Introduction: In our hospital we didfirst laparoscopic surgery in October 2013with doctors from Samsung Medical Center,Seoul, Korea. In NCMCH we did about 3000operations per year, and about 400 of themtakes inguinal hernia. Bilateral and unilateralbig hernias has a lot of complications,like swelling, recurrence etc. Goals andobjectives:comparison between LNAR andstandard open technique of hernia repair.Calculate the outcome, hospital stay,recurrence, complications.Materials and Methods: We describeour technique and experience with thelaparoscopic needle-assisted repair of inguinalhernia (LNAR). We report retrospectively 42cases (hernias) from September 2014 toDecember 2015. We have 2 groups. In firstgroup we did standard open hernia repair in23 (54,7%)cases, in second group we didLNAR in 19 (45,3%) cases. Hernia repairis accomplished with a one port needleassistedtechnique. After identification of apatent processusvaginalis, the internal ringis encircled in an extraperitoneal plane usinga 22G-Touhy needle for placement of apurse-string suture, tied extracorporally, andburied beneath the skin. The technique wasstandardized for second group cases. Inguinalhernias were laparoscopically repaired in19patients (16 boys and 3 girls) age range1year to 16 years. All 19 cases had bilateralrepair. Mean operating time for bilateral was45 min. No complications in second group.For the first group we had 18 boys and 5girls same age range. Mean operating time1hour 20min.8 minor complications wereidentified(8 swelling) and 1 recurrence. Postoperativedata show our technique is safewith no complication. No recurrence.Results: First group: we had 18 boysand 5 girls,age range 1year to 16 years.Mean operating time1 hour 20min. 8 minorcomplications were identified (8 swelling)and 1 recurrence. Second group: we had16 boys and 3 girls, age range 1year to 16years. All 19 cases had bilateral repair. Meanoperating time for bilateral was 45 min. Nocomplications.Conclusions: In our technique meantime was shorter than in standard opentechnique. Post-operative data show ourtechnique is safe with no complication.No recurrence. Furthermore, laparoscopyobjectively identifies asymptomatic or occultcontralateral defect, uses a smaller incision,and eliminates dissection of the cordstructures potentially reducing the risk ofcord injury.

BackgroundThe target group of the project, working age population, is more vulnerably exposed to the risk factors of NCDs due to deficiency of physical activities, stress, unhealthy eating, etc. The current study was carried out to assess the knowledge and attitude on health promoting workplaces among the employees of public and non-governmental organizations and businesses operating in Kherlen soum of Khentii aimag, identify their needs and make conclusions.Materials and MethodsThe cross-sectional study used questionnaires for 195 employees of 10 public agencies and 3 business entities of Kherlen soum of Khentii aimag, focus group discussions among 32 employees and individual interviews with 13 managing officials.ResultsWomen composed 38% (74 persons) and men composed 62% (121 persons) of the participants of the study. As for the duration of the service, 115 people or 58.7% have served for 1-10 years, 49 people or 25% have served for 11-20 years, 21 persons or 10.7% have served for 21-30 years and 6 persons or 3.1% have worked for 30 years. As for the knowledge of health promoting workplaces, the absolute majority of the participants demonstrated medium or low level of knowledge with statistical significance (p<0.01) among ages, with women demonstrating higher level of knowledge and increasing trend with the years of work. Absolute majority of the participants of the qualitative survey answered that possess insufficient information of health promoting workplaces. Majority or 54.2% (105) of the participants understand health promoting workplaces as provision of working conditions and organization of preventive health check ups. Creating healthy workplaces will have no negativeimpact but increased productivity, higher morale, better wellness, according to the respondents. Job satisfaction as an impact of health promotion at workplace was supported by 48.4% of the employees at 20-30 years age and 54.2% of the employees who have served for 11-20 years. 57.7% (112) of the respondents disagree that their workplaces created health promoting conditions. The knowledge of the majority of the participants in insufficient as 89.3% answer that WHP is provision of healthy environment for working. Health promotion is not implemented sufficiently at the policy level and is limited merely to improvement of physical environment and solution of social problems, with insufficient behavior targeting actions and participation of employees in health promoting activities.Conclusions:1. The knowledge on health promoting workplaces is insufficient.2. The answers of the respondents that lack of health promotion at workplaces will reduce productivity (69.2%) and adversely affect the health of the employees (44.7%) demonstrate the need in WHP.3. The further activities necessary for further development of health promoting workplaces were identified as provision of comprehensive knowledge, cooperation with professional organizations and learn from experiences of health promoting workplace models, mutual learning and solution of the financial issues.

Introduction: Biliary Atresia is a fibroobliterativedisorder of the intra andextrahepatic bile ducts in infancy, which isgoing progressively cholestatic liver disease.The failed Kasaiportoenterostomy requiresliver transplantation. The goal of this studyis to show the outcome of Kasai operation,recent improvement and correlation the datato overseas.Methods and Materials: This study wasconducted in the department of generalsurgery of National Center for Maternal andChild Health of Mongolia between 2010 and2016 on a total of 66 infancies with biliaryatresia.Results: Patient diagnosed with biliaryatresia, which performed Kasai operationwithin first 2 months the outcome is verygood early and late post-operation period.There were 3 patients with 10 year survival, 4patients with 5-10 year and 28 patients with5 year survival after Kasai operation. The mostcomport age for liver transplantation is 1 yearlater after Kasai operation in Mongolia. Livertransplantation programme is necessary forMongolian pediatric surgery, and we thoughtour team was assembled.Conclusion: The children with biliary atresiaperform the Kasai operation within 2 monthsthe outcome is very good. Children with biliaryatresia often experience long wait times fortransplant unless exception points are grantedto reflect severity of disease.In Mongolia livertransplantation done in 2 child.

