1.Time of ambulance services to provide prompt and timely service on traffic injury calls in Ulaanbaatar
Amgalanbaatar A ; Suvd B ; Battur L
Mongolian Medical Sciences 2013;163(1):173-177
BackgroundTrauma, traffic accidents are among main concerns to attach greater attention. Prompt medical assistance plays essential role in reducing consequences of road accident, as well as trauma and saving lives. In the recent years the number of traffic accidents has been steadily growing in Mongolia. The traffic accident mortality rate has been increasing.GoalWith this paper we aimed to reveal main difficulties the Emergency Medical Service of Mongolia encounter in providing effective, speedy medical assistance to the injured in road accidents; define ways and opportunities of improving quality of medical help.Materials and methodsWithin the framework of the study, activities have been implemented in three directions. Firstly: At Emergency Medical Service emergency call registration book for 2009-2010 was analyzed. Date, place, the number of victims, age, gender composition, time of emergency assistance arrival at crash scene, length of first and pre- hospital aid rendered at crash scene and others were focused on. It facilitated to determine combined time of emergency call and medical assistance at crash site. In order to define attitude, views of emergency medical personnel data have been collected through individual or group interview.ResultsTotal number traffic accidents registered in emergency medical service were 1618 between 2009 and 2010. Males comprised 65% and 35% females, age ranged between 3-86 (average age 32.8±14). Large number of traffic accidents occurred in Bayanzurh and Songinohairhan districts. Most traffic accidents occurred in April, August and October. Total time spent in emergency medical service in traffic accidents were 28.4±20.3 minutes. 43.6% of total emergency medical service were in 20 minutes but 56.4% were more than 21 minutes.ConclusionThe result of the study indicates that emergency medical assistance arrival is mainly delayed due to many factors including broad range or area of service, insufficient number of doctors, ambulance vehicles, traumatic hospitals and traffic jam. Non-for emergency assistance calls occupying majority of emergency calls can also be attributed as one of negative factors.
2. SOME ISSUE TREATING LUNG DISORDER ON EXPERIMENTAL ANIMAL MODEL BY“SOROOL-4” TRADITIONAL DRUG
Bayarsaikhan O ; Tserendagva D ; Battur L ; Solongo B
Mongolian Pharmacy and Pharmacology 2013;2(1):57-
Background: In Mongolia, leading cause of morbidity prevalence is respiratory system disease by 2010. The prevalence is 1027,73 per 10000 people. Comparison to 2000, it has been increased by 1,5-2 times. Another word, it shown that respiratory diseases hadn’t been decreased, but progressively increased in the last 10 year.By WHO estimation in 2008, future trend of mortality rate of the respiratory system disease would taken 3rd place in the leading causes of the mortality by 2030. Most common symptoms of the respiratory diseases are cough and sputum.Aim of the study: Aim of this study is to investigate some effects Sorool-4 drug on some respiratory diseases.Method of study: Experimental research method was used in this study. 30 laboratory white mouse, each weigh is 18-22 grams and 40 Vistar species rats, each weigh is 180-220 g were used in the study in where Inner Mongolian National University of China.0.25% Ammonium hydrochloridium solvent was inhaled to each mices for 10 seconds. After 3 day inhalation procedure, Sorool-4 drug was injected 10 grams per kg to mices, and Libexin was administered 4.3mg/kg per one time in next 3 day. During these 3 days, we measured cough for 3 minutes to each mices by ZOLY- 3 devices in everyday.White mices were classified into 3 groups, and then0.1 ml/10gram phenol aldehyde solution 0.2-0.25 ml per each mice injected to abdominal cavity. After 3 day injection, sorool-4 was administered 10 gram per kg and bromhexine 0.12 mg per kg, 3 times a day, for 3 days.Bacterial colony: Coagulase positive S.aureus DU 5789 and coagulase negative mutant DU5843 species were used in this study. These bacterias has stored in-700C in brain and heart infusion, and 10% glycerol and 5% non-fat milk were feed until used.Culture: According to CASH method, some changes were made. S.aureus was cultured in the TSA, BBL agar in +370C for 24 hours and diluted with pure non- endotoxin saline and centrifuged at 3000rpm for 7 days, +40C, 10 min per day. And then again diluted with cold pure saline, and diluted to 2х109-4х109 CFU ml by turbid meter. Prepared suspension has warmed to 450C, and mixed 10 ml suspension with 4% 10ml melted NOBLE agar.Experimental model: 0.2-10ml/10ml/g agar wasinjected to every mice tail vein.To develop cough model, 0.25% ammonium hydrochloridium solution was inhaled 10 sec for 3 days in YLS-8A device. After 3 day, in three groups, mices of the each group coughed mean 25.6±3.6 amount. Sorool-4 drug and Libexin were administered 10mg/kg to treatment group 1 and 4.3 mg/kg to treatment group 2, each respectively. After administration these drugs, counted cough amount of each mice for 3 min in YLS- 8A device in 3 day.Conclusion: Because of amount of sputum of treatment group 1 and 2 is more than control group, Sorool-4 is not efficient as same as bromhexine, but this showed that it has mucus expectorant effect.As shown results, sorool-4 has anti-inflammatory effect. It would be more effective using sorool-4 with antibiotic.