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. Needs assessment of faculties’ development on teaching methodology at MNUMS
Batbold G ; Baljinnyam B ; Khongorzul TS ; Batzorig B ; Oyungoo B ; Erdenekhuu N
Innovation 2016;2(1):30-31
Regardless the possession of any graduation and qualifications anywhere in order to train the doctors and medical professionals with the capabilities to work in any places there are the needs of the knowledgeable mentors to teach their knowledge, abilities and trends to the students in national, regional and international levels. This survey was started to determine the needs of the skills development of the mentors of the Mongolian National University of Medical Sciences under the mission to make it as one of the best 100 medical universities in the Asia-Pacific region and in order to create the favorable environment to accelerate the development of the university and creating a team consists from qualified mentors and researchers by improving the trainings, researches and clinical favorable environment including the quality improvement of the activities.The total of 333 mentors from the 5 structures and 3 branches of the Mongolian National University of Medical Sciences were surveyed to be developed by the University of Michigan including the use of the widely used questionnaires in the universities consisting from 7 groups and 81 questions to determine the needs of the mentors.The working range of the best medical mentors including their needs of the skills was studied. The 55.7% (50.4-61.0%) of the mentors included in the survey were told that the facilitation of the learning needed, 82.4% (78.3-86.5%) as the role models needed, 79.9% (75.6-84.2%) as the provision of the information is needed, 76.3% (71.7-80.9%) as 82.8% (78.8-86.9%) as the planning needed and 81.0% (76.8-85.2%) as the assessment of the training is needed.There is a need to develop the skills related to the 6 frameworks as the learning facilitation for the mentors, role model providers, information providers, resource developers, planners and assessors.
3.Study result of some treatment effects in collagen induced arthritis mouse model
Khongorzul B ; Bilguun E ; Undarmaa E ; Tuul B ; Gudegmaa TS ; Choijamts G ; Chimedtseren S
Mongolian Medical Sciences 2012;162(4):111-117
IntroductionRheumatoid Arthritis (RA) is chronic systemic inflammatory autoimmune disorder that still remains a disease of unknown etiology and complex disease without a single treatment that is dominated by serious and debilitating sequalae resulting from synovial membrane, cartilage and progressive joint destruction involvement. There is a one major obstacle in elucidating the early events in the pathogenesis of RA has been the lack of definition of the initial features of the disease. To overcome these difficulties, various animal models have been developed. But Collagen Induced Arthritis (CIA) mouse model is known to be the most valuable animal model to explore the pathogenic process, molecular and cellular mechanisms of joint destruction, to discover the immune system respond and activation and to develop new effective treatment methods and useful drugs [1].Materials and Methods:Within this study we have used 40 male mice at age 6-8 weeksfor 0-60 days and divided into following 4 groups which are:I group–CIA induced mouse group treated with Derveger Jirgeruu (Saposhnicovia divaricata) (n=12) II group–CIA induced mouse group treated with Natriisalicylas (10%) (n=12) III group–Healthy control mouse group (n=8) IV group–CIA inducedcontrol mouse group (n=8). To induce CIA model, we have used standard method of Murali /2005/’s design. Standard drug Natriisalicylas (10mg/ 20gr), one of the often used drug anti-inflammatory and Mongolian herbal plant Derveger jirgeruu (Saposhnicovia divaricate) (0.26mg/20gr) were daily administered by orally, starting on day 21 until day 60.To evaluate and compare 2 drug’s anti-inflammatory effect, we have done clinical score evaluation (Kim W.U, 2002), laboratory testing and histological examination of the joints using standard methods.ResultTo summarize the research result, both medications have proven to be as a medication which has anti-inflammatory effect that decreased the signs and symptoms of RA by it is histological and laboratory analysis.Conclusions:1. CIA model was effectively induced, which have proven by clinical signs, laboratory result and histological examination.2. Within this study it has proven that traditional herbal medicine Derveger Jirgeruu (Saposhnicovia divaricate) (0.26mg/20g) have anti-inflammatory effect on CIA induced mouse model of Rheumatoid Arthritis, which have had similar effect asstandard non-steroid medicine Natriisalicylas (10mg/20g).
4.Visual and anatomical outcomes of vitrectomy surgery in rhegmatogenous retinal detachment
Oyunzaya L ; Amarjargal S ; Zolboo A ; Khongorzul G ; Balmira Ye ; Tseevanjid Ya ; Surenjav Z ; Ganzaya G
Innovation 2021;14(2-Ophthalmology):12-15
Background:
To determine the visual and anatomical outcomes after rhegmatogenous retinal
detachment surgery.
Methods:
Case files of patients who had surgery for rhegmatogenous retinal detachment at the
3rd state central hospital May 2019 and May 2021 were reviewed. Information obtained included
age, sex, presenting and post-operative visual acuity, anatomical reattachment, post- operative
complications and causes of treatment failure.
Results:
Risk factors for retinal detachment included myopia in 8 eyes (32%), trauma in 7 eyes
(28%), prior cataract surgery in 2 eyes (8%). 22 eyes (88%) presented with macula off while 3 eyes
(12%) presented with macula partly or completely attached. Visual acuity at presentation was
<0.01 in 15 eyes (60%). Following surgery, retina was attached in 23 eyes (92%) and remained
detached 2 eyes (8%). Visual acuity after surgery was 0.1< 17 eyes, 0.4< 7 eyes. Visual acuity
improved in 23 eyes (84%), remained the same in 2 eyes (8%).
Conclusion
Myopia and trauma are important risk factors for Rhegmatogenous Retinal
Detachment. Majority of patients in this setting presented late with Rhegmatogenous Retinal
Detachment and this was responsible for relatively poor visual outcomes despite good anatomical
results after surgery. Proper screening of eyes at risk and education of patients is important for
preventing visual loss due to retinal detachment.