1.Risk and impact assessment of climate change on human health by different climatic zones of Mongolia
Shurentsetseg Kh ; Saijaa N ; Enkhtuya P ; Odontsetseg Brown ; Demberelsuren J ; Burmaajav B
Mongolian Medical Sciences 2012;162(4):30-35
Introduction
Worldwide, numerous studies have been conducted and many papers have been published about the impact of climate change on human health, and the correlations between air temperature, precipitation, droughts, and floods, and their adverse health effects such as respiratory and water-borne diseases. Scientific evidence on this issue continues to mount, showing that the effects of climate change are mostly adverse to human health. In Mongolia however, scientific research on the effects of climate change on health is at its starting point and only a few studies have been conducted.
Goal
Determine and assess risk factors and effects of climate change on human health
Materials and Methods
The study area included Zavkhan, Selenge, Dornod, Umnugovi aimags (provinces) and Ulaanbaatar city, each representing one of the five climatic zones of Mongolia. Daily meteorological variables for temperature, atmospheric pressure, wind speed, highest wind speed, precipitation and relative humidity of the selected study sites from 2009 to 2011 were acquired from the Institute of Meteorology, Hydrology and Environmental Monitoring. Statistical analysis of the collected data was done using the SPSS18 program and 95%CI was used to determine inter-zonal differences of weather and climatic variables.
Results
In order to determine climate risk factors, the analysis used the number of days when temperature exceeded mean annual air temperature by +25°С/-25°С, and their sequences, the number of days when the absolute temperature exceeded +30°С in summer months, and -30°С in winter months, and their sequences, the number of days when daily fluctuations in atmospheric pressure exceeded 30 hPa and the number of days when relative humidity was lower than 30 percent or greater than 80 percent, and their percentage of the total number of days.
2.The some influential factors and causes of the intracranial haemorrhage among infants
Baysgalantai B ; Enhjargal U ; Munhtuya L ; Shurentsetseg D ; Ayush S ; Otgonbayar P
Mongolian Medical Sciences 2011;168(1):31-36
Background: The Incidence of Intracranial haemorrhage (ICH) in childhood compare to adulthood not very common. The multifactorial etiology ICH may involve coagulation disturbance, venousinfarction, infection, heart congenital abnormalities, birth asphyxia and trauma. ICH is a major cause of morbidity and mortality in neonates and it’s related to vitamin K deficiency. The previous studies have shown, that 37.8% of children with Cerebral Palsy and 31.2% of infants with hypoxic-ischemic encephalopathy had ICH and 48.2% of dead premature infants due to ICH. The number of infants with ICH are increasing year by year. Therefore, the aim of this study was to identify and explore influential factors and causes of ICH among infants in own country.Materials and Methods: The present study was conducted atseveral departments such as PICU, neurology, and cardiology of the State Maternal and Child Health Research of Mongolia. Sixty one patient with ICH involved in the case group and one hundred twenty two infants were involved in control group.Statistical methods. The Mann Whitney U and Fisher’sexact tests were used to compare clinical characteristics of thecontrol infants and infants with ICH. Ethics. The present study was approved by the ethics committee of the MoH and MCHRC. Informedparental consent was obtained for each patient before entry into the study.Results: Among children with ICH 95.1% were under one year and just 4.9% were aged 1-5 years. The following causes of ICH in infants aged under one year were identified: hemorrhagic disorder-39.7%; HIE-13.3%, trauma- 10.4%, unknown reason-12.1% and congenital heart abnormality- 3.4% and Intrauterine infection – 3.4%. However, most common cause of ICH among children aged 1-5 years was trauma – 66.7%, and 33.3% were related to infection.Conclusion:1. The incidence of ICH is high among infants.2. The most common cause of ICH among children were hemorrhagic disorder-37.7%; HIE-13.1%; trauma-13.1%; infection-sepsis -14.8%; intrauterine infection- 9.9%; congenital abnormality of the brain- 3.3% and congenital heart defect-3.3%.3. Influential factors of ICH are preeclampsia (OR=8.6), CS (OR=3.4), newborn asphyxia (OR=3.3) and pathological jaundice (OR=6.8).
3.The assesment of dental caries status among Students of school of dentistry, mnums
Gerelmaa N ; Shurentsetseg B ; Delgertsetseg J
Innovation 2018;12(4):66-
The most common oral disease is the dental caries, which is chronic transmissible, losing of hard tissue of teeth, and is very widespread in the world. The annual report of oral health survey of World Health Organization shows that 60-90% of population of developing countries was affected by dental caries. In the press review, the prevalence of dental caries and mean DMFt score among 18 years old were 74.4% and 4.04 in Mexico, 2009; 87.4% and 3.59 in Australia, 2003; and 88.9% and 7.15 in Japan, 1999. In Mongolia, the prevalence of dental caries and mean DMFt score among military students in 1987 were 83.3% and 3.7. There is a few studies among students of School of dentistry.
Study population consisted of 115 students, who studied from 3rd to 5th course of School of Dentistry, Mongolian National University of Medical Sciences. Study was done by cross sectional study design from November to December, 2017. We checked up dental status of all students according to recommendation by WHO, 2013. The study was approved by the Medical Research Ethics Committee of the Mongolian National University of Medical Sciences and informed consent was obtained from all students (2017/3-04).
The prevalence of dental caries among all students was 100% and mean dental caries score was 8.3±0.3 DMF/t, 3.7±0.3 D/t, 3.8±0.3 F/t, 0.8±0.1 M/t. When we assessed mean DMF/t score by student’s course, it was 8.5±0.5 among 3rd year students, 8.6±0.7 among 4th year and 7.9±0.5 among 5th year (p>0.05). Mean decayed teeth among 3rd, 4th, 5th course students were 4.5±0.5, 4.1±0.6 and 2.8±0.4, respectively (p<0.05). Mean filled teeth was 3.4±0.5, 3.5±0.6, 4.4±0.4 (p>0.05) and missed teeth was 0.7±0.2, 1.0±0.3, 0.7±0.2 (p>0.05) among students respectively above courses.
All students, who participated in our study had dental caries and observed declining the number of decayed teeth during the study and the number of filled teeth was increasing.