Background: Acute appendicitis is an inflammatory disease and acommon cause of acute abdominal pain. The application of the sophisticated automated hematology analyzer more precisely define the morphology changes blood cells. According to this diagnose and treatment control issues are solved by easy and not expensive way. Recent studies haveshown that there is a negative correlation between platelet count (PC) and MPV and that theratio of these two values may be more meaningful. The aim of our study was to investigate thediagnostic value of MPV and the MPV/PC ratio in acute appendicitis. Methods: The patients were divided into two groups based on their histopathological findings: the uncomplicated and complicated appendicitis groups. Leukocyte count, PC, MPV and the MPV/PC ratio were compared all groups. Results: Total of 186 patients, including 119 men, were included in the study. The average age of all patients was 10.21±1.22 years. There was statistically significant difference of some parameters in peripheral blood between the uncomplicated and complicated appendicitis groups in terms of all index. (p<0.001). Leukocyte count had a strong discriminatory property based on the area under curve (AUC) 0.714, (p<0.001). MPV, PC and the MPV/PC ratio had weak discriminatory power with AUC values <0.663. Using receiver operating characteristic (ROC) analysis, the sensitivity and specificity of MPV were 81.56and 45.7%, respectively, and 63.78% and 71.06%, respectively, for the MPV/PC ratio. Conclusions In our study, MPV and the MPV/PC ratio were useful in the diagnosis of acute appendicitis.

Background: Children with developmental disabilities benefit from support in motor skills, sensory processing, cognitive development, and social skills. Mongolia has trained occupational therapists for a decade, with 37% specializing in pediatrics, but long-term therapy facilities remain limited. Aim: This study provides a case report on a child with developmental disabilities who received occupational therapy to evaluate improvements in sensory processing, social communication, and daily living skills. Materials and Methods: The study participants were purposively selected from children undergoing occupational therapy at the “Enerel” Child Development Center. Participant A is a 16-year-old male with hearing and speech impairments, as well as an intellectual disability. The initial assessment showed poor sensory processing and behavioral problems and communication difficulties. A tailored program incorporating sensory-based therapies, communication cards, and sign language was developed with caregiver collaboration. Occupational therapy was conducted five times weekly for 11 weeks. Pre and post test assessments included goal attainment scaling (GAS) and Sensory profile 2 (Child). Results: The participant showed improved communication using cards and sign language, better emotional regulation, enhanced sensory processing, and reduced hyperactivity to external stimuli. Goal Achievement (GAS) +2, meaning the goal was achieved better than expected and positive changes were found on the Sensory profile 2, with large effect sizes. Conclusion The study found that sensory- based occupational therapy and sign language training improved occupational performance and goal achievement in children with sensory, behavioral, and communication difficulties.

Introduction: In 2007, ” National innovation Development Program in Mongolia” was adopted by 306th act of Mongolian government and indicated that its important to focus attention to research outcomes become real productions based on scientific knowledges, experiences, skilled personnel and possibility of laboratory and production. In Mongolian and Tibetan traditional medicine have been used many herbal and animal preparations has biological active compound with anti inflammatory effect for the treatment of wound healing and ulcer. One of them, Cacalia hastata L. is a medicinal plant, which is widely used for the treatment of wound healing, cholangitis and gastroduodenal ulcer in the Mongolian and Tibetan traditional medicine. It is appropriate to prepare film coated tablet for the treatment of gastric and duodenal ulcer, gel for the treatment of wound healing. Purpose: To prepare film coated tablet for the treatment of gastric and duodenal ulcer, gel for the treatment of wound healing from semi-solid extract of Cacalia hastata L. and determine their quality criteria. Material and methods: Herb of Cacalia hastata L. was collected as a raw material from Terelj in July 2009; from Batsumber soum, Tuv aimag province in July 2010, 2011. For determining of quality of semi-solid extract and new drug formulations were evaluated biological activity compounds such as alkaloid, carotenoid and flavonoid by spectrophotometric method. We prepared film coated tablet by wet granulation and film coating method and gel by dispersion method. Tests for significant differences between means were performed by one sample t-test and One way ANOVA using the software SPSS 16. Differences were considered significant at p<0.05. Results: We prepared tablet from semi-solid extract of Cacalia hastata L. For preparing the film coated tablet used mixture solution of 8 % gelatin and 6 % sodium carboxymethylcellulose as a binder, sodium carbonate as diluents. The tablet was coated 5% solution of hydroxypropylmethylcellulose with 10 % polyethyleneglycol as a film former used traditional coating pan. Film coated tablet was standardized by such criteria, as appearance (colour, smell), the average weight, amount of biologically active compound, hardness, disintegration, dissolution and bacterial contamination. We prepared Cacalia gel from semi-solid extract of Cacalia hastata L. using various excipients and determined quality criteria, developed technological scheme of preparing. Gel was standardized by such as criteria: appearance (color, smell), the amount of biologically active compound, pH, viscosity, spreadability, extrudability and bacterial contamination. Conclusions: 1. Developed technology of preparing 0.3 gram film coated tablet from semi-solid extract of Cacalia hastata L. and determined quality criteria. 2. Developed technology of gel from semi-solid extract of Cacalia hastata L. and standardized its quality.