1. THE RESULTS OF THE STUDY THE PREVALENCE OF UROGENITAL MYCOPLASMA AND UREAPLASMA BY PCR
Alimaa J ; Munkhshur B ; Khongorzul G ; Shiilegpalam S
Innovation 2015;9(3):32-35
Urogenital mycoplasmosis is infectious inflammatory disease of the urinary tract caused by Mycoplasma exclusively. Pathogens of mycoplasma and ureaplasma are related to their biological rare uniqueness. Mycoplasma and ureaplasma has very small size of genome and lack a rigid cell wall. They are able to enter host cell membrane and multiply in it. This protects them from cellular and humoral immune reaction. This unique feature is the reason why the infection is often mysterious and asymptomatic. The dangerous difficulty of the ureaplasma and mycoplasma infection of the urinary tract leads to infertility, chronic endometritis, pregnancy without growing, fetal anomalies, primary and secondary placental shortage. Therefore, it is necessary to determine diagnostic approach and to study the extent the influence eproduction and the prevalence of causative agent.We analyzed the objects which derived from women with the pathogen for the period beginning from January 2014 up until January 2015 collaborating with “Oncogenic” laboratory at the National Center for Research on Cancer based on the women clinic “UilsButemj”. Total of 43 women who diagnosed to have key cells by vaginal smear test were included in the PCR analysis. Total of 12 healthy women who does not have obstetric chronic anamnesis were selected to be included in the analysis by creating control group. The study was done by the prospective case study model. IBM SPSS 20.0 software was used to process the results of the study. 43 women who were involved in the analysis were chosen by the following criteria: 1.With genitourinary complaints, 2.With positive key cells of the vaginal smear test.The average life expectancy of the women surveyed was 31,4±5,6. (min 22, max 53). The majority or 92.7% obtained high education and 7.3% have secondary education. For marital status, 74.5% have their own families and 25.5% of the total women involved were single. There were 15 infertile women or 34.8%, 11 miscarriage women or 25.5% and 12 women with pregnancy without growing or 27.9%, 4 women diagnosed to be pregnant outside of the uterus or 9.3%. The infection combined with U parvum and M hominis which cause pathogen accounted for 40% among total infertile women. The more combined the infection the more virulent. The following originators were detected by the PCR analysis which was run among the total of 43 women with pathogen:U.parvum 32 women, or 74.4%, U.urealiticum 11, or 25.5%, M.hominis 24, or 55.8%, M. Genitalis 4, or 9.3%, Gardnerella 31, or 72.9%, were detected respectively in single or co-discovered way and the majority of them are U.parvum and Gardnerella originators. 10 women, or 83.3%, with U.parvum, 3 women, or 25% with U.urealiticum, 4 women, or 33.3% with M.hominis, 1 woman or 8.3% with M. Genitalis and 7 women, or 41.6% with Gardnerella were detected respectively by the PCR analysis which was done in healthy women without any obstetiic chronic memory. Therefore, types of ureaplasma and mycoplasma is infected to human body as situational pathogen creator and those situational pathogen creators lead to difficulty by creating pathogen in case they shifts to the pathogen creator form. The fact that there were 15 infertile women or 34.8%, 11 miscarried women or 25.5%, 12 pregnant women without growing or 27.9%, 4 pregnant women outside of vagina or 9.3% shows that these pathogen creators are the factor for further difficulty.
