1.Studies on structure and maturation of the ovaries in girls
Solongo O ; Bolorzaya Ts ; Ariungerel G ; Myadagmaa D ; Enkhee N ; Dagdanbazar B
Mongolian Medical Sciences 2018;185(3):132-137
Since a human being was born, female reproductive organs, particularly the structure and function
of the ovaries are constantly changing. The findings of overseas studies referred hereunder show
that the ovarian follicular growth and atresia in young girls occur simultaneously, continuously and
actively. The histopathology and ultrasound examination of the ovaries in girls were similar in principles. We found that ovarian maturation is influenced by hormonal stimulation, not only by age. In
the most of the study, ovarian follicles were divided into two groups; as micro-cysts (<9mm) and
macro-cysts (>9mm).
In every country, physical development of inhabitants shall be researched academically in every 5 to
10 years, comparing to geography, nature, weather conditions, culture, occupation and livelihood of local residents, in connection with the social and economic development of the country; urban and
rural areas. In the studies regarding physical growth and development of Mongolian children’s body, structure and maturation of the ovaries in girls have not been determined. However, in 1996, Tuul M.
studied ovarian measurements in Mongolian adults sampling organs from cadavers. Fundamental
research determining the characteristic of ovarian structure and maturation in Mongolian girls and
comparing results with an onset of puberty is needed to be developed.
2. Fall Risk Assessment Among Residents of Ulaanbaatar
Bolor-Erdene M ; Amarsaikhan D ; Amarsaikhan L ; Borte E ; Myadagmaa J
Mongolian Journal of Health Sciences 2025;88(4):71-74
Background:
Globally, approximately 684,000 deaths occur annually due to falls. In Mongolia, 47 individual aged
between 45 and 85 have died as a result of falls. Therefore, there is a pressing need to assess fall risks among the general
population in Mongolia and identify risk factors to prevent accidents and injuries.
Aim:
To assess the risk of falls among individuals aged 45 years and older who are receiving care at tertiary-level referral
hospitals in Ulaanbaatar, Mongolia.
Materials and Methods:
A cross-sectional study was conducted involving 408 participants aged 45 years and above who
were attending tertiary-level hospitals in Ulaanbaatar. Fall risk was assessed using the internationally recognized Falls
Risk Assessment Tool (FRAT) questionnaire. Data were analyzed using SPSS version 26.0.
Results:
The mean age of the participants was 59.24±6.54 years; 40% were male and 60% were female. Among the
participants, 45.3% (n=185) were categorized as low risk, 33.6% (n=137) as moderate risk, and 21.1% (n=86) as high risk
for falls. Logistic regression analysis was performed to identify significant risk factors associated with falls. Key factors
included: slippery shoe soles (OR=0.226, 95% CI: 0.119–0.428, p=0.001), performing unexpected hazardous movements
while changing positions (OR=0.262, 95% CI: 0.143–0.480, p=0.001), use of assistive walking devices (OR=0.209, 95%
CI: 0.110–0.397, p=0.001), anxiety or unstable mental status (OR=0.276, 95% CI: 0.148–0.514, p=0.001), tendency
to resist instructions or behave stubbornly (OR=0.330, 95% CI: 0.183–0.596, p=0.001), difficulty in recognizing the
surrounding environment (OR=0.354, 95% CI: 0.187–0.671, p=0.001), and a history of previous falls (OR=4.737, 95%
CI: 2.151–10.429).
Conclusion
1. Based on the FRAT assesment, 45.3% of participants had low fall risk, 33.6% moderate risk, and 21.1% high risk.
2. Risk factors such as sudden movements, the use of assistive devices, and emotional instability significantly influ
ence fall risk assessment, and individuals with a history of previous falls are 4.7 times more likely to experience
another fall.