1.Effects of electrical stimulation on abdomen- posterior back muscles in children with cerebral palsy
Narantsetseg Ts ; Baljinnyam A ; Uyanga T ; Batgerel T ; Unurtsetseg D ; Soyol-Erdene E
Mongolian Medical Sciences 2013;166(4):32-36
Background. Cerebral palsy (CP), which is the most commonly encountered neuromuscular disorder of childhood, causes permanent physical deficits and sometimes intellectual deficits. Despite advances in the diagnosis and treatment of CP, the incidence of that disorder has not declined; it parallels the increased survival rates of premature infants. The children with CP may not have trunk control because they have spasticity and weakness in their trunk control. Goal. This study aimed to investigate the efficiency of functional electrical stimulation (FES) application on the abdomen-posterior back muscles in children with Cerebral palsy (CP).
Materials and Methods. However 40 children with spastic CP, being treated in physical therapy, were selected by the way of random-sampling in the study, some of children were excluded by exclusion criteria and then 30 children have completed the study. The participants were randomly divided into two groups FES (n=15) and control groups (n=15). The control group received physical therapy 3 days a week in 45 minute for 6 weeks. The children in the FES group received physical therapy in addition to function electrical stimulation. FES was applied 5 days a week for 6 weeks to abdomen-posterior back muscles in 30 minute-long sessions. To evaluate the score of gross motor function measurement (GMFM) and to evaluate the trunk asymmetry in sitting, radiographic measurements were used.
Result. The comparisons of the measurements of the two groups before and after the treatment showed that the GMFM standing score were statistical significantly (p<0.001) increased, and Cobb angles were decreased both groups, but the decrease in the control group was not statistically significant (p=0.128), and FES group was statistically significant (p=0.033). The comparison between groups GMFM standing score increased higher in the FES group than in the control group. Cobb angles after the treatment were statistically significant higher in the FES group than in the control group.
Conclusion: To improve gross motor developing for children with CP, FES applied on abdomenposterior back muscles along with physical therapy is more effective than physical therapy alone.
2.Lead residue and health risk in some commonly consumed imported food products among Mongolian population
Enkhtungalag B ; Gereljargal B ; Tuvshinbayar B ; Oyundelger D ; Unurtsetseg CH ; Davaadulam B ; Tserenlkham B ; Khishigtogtokh D ; Sodnomtseren B ; Jargal E ; Batkhishig O
Mongolian Medical Sciences 2014;168(2):71-76
IntroductionThe imported food products are more than 60 percent of total food consumption of Mongolia. Thelead residue in food products causes chronic and acute poisoning to the human health when exceedsmaximum residues limits, and human exposure and significant public health problems in many partsof the world.GoalTo assess lead residues and health risk of some commonly consumed imported food productsamong Mongolian population.Objectives:1. To determine consumption of some imported food products of Mongolian population;2. To investigate lead residue in some commonly consumed imported food products;3. To assess potential health risk related lead residue.Materials and MethodsThe research used analytic study of cross-sectional study design. Randomly selected 1290 people’simports food consumption was analyzed by questionnaire and body weight measurements. Tooksamples from 145 import products, identified lead residue with Academy of Sciences Soil ResearchLaboratory`s, ASS (USA, 2002) equipment.Results60.7% of imported food samples were lead residues exceeded to Maximum Residues Limits, suchus mean lead residues in meat product were 1.55 mg/kg, in milk product 1.22 mg/kg, in cerealproducts 1.15 mg/kg, in vegetables 1.57 mg/kg, in fruit and fruit juice 1.03 mg/kg, in alcohols drink1.31 mg/kg, and in tea 1.93 mg/kg (p=0.001). Estimated Provisional Tolerable Weekly Intake (PTWI)of lead exposure for survey responses was 0.079mg/kg body weight.Conclusions:1. 60.7% of imported food samples were lead residues exceeded to Maximum Residues Limits,such us mean lead residues in meat product, milk products, fruits and vegetables.2. Imported vegetables (54.0%), cereal 8.4% products (15.5%), fruit and fruit juice (11.8%), andmilk products (8.4%) is main contributing to lead residues in imported food.3. Estimated Provisional Tolerable Weekly Intake (PTWI) of lead exposure for survey responseswas 0.079mg/kg body weight, which is 3.2 times higher than toxicological guidance (PTWI 0.025mg/kg per 1 kg human body weight) and the high health risk level.