2.Item analysis of final theoretic exam and health professional licensing exams of “Ach” Medical University graduates
Alimaa G ; Ganbat B ; Oyungoo B ; Baasanjav N ; Otgonbayar D ; Sumberzul N
Mongolian Medical Sciences 2016;176(2):47-51
BackgroundHealth professional licensing was introduced in Mongolia in 1999. Medical school graduates shouldpass the health professional licensing exam (HPLE) to be registered. It was informed that HPLEsuccess rate has been decreased for last few years among graduates who passed final theoreticexam (FTE). There has been no research conducted to explain the reasons of such trend. Thisresearch aims to conduct a comparative assessment of MSQs used for both HPLE and FTE.GoalTo analyze examination and test to identify the level of medical knowledge of students who graduateas medical doctor at “Ach” Medical University during 2011- 2015.Materials and MethodsThis is a cross sectional descriptive study. it employed a statistical analysis of 2950 MSQs (24version) that were used for the HPLE by the Health Development Center of the MOH (N=16)and FTE by the “Ach” Medical University (N=8) between 2011 and 2015. Test sheets of HPLE(N=728) and FTE (N=686) were assessed in order to identify a reliability of tests, difficulty index,discrimination index using QuickSCORE II program of the test reading machine with a mode of“Scantron ES-2010”.ResultsThe success rate was much higher in FTE than it in HPLE between 2011 and 2015. The successrate of HPLE decreased dramatically starting from 2013 (87%) to 2014 (4%) and 2015 (24%) whilethe same rate of FTE was stable and almost 100%.FTE’s reliability coefficient of 2011-2015 years meets requirement when it’s 0.92-0.96. HPLE’sreliability coefficient of 2013 and 2014 years don’t meet requirement.From all of the MCQs that has been used in FTE‘s 97% and in HPLE’s 80% are positive discriminationindex which means possible to identify medical school graduates knowledge.ConclusionOur findings confirmed that the success rates of HPLE among medical school graduates are beingquite low.Reliability coefficient of HPLE tests were less reliable (КР20=0.66-0.86) than FTE (КР20=0,92-0.96) and particularly tests for 2014 and 2015 were more difficult and were with high percentage ofnegative discrimination.Test score between HPLE and FTE of 2011-2015 is direct linear correlation.
3. Oral health status in children with impaired hearing
Munguntsetseg L ; Alimaa B ; Oyunsuren SH ; Tsengunmaa A ; Tseyensuren S ; Batmunkh T ; Altanchimeg H ; Myanganzul P
Innovation 2016;2(1):14-17
Children with impaired hearing have communication and learning difficulty due to delay in the development of receptive and expression communications. Communication difficulties can often lead to social isolation and poor self-estimation. Oral health status in children with impaired hearing tends to be poor due to several reasons as difficulty of adequate training of caregiving parents, parents luck of information and effort. Aim: To study oral health status and oral education level among students of special school №29 for disabled children.A cross-sectional descriptive study. 224 students aged 6-22 years were selected for this study. Participants were subjected to oral examination and were asked to answer to the questionnairePrevalence of caries and DMFT index, dental plague, occlusion and the oral education levels were assessed. The caries prevalence was 95.9%, and the mean DMFT index was 5.5. Dental plaques were identified in 31.7-49.2% of subjects differing among age groups. Among examined children, 32% of subjects had a malocclusion and 18 children underwent cleft lip palate surgical treatment. According to questionnaire 21% of subjects reported that tooth brushing is not significant measure to maintain oral health, which shows that oral education level among subjects was low. Oral health status of children with impaired hearing was in a level comparable to that of healthy children, although the incidence of cleft lip and palate and gingivitis were higher.
4.Findings of study of knowledge and attitude on health promoting workplaces of Khentii aimag
Orkhonchimeg N ; Saijaa N ; Oyunchimeg M ; Bujinlkham B ; Dashnamjilmaa D ; Tsendjav J ; Alimaa G
Mongolian Medical Sciences 2013;163(1):62-66
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.
5.Antihyperglycaemic Andantihyperlipidaemic Effects Of Lonal In Alloxan- Induced Diabetic Rats
Bat-Erdene J ; Buyan-Arvijih B ; Alimaa T ; Uuganbayar B
Journal of Oriental Medicine 2011;1(1):49-51
Objectives: To investigate of Lonal praparation for antidiabetic effects in diabetic rats induced by alloxan. Methods: Diabetic animals were randomly divided into 3 groups and treated orally with different doses (100 mg/kg body weight) Lonal extract once a day for 21 days. The body weight of each animal was determined, to assess any possible weight gain or loss in experimental animals compared with control groups. On the 21st day, those administered 100 mg/kg of Lonal showed more promising results with regard to fasting blood glucose (FBG), water intake when compared to those treated with other doses. Therefore, 100 mg/kg dose was used for further biochemical studies. Total cholesterol (TC), triglycerides (TG), Alat, Asat, ALP, low density lipoproteins (LDL) and high density lipoproteins (HDL) levels, on normal and diabetic rats treated with the dose of 100 mg/kg, were evaluated. Results: The flower extract shows a significant (p
6.To Study Mongolians Contribution Of Nomenclature, Origin And Classification Of Jewel Medicine Using Traditional Medical Source Books And Explanatory Materials.