Objective: In this study, the effect of water solution of calcite on changes of behavior, body and organ weight, and bone thickness in rat model of osteoporosis induced by retinoic acid was examined. Methods: Retinoic acid was administered to rats at concentrations of 70 mg/kg for 14 days. Induction of osteoporosis was evaluated by histological analysis. Once osteoporosis had developed, calcite and Calci D-D were given to rats with foods for 30 days. Results: After induction of osteoporosis, mucosal membranes of rats got erosive, fur was curled up and lusterless, paws and nails were broken down. Animal get pretty tired with poor appetite. No significant differences were observed in weights of internal organs between the groups. Body weight was reduced (197±8.14 g) in rats administered with retinoic acid. Femoral bone weight (0.6459±0.07 g) and thickness was (3.02±0.02 mm) also reduced by retinoic acid. Calcite significantly increased body weight (210±6.04 g), femoral bone weight (0.8219±0.1g) and bone thickness (4.3±0.8 mm) in rat model of osteoporosis. Body weight (0.6463±0.13 g), femoral bone weight (0.6463±0.13 g) and bone thickness (3.6±0.16 mm) were also increased by Calci D-Denk treatment. Conclusion: These results suggest that calcite can be a potentially effective agent for treatment of osteoporosis.

In last years we have produced a combination species from medicinal plants which are used in traditional medicine and has tendentious the increasing of needs and production of plant preparations from natural resources. Although traditional medicine has being increased to be used last years, standardization of them is not sufficient. The standardization is important to ensure the safety, effectiveness and quality of traditional medicine. This research was made with purposes for determining of qualitative and quantitative analyses of biological active substances in the preparation such as Jonsh-5 is utilized to prevent osteoporosis, to accelerate bone ankylose in period of injure. The compositions of the preparation Jonsh-5 are Calcitum, Carduus crispus L. Inula helenium L.Terminalia chebula Retz, Forsutima suspense Thunb. Vahl.In order to succeed the above mentioned aim, we have achieved the following results: 1. The chromatographical method and methodology for the qualitative and quantitative analyses of main compounds in the preparation Jonsh-5 were developed using HPLC. 2. Quantitative analyses of main compounds of the compositions in the preparations were defined by HPLC method. 1.000gr of the preparation Jonsh-5 involves gallic acid 1.11 mg, alantolaktone 1.77 mg.

In traditional Mongolian Medicine, materials derived from plants, animals, trees, and minerals are processed by traditional technology to improve their effectiveness and safety. One of mineral-based materials is calcite which is widely used in traditional medicine. Mineral contents of calcite: After processing by traditional technology (taming) with enrichment, calcite turns to bright yellow, small soft microcrystals with bitter taste and smell of milk. Moreover it obtains solubility in water. Various macro- and microelements were determined in tamed calcite including Na, Mg, K, Ca, S, Mn, and Fe. Ca takes the major part (64%) of the elements. Crystal size determined by NANOPHOX (PCCS), GmbH, Sympatec apparatus were 115 nm and 124 nm depending on the traditional technology of processing. Crystal structure of calcite in phase shifts was analyzed after burning it in +300º C, +500 º C, +800 º C, +1200 º C, and +1400 º C by using Shimadzu XRD-7000 X-ray diffractometer, HA- 1001, and TTK-450 apparatus. CaCO3 content (84.23%) was higher at +300º C and +500 º C, while CaC2 content (15.77%) was higher at +800 º C, +1200 º C, and +1400 ºC. Effects of calcite on acetic acid-induced gastric ulcer: Gastric ulcer induced by acetic acid in rats was healed completely by tamed calcite within 21 days. Calcite improves bone repair of experimental fracture in rats by increasing Ca and alkaline phosphatase activities. Effects of calcite containing drug Jonsh-5 on experimental femur fracture in rabbits: Jonsh-5 is composed of 5 components including calcite, Cardius crispus, Forsythia suspense, Terminalia Chebula, and Inula helenium. Jonsh-5 increased serum level of alkaline phosphatase after 7 days of fracture. X- ray images showed that healing process of the bone was significantly increased by Jonsh-5 compare to control and Calcium D3-Nycomed treatment. These results were also proved by histological analysis suggesting that Jonsh-5 may promote bone healing in rat model of fracture. Safety of calcite containing drugs: Contents of macro- and microelements, moisture, and substances extractable in water have been determined. Mineral and organic impurities have also been evaluated in Jonsh-5. Bacterial impurity of the drug is within the standard range. Moreover contents of heavy metals such as lead, cadmium, and mercury meat the WHO permeated levels of toxic metals.