Background: As the trend of pharmaceutical care around the world shifts to client-centered care, there is a need for new pharmacists to improve their knowledge and skills, learn psychological skills, provide customers with health education, and improve the rational use of drugs and pharmacological services. Objective: This study is based on the fact that no research has been conducted in Mongolia on factors that affect burnout syndrome and social-psychology of pharmacists. Literature review: The following are internationally accepted methods of assessing sociopsychological risks to determine the socio-psychological factors associated with the work and occupation of workers and their impact on health and safety. These include:
Burnout Measue-BM, 1981 (Pines & Aronson 1988). A method of measuring burnout, physical and emotional fatigue, and mental exhaustion. (Bazarragchaa, 2020)
The Copenhagen Psychosociol Questionnaire COPSOQ (Christenson et al. 2005) focuses on socio-psychological factors, stress, personal health, well-being and individual factors (style, sense of mutual understanding, etc.).
The Copenhagen Burnout Inverntory (CBI, 2005) examines fatigue, exhaustion, and work-related burnout as well as customer-related burnout. Conclusion There are more than 40 definitions of “Burnout syndrome”. The “Maslach Burnout Inventory” has become the “Gold standard” for assessing the burnout of service workers. The Copenhagen Burnout Inverntory (CBI, 2005) studies fatigue, exhaustion, and individual, work-related and customer-related burnout.

In this study we aimed to check a hypothesis about water sound (WS) effect can stimulate parasympathetic nervous system. A case-control study design was used. The students in control group did not listen WS, whereas students in case groups had been influenced under WSE by 3 different ways, including audio, video and shower. Data base had been obtained by performance of stress test, measurements of systolic and diastolic pressure, and counts of pulse. For statistical analysis, IBM SPSS 20.0 and Graphpad prism 7.0 were used. Interestingly, 92% of total students had stress. There were no differences between groups before WS effect. After WS effect, ANOVA test detected differences in diastolic pressure (ANOVA, F=6.209, p=0.001), stress score (F=15.21, p<0.001). Paired test was utilized to compare mean of values between before and post WS measurements, finding SP (p=0.001), SS (p<0.001) categories. It showed an effective WS influence. Chi-square test indicated that stress level of all students decreased significantly (p<0.001). But there were no differences between 3 methods of water therapy. In conclusion, WS has an effect of stimulation in immune system, useful for some diseases, in which parasympathetic system decrease and sympathetic system increases.

Нойр булчирхайн цочмог үрэвсэл, эмнэлзүйн урьдчилан тооцоолох дүрэм, Ranson –ийн шалгуур, APACHE II-ийн шалгуур A clinical prediction rule is a type of medical research study in which researchers try to identify the best combination of medical sign, symptoms, and other findings in predicting the probability of a specific disease or outcome. More than 80% of all patients with acute pancreatitis recover promptly without developing severe pancreatitis. The presence of early organ failure (within 24 hours of admission), multiple-organ system failure, and persistent or progressive (present beyond 48 hours after admission) organ failure are associated with prolonged hospitalization, ICU admission, need for surgery, and death. In high developed country, Ranson and APACHE II prognostic criteria are used in order to evaluate patient´s situation and modified treatment tactics. That is give an idea us to carry out retrospective study, by using patients´ documents, who hospitalized in National central hospital in last year. As result, according to Ranson´s criteria 13 (31.7%) of all patients had 0-2 score, which means mortality risk was 1.8%, 20 (48.8%) had 3-4 score (mortality risk is 11%), 8 (19.5%) were estimated 5-6 score, having 33% of mortality risk. Whereas, regarding to APACHE-II criteria 14 (34.2%) of total patients had score of 0-4, showing 4% of mortality risk, 23 (56.1%) were scored 5-9, having 8% of risk, 3 (7.3%) were scored 10-14, having 15% of risk, 1 (2.4%) had 15-19 score, having 24% of risk. Moreover, we determined that incomplete laboratory test, meaning essential prognostic criteria not used in Mongolia.