Chagdanhorloo Kh ; Alimaa T ; Tserentsoo B ; Dagvatseren B
Journal of Oriental Medicine 2013;4(1):96-99
Introduction: There is an increasing need to study traditional
medical sourcebooks and explanatory materials to enrich and
develop medical concepts and clinical practices.
Objectives: To study Mongolians contribution of nomenclature,
origin andclassification of precious medicine using traditional
medical sourcebooks and explanatory materials.
Results and conclusion:
The sourcebook “The Four Medical Tantras”written 10 type of
jewel and the sourcebook “Em tanikh ukhaan”hadreferred
mentioned above brass and plumbum. Although, this book
determined jewel medicines shape, function and treatment, how
to know these jewel.In the sourcebook “Uzesgelent nuden
chimeg” jewel had divided an not fluxible-25, fluxible-13. These
scientists medicinal prescriptions knowledge were shown greatly
consideration in Mongolian traditional medicine.
7.To Study Mongolians Contribution Of Nomenclature, Origin And Classification Of Animal Product Medicine Using Traditional Medical Sourcebooks And Explanatory Materials
Chagdanhorloo H ; Alimaa T ; Tserentsoo B ; Dagvatseren B
Journal of Oriental Medicine 2014;6(2):5-11
Foreword: There is a demand to compare traditional medicine with
modern medical science so that it will educate public for proper usage
of natural traditional medicine such as main concept, identifying
medical plants, reducing its volume, taste etc...1We mainly
concentrated on comparisement of Mongolian religious healers books
and chose following books for our research work that are “Thefour
basic medicine” by Yutig Yondongombo Tibeten doctor and 2 other
books by Mongolian doctor Luvsanchultem and Jambaldorj. Methods
we used are analyzing, summarizing, comparing and classifying.
According to a book “The four basic medicine” the animal starch
includes horn, bone, meat, blood, gall, fat, brain, skin, nail, hair, urine,
litter and body. Also, the book states their potential healing power. In a
book named “Beautification” it says there are11 medicine comes from
human and 124 medicine comes from animals and detailed
classification is stated here. “Medicine identifying science” by
Luvsanchultem Tsakhar gevsh (monastic title for a learned lama) says
that there are 54 animal starch medicineand it shows us how to be
aware of recognition and not to be mistaken. Here popular medicine
are determined how to find out that is in good or bad condition, so that
made it easier for us to identify and contributed greatly to Mongolian
medical science.
8.Effect Of Jamts-4 Tan On Pancreatic Model In Rats
Tuya T ; Chimedragchaa Ch ; Alimaa T ; Dejidmaa B
Journal of Oriental Medicine 2013;4(1):81-83
Aim: To study the beneficial effects of Jamts-4 tan in an experimental
pancreatitis model.
Methos: Acute pancreatitis was induced in four groups of rats (n = 10)
by L-arginine 20% solution (450 mg x100g, intraperitoneal single
injected) and 3 days later, they received a single oral dose of Jamts-4
tan (140 mg/kg), Pancreatin (100 mg/kg) and vehicle (distilled water).
A saline (0.9% NaCl) treated group served as a normal control.
Efficacy was assessed determination of serum levels of amylase,
glucose.
Results: Jamts-4 tan treatments significantly (P < 0.009) attenuated
the L-arginine-induced increases in pancreatic wet weight/body
weight ratio, and decreased the serum levels of amylase as
compared to the vehicle control.
Conclusion: Jamts-4 tan has the potential to combat acute
pancreatitis
9.The efficacy of Turem in the treatment of chronic shoulder pain syndrome
Wu Ji Ming Zhu ; Munkhchimeg O ; Lagshmaa B ; Alimaa T
Mongolian Journal of Health Sciences 2025;85(1):79-84
Background:
When the incidence of the chronic shoulder pain syndrome is increasing year by year, it is necessary to
determine the effects of pain relief, recovery of joint disability, and impact on quality of life through clinical trial research
when calculating the results of Turem treatment, which is one of the main methods of traditional medical treatment.
Aim:
To study the effects of traditional medicine chiropractic on pain relief, mobility improvement, joint function recovery, and quality of life in chronic shoulder pain syndrome.
