian Adults, it related some factors
Saruuljavkhlan B ; Battogtokh Ch ; Enkh-Amar A ; Otgonjargal B ; Otgonbileg J ; Anuujin G ; Gerelmaa E ; Bira N
Mongolian Medical Sciences 2019;188(2):3-11
Background:
The intestinal microbiota of Mongolians and its composition is of great interest of researchers, a few studies
have did in this fields. Maybe Mongolian encompass a uniquely wide range of environmental conditions, ethno
geographical cohorts and traditional nomadic lifestyles.
Goal:
We aimed to determine the amount of gut microbiota, including Lactobacillus and Bifidobacterium in the fecal
samples of relative healthy Mongolian adults residing in various regions of Mongolia by conventional culture
method and PCR.
Material and Methods:
The study was performed population based cross sectional study in healthy volunteers. In this study, 256
relative healthy Mongolian adults with no history of gastrointestinal associated diseases were enrolled
between July 2018 and April 2019. Each participants was asked to complete a questionnaire containing 164
questions about demographics, physical activity, dietary habits. Fecal samples were collected for Lactobacillus
and Bifidobacterium analysis using culture method and determination of genus of Bifidobacterium sрp and
Lactobacillus spp by PCR.
ResultsParticipants had a mean age of 38.9±12.8 years. The mean values of Lactobacillus
by culture method were 5.9±1.28 and 6.24±0.94 log10 CFU/ml (4.67х106
, 4.66х106 CFU/ml), respectively. The
abundance of Lactobacillus had a positive correlation with grams for fiber and amount of bifidobacterium ((r=
0.495, р<0.001, r=0.288, p<0.05), respectively). Significant difference were observed between groups of milk
frequency per day for amounts of lactobacillus. In adult intestinal tracts, B.Bifidum was the most common taxon
31 (29%) followed by B. angulatum 14 (13.1%), B. adolescentis 10 (9.3%), B. catenulatum group 10 (9.3%), B.
longum 9 (8.4%). B. lactis, B. breve, B. dentium and B. gallicum were subdominant species.
Conclusion:
The mean amount of Bifidobacterium and Lactobacillus of all participants were 6.24±0.94 and 5.9±1.28 log10
CFU/ml (4.66*106
, 4.67*106
CFU/ml) respectively. The Lactobacillus abundance of healthy adults was higher in
region of Khangai, East and West of Mongolian than other regions. The composition of lactobacillus altered with
ageing. Significant correlations were found between fiber, fats, potato and amount of Lactobacillus.
Keywords: Bifidobacterium, Colony forming unit, Gut microbiota, Lactobacillus
Result Analysis
Print
Save
E-mail