1.Development of Desing of Denture and Treatment Issues
Nergui J ; Odonchimeg M ; Purevjav N
Mongolian Medical Sciences 2009;148(2):9-11
Background An impotant step in maintaining smile to replace missing teeth. When teeth are missing, the remaining ones can change position, drifting the surruonding space. Teeth that are out of position can damage tissues in the mouth. A denture helps you properly chew food, a diffi cult task when you are missing teeth. In addition, a denture may improve speech and prevent sagging face by providing support for lips and cheeks. A partial denture is suitable for those who have some natural teeth remaining.While missing one and two adjacent teeth can often be best restored fi xed bridge or implant, partail denture work best to replace multiple missing teeth. Removable partial denture usually consist of replacement teeth attached to pink or gum- colored plastic bases, which are connected by framework. Removable patial dentures attach to your natural teeth with metal clasp or devices called precision attachment. Precision attachments are generally more estetic and cost more than those metal clasps. Denture with metal and wrought wire clasps are generally more fi t and stay in place much better than (provisional) denture. Objective The main purpose of this study is to develop of provisional denture. Materials and Methods This study has been used to study medicine. Enerel dental clinic served 1481 people whom they were made denture between 2003 and 2005. from those people were made denture with wrought clasp for 60 people. By experimental study, jawing activity test has been used by I.S.Rubinov method. Results Denture with wrought clasp needs was increasing gradually until 56 percents in 2003, 82.1 percents in 2004, 93 percents in 2005. A large number of denture with wrought clasp was made 32.4 percent of maxilla, 47.1 percent was mandible but this denture were used and suited for people 78 percent, 22 percent of people who made those type of denture did not and uncomfortable for them. Denture with wrought clasp jawing activity was 1.920.13 seconds and jawed things weight was1.89 0.1, lost of jawing activity was 2.691.44 (=0.001). Conclusion Method of denture with wrought clasp is simpler and nearly minted removable denture.
2.Results of chemical analysis of food products and meals provided by school lunch program in secondary schools
Ulziiburen Ch ; Enkhjargal Ts ; Purevjav M ; Enkhmyagmar D ; Oyundelger D ; Tuvshinbayar D ; Nyamragchaa Ch
Mongolian Medical Sciences 2013;163(1):73-79
Introduction
In recent years it has been observed epidemiological transition in the world population’s morbidity and mortality causes, indicating a shift from communicable diseases to non-communicable diseases. In 2012, cardiovascular diseases alone accounts for 30 per cent of all deaths in the world. In Mongolia, non-communicable diseases are growing steadily and becoming the leading causes of morbidity and mortality of population. According to the Global School-based Student Health Survey-Mongolia 2010, overall, 19.3 per cent of school children had 4 or more nutritional risk factors of NCD and 8,3 per cent of students were overweight and 0,8 per cent were obese. Above mentioned study shows that, the prevention of NCD should be started from childhood, improving the consumption of fruits and vegetables for school snack and lunch is important in the prevention of NCD among school children. The study is aimed at determination of types, consumption and chemical composition of food products
and meals provided in school snack program.
Scope and methods of investigation
The investigation was performed in Ulaanbaatar and Tuv aimag. Under the our investigation included a totally 14 school canteens of Ulaanbaatar and Tuv aimag. Consumption of Food products was investigated using the Food Consumption Questionnaire method. All managers of school canteens interviewed by well-trained researchers using the time from 20 to 30 min for each of them. Food samples were obtained, keeping in cool boxes, transported to the Public Health Central Laboratory of National Center of Public Health, Mongolia. Chemical composition of food and snack samples were investigated according to the related standard methods for determination of protein, fat, carbohydrates, Vitamin C, Calcium.