Materials and Methods:
The study was conducted using a single-blind, randomized controlled clinical trial (RCT) design. In the study, 60 clients were randomly selected from people suffering from of the shoulder joint pain, and group 1
received Turem treatment together with physical therapy, and group 2 received physical therapy. The results of the study
were evaluated by shoulder pain (VAS score), muscle strength, range of motion of the shoulder joint with a goniometer,
and the Disability of Arms, Shoulders, and Paws Questionnaire (DASH). The research was conducted in accordance with
the appropriate ethical approvals (No. 2024/3-05), (No. 2024-18) and confirmed by an informed consent form. Clinical
trial research results were processed using T-test, Independent T-test, repeated ANOWA test.
Results:
The average age of the participants in the study was 56.13±7.13 years in the treatment group and 53.87±8.05
years in the control group, and 55% were male and 45% female. When shoulder joint pain was evaluated by VAS assessment, the values before and after treatment and after 1 month of treatment in the turem treatment group and the control
group decreased statistically significantly (p=0.000). There was a statistical difference between the results of the 2 study
groups. When assessing muscle strength, no statistically significant difference was observed between the results of the
turem treatment and control groups. When measuring the amplitude of the shoulder joint in the subjects, the amplitude of
shoulder extension, abduction, external rotation, and inward rotation increased after the treatment, and compared to the
two groups, the index of the turem treatment group increased with statistical significance (p=0.000). When assessed by
the Hand, Shoulder, and Hand Dysfunction Questionnaire (DASH), the score of the questionnaire decreased significantly
(p=0.000) before, after, and after 1 month of treatment in the turem treatment group and the control group. Turem treatment has been shown to reduce the rate of shoulder disability and improve function in chronic shoulder pain syndrome.
Conclusion: Turem treatment for chronic shoulder pain syndrome can reduce shoulder pain, increase joint range, and
improve muscle strength. Also, turem treatment reduced the rate of shoulder disability and improved function.
Conclusion
Turem treatment for chronic shoulder pain syndrome can reduce shoulder pain, increase joint range, and
improve muscle strength. Also, turem treatment reduced the rate of shoulder disability and improved function.
10.Erkhem-8 traditional medicine effects on wind, bile, and phlegm reference coefficient and research on medicinal sourcebooks
Uugantsetseg G ; Dejidmaa B ; Chimedragchaa Ch ; Amarzaya D ; Erdenechimeg Ch ; Alimaa T
Mongolian Journal of Health Sciences 2025;85(1):278-283
Background:
Erkhem-8 medicine is a composed Crocus Sativus L, Lagotis integrifolia, Gentiana barbata froel etc, used
for the treatment of respiratory diseases, specially pneumonia and fever or hot disease in Mongolian Traditional Medicine.
Aim:
The effects of Erkhem-8 medicine to determine the some sourcebook study results.
Materials and Methods:
An evaluation of its effects on wind, bile, and phlegm was conducted using Traditional Mongolian Medicine methods (Dagvatseren B, 1996). In order to clarify the structure and composition of Erkhem-8 traditional
medicines, and the treatment of lung fever from traditional medical sources. Text and source-study and comparison method were used in the study.
Results:
The study found that Erkhem-8 medicine demonstrated a varying capacity to suppress wind, bile, and phlegm,
with bile suppression being the most significant at 0.68, followed by wind suppression at 0.58, and phlegm suppression
at 0.16.
Erkhem-8 is composed of 8 ingredients, which are safflower Carthamus tinctorius L, gmeline Bostaurus domesticus,
Schizostachoum chinense Rendle, wood Santalum album L, Odontitis rubra Baung.Opiz, flora Gentiana decumbens L,
herba Lagoti sintegrifolia Schischk, flora Aconitum Kusnezoffii Reichenb. These herbs themselves have a variety of biological activities, including reduce heat, pain relief, anti-oxidant and anti-tumor, anti-inflammation activity.
Conclusions
1. The study found that Erkhem-8 exhibited the highest suppression of bile (0.68), followed by wind (0.58), and
phlegm (0.16), indicating its effectiveness in modulating these elements.
2. Most of the raw materials included in the composition of Erkhem-8 medicine have a bitter and sweet taste and have
the ability to remove heat, especially heat of the solid organs, i.e. heat of the lungs, liver, blood, specially pneumonia
and fever or hot disease in Traditional Mongolian Medicine.