3.НИЙСЛЭЛИЙН ЕБС, КОЛЛЕЖ БОЛОН ИХ ДЭЭД СУРГУУЛИУДЫН ОЮУТАН, СУРАГЧДЫН МАНСУУРУУЛАХ БОДИСЫН ТАЛААРХ МЭДЛЭГ, ХАНДЛАГЫГ ҮНЭЛЭХ НЬ
Sarangerel S ; Unurtsetseg Ch ; Bolormaa O ; Nyamsuren Ts ; Nasantsengel Ts ; Khishigtogtokh D
Innovation 2017;11(2):34-36
BACKGROUND: According to the United Nations, drug reports 2016, 250 million people
aged 15 to 64 an estimated 29 million of them have used drugs and narcotics. The United
nations states that the drug and narcotic manufacturing have increased by three
times in east 15 years. Mongolia is located between Russia and China that are the most
drug used countries in the world and it can increase the risk of drug usage in Mongolia.
OBJECTIVE: Study to knowledge and attitude about drugs and narcotics among the
high school, college and universities students in Ulaanbaatar. METHODS: The research
was conducted among the school, college and universities students and the analytic
research method was used in our research. 176 middle and high school students, 215
university students and 70 college students from morning classes were participated in
the survey. The survey research was used method of collecting information and materials
about the drug usage and narcotics. SPSS 17 was used for statistical analysis.
RESULTS: The highest point was 16 (n=1) and lowest point was 0 (n=16) and the knowledge
of drugs among the students was 8.14. Results releated that 7.8% (n=36) of students
have enough information about the drugs and narcotics, 62.9% (n=261) of students did
not have enough information and 29.3% (n=135) of them have informed moderately.
CONCLUSIONS: Exploring the knowledge about drugs and narcotics among the
students, 7.8% of them have enough information, 62.9% of them did not have enough
information and 29.3% of them have informed moderately
4.A study on socio-economic condition of health care workers
Nadmidtseren G ; Zoljargalan G ; Yerkebulan M ; Jargalsaikhan T ; Avirmed D ; Unurtsetseg Ch ; Munkh-Uchral D ; Munkhnasan Ts ; Erkhes E ; Baigal D ; Sugarmaa M
Mongolian Medical Sciences 2023;205(4):16-27
Background:
It is stated in the Government Programme of 2016-2020 that public servants, including health care workers, shall be given a gradually increased salary based on their skill, dexterity, workload, and productivity, and such increase started from 2018 as planned. In the health sector of our country, regarding demand and regulation of the programme, the change shall be made that the system for median salary of physicians and overall staff employed at hospitals gets even constructive, and the required human resource for the sector shall be prepared. Thus, inferring from these claims, median salary, real wage, and socioeconomic condition are in critical need for further evaluation.
Objective:
To examine the current socio-economic condition of health care workers, and to study the influencing
factors at play.
Methods:
In this study, we used quantitative and qualitative methods. In the survey, we involved 655 health
care workers from 6 family health centers, 2 district hospitals, 3 health centers (district-based) in
Songinokhairkhan, Sukhbaatar, and Baganuur districts; and Provincial hospital, regional diagnosis and
health center, 16 soum health centers from Khovd, Uvs, Arkhangai, Bulgan, Khentii, Dornod, Umnugovi, and Dornogovi provinces, along with 3 National specialized health centers and 1 National central hospital. As for data gathering for the qualitative analysis, 30 focus group interviews and 47 key informant interviews were conducted for the purpose of examining socioeconomic condition, real wage sufficiency of health care workers.
Results:
Average household income of study participants was 1,880,269 tugrik, the real wage was 1,073,065
tugrik, and the overall household is seen to be composed of 2 different sources on average, namely,
self-wage and the income coming from family members or supplement of Child Money Programme. It
has come to notice that 19.5% of the participants have lower than average living standard, 89.2% have
2 different loans (mortgage, auto loan or mobile application based loans). Material deprivation index is
seen to be 2.73, hence deemed as insufficient. In order to increase the real wage of those workers, it
shall be taken into consideration that the basic salary is low, and some financial supplements need to
be given. Furthermore, the performance based funding system of health sector is seen to be in need of
improvement.
Conclusion
Real wage of the health care workers is, thus, insufficient. The fact that one in every five workers in this sector have lower than average living standard, and the material deprivation index is 2.73 implying that the financial lives of health care workers are immensely fragile.