Results
Consumption of vegetables and local fruits for school snack and meal was not enough for prevention of NCD among school children. Use of milk and milk products for school snacks and lunch were obtained only 1-3 times during the 10 days, which is too poor consumption. According to the results of chemical analysis, 83.4 per cent of all food samples had calories less than 340 kcal, which is the required value of calories of school snack per one student. With regard to protein level 50 per cent of samples had 2.57-7.7grams of protein, which is lower than the recommended level of 10-12 gr. Fat level of samples were ranged between 7.2-1.97 grams and 95.5 per cent of samples had lower fat content compared to the recommended value of 9.0 grams. When 68.7 per cent of samples had 4.5-38.03 grams of carbohydrates, which is lower than the recommended amount, some 4.5 per cent of samples had higher carbohydrates compared to the recommendation. Amount of vitamin C in school snack was extremely lower than the recommended amount that vitamin C was found between 0.02-2.31mg, satisfying only 10 per cent of the national recommendation of vitamin C amount for school snack. Amount of Calcium in milk products of school snack and meals was also low than recommended level.
3.Women blood, wind stagnation composed disorder or the IUD syndrome
Mongolian Medical Sciences 2016;178(4):58-60
BackgroundIn traditional medicine women blood, qi stagnation disorder (WBQS) is caused by many reasons,such as use of spicy, hot, sour quality food and drinks for long period; hard labor; excessive or notenough sexual intercourse; not adequate post-natal care are reasons to increase of the blood-bile heat,proliferation of bad blood in uterus, leading to stagnation and growth of blood mass. Uterus blood andQi stagnation leads into complex symptoms such as palpitations, anxiousness, depression, shoulderand neck stiffness, sleep disorder etc. There is a need to learn about current causes and treatmentsof this disorder and consolidate results of traditional treatments in order to give more treatment choicesfor patients.ObjectivePurpose of our study is to consolidate MTM treatment results of women blood, qi stagnation composeddisorder.Materials and MethodsA descriptive and retrospective study was conducted based on all medical history data of patientsdiagnosed and treated with this disorder during 1991-2016 in Mong-Em traditional medicine clinic.ResultsTotally 2000 cases were diagnosed with women blood, qi stagnation disorder and treated by traditionalmedicine methods. We have classified and treated using differentiation diagnosis of TMM theory. Forexample, clinical symptoms vary from palpitations, panting, sleep deprivation, chest acne, depression,mood swings, backaches, inner thigh pain, infertility, non-regular menstruations, menorrhagia,dysmenorrhea, amenorrhea, premenstrual symptoms; too thick menstruation blood, hypomenorrheawith dark, thick blood clots etc. For treatment, we used ancient prescriptions of herbal medicine, as wellas acupuncture.Conclusion:1. IUD is one of the main reasons of Qi and blood stagnation disorder of women.2. Based on TMM’s theory and treatment principles for women qi and blood stagnation disorder, TMMappears to be give far more efficient long term results where modern medicine has limited choice ofeffective treatment.3. Women qi, blood stagnation disorder is chronic disorder showing changes in laboratory examinationsonly in later period of time, thus reducing the possibility to be diagnosed with modern medical tests,leading to have few choices of modern medicine treatment, long term use of combined TMM drugs.4. There is need of the whole-body approach for this disease, where modern medicine uses too narrowdifferentiation of diagnosis, often delaying the possibility to be treated properly in short time.
4.Some aspects of traditional Mongolian medicine research
Purevjav M ; Ariunaa Z ; Chimedsuren O ; Tsend-Ayush D ; Burmaajav B
Mongolian Medical Sciences 2014;168(2):61-66
BackgroundTraditional Mongolian Medicine has a history of over 5000 years. Scientific development of TM hasstarted in 1959. Since 1999 Mongolia was categorized by WHO as a country having an Integrativesystem of TM- officially recognized and incorporated into all areas of health care provision, TMMresearch has been following key objectives of National R&D programs.AimIn order to assess the situation of TMM development we have conducted this study based on last10 years’ research done.Ìaterial and MethodsDocument study- we have selected key TMM’s R&D project implementers’ archive and humanresources documents.Descriptive and Analytic methods- a survey of 32 questions evaluating participation of TMMprofessionals in R&D work were conducted. Also, to clarify the point of view about TMM’s R&D6 focus group meetings with different level participants, such as professional committee, policymakers and research workers as well as health care providers, were organized.ResultsFrom 2004-2013, there are 28 projects implemented on TMM, 43% accomplished by TMMRTC,32.8% of which is resulting in raw materials standardization and technology study, related clinicalstudies standing 20% out of all studies done on TMM matter. These numbers are confirmed bysurvey and focus group interviews, more than 50% of participants willing to conduct a clinical studyand expressing difficulties such as lack of knowledge of methodology, policy support and revenue.Conclusions:1. TMM R&D has a potential growth due to human resources capacity. Practitioners are leastinvolved in R&D, due to lack of knowledge of methodology and revenue.2. There were 28 projects implemented on TMM matter, most of these are basic studies, fewerclinical studies done, resulting in pharmacopeia monographs and technological guidelines.
5.IDENTIFYING THE CRITERIA FOR ORAL HEALTH INDEX IN MONGOLIA
Khosbayar M ; Shin siin Chol ; Purevjav N ; Oyuntsetseg B
Innovation 2018;12(4):25-28
BACKGROUND. The measurement of oral health is recognized as a critical feature of numerous dental activities: describing normal biologic processes, understanding the natural history of disease, testing hypotheses regarding preventive agents, and planning and evaluation of health services. In modern times, statistical methods are widely being used to describe the probability of caries formation by calculating the progress and progression of dental caries for each individual by means of investigational correlations to detect and control risk factors for dental caries and periodontal diseases.
OBJECTIVE. The purpose of this study is to identify the correlation between the incidences of dental caries (DMFT) and its influencing risk factors for Mongolians in order to establish the fundamental criteria for oral health index.
MATERIAL AND METHODS. Data were collected from 240 volunteers in six different age groups by using a questionnaire and an intra oral examination combined with laboratory tests. The oral health index is divided into 5 major categorical factors including the residual number of natural tooth, caries state, periodontal state, other oral health state and oral health management habits and systemic condition that determines the relationship between the incidences of dental caries and influencing risk factor for each item.
RESULTS. Significantly different results were observed for Mongolian people in terms of prevalence and proportion of oral disease and oral state which led to the establishment of criteria for oral health index by statistical significance factors in all age groups (p <0.05).
CONCLUSION. It is possible to create and introduce a scoring system of individual oral health index that could be applied to the evaluation oral health program that is suitable for calculating future illnesses and prognosis of oral diseases.
6.Treating of arterial hypertension by Mongolian traditional medicine
Mendsaikhan Z ; Olzvoi T ; Ariunaa Z ; Purevjav M ; Gan-Urnukh B ; Narantsatsrat S
Mongolian Medical Sciences 2013;163(1):183-187
IntroductionAH is one of the widest spread diseases, as well as the leading cause of mortality in Mongolia. Even though the AH is well studied throughout the world, with no significant results in health complications caused by AH in different organs and systems, there is a necessity to study the use of other methods in hypertension treatment, such as Mongolian traditional medicine for an adequate management of hypertension, in order to extend the choices of treatments by combining harmless natural multicompound drugs prepared by ancient mongolo-tibetian prescriptions with Chinese acupuncture and other therapy methods such as massage, bloodletting, cupping etc.GoalThe authors have analyzed 260 patient records of hypertension that have been treated only with MTM treatment methods in MONGEM MTM hospital, in order to define: 1) the classification of arterial hypertension according to theory of disease in MTM ;2) the classification of arterial hypertension according to theory of cold and hot in MTM;3) The results of MTM treatments on hypertension.Methods and MaterialsWe have conducted this study by document review and case study by analyzing 260 patient records of “MONGEM” traditional medicine hospital and research center.ResultsAccording to our study almost 80% of arterial hypertension cases start as a hot disease and change into cold disease. Our research results have also shown that 90% of hypertension can be classified into congested, interdependent state of disease and that treatment by MTM methods of combined disease with consideration of changes in hot and cold states is efficient for relieving arterial hypertension.ConclusionOur study has concluded that carefully diagnosed hypertension using MTM disease and disorder classification, and treated with accordingly chosen methods of MTM treatment such as multi-compound drugs, mild and rough techniques, nutrition and behavioral lifestyle changes combined with Chinese acupuncture, gives satisfactory results in healing arterial hypertension, thus providing safe, efficient, affordable and accessible treatment choices for people.