Background: The purpose of this study is to investigate students' satisfaction whose were studying in the academic years 2020-2021, 2021 - 2022 with the biology curriculum at "Ach" Medical University, to evaluate the effectiveness of the teaching method, and to improve the planning and execution of future teaching and learning activities based on the students' perceptions. Introduction: One of the ways to evaluate the quality of services of higher education institutions is the student satisfaction survey. The satisfaction of any customer with the service that they receive depends on many factors. We conducted a survey on the satisfaction of students who are the main users of the Biology curriculum at Ach Medical University, and considered that it is necessary to pay further attention to the fact that the results taking and the requirements. Purpose: The purpose of this study is to take a survey of the satisfaction of the students of the biology curriculum of "Ach" Medical University based on the perceptions of the students, give an evaluation and conclusion about the teaching activities and improve the teaching quality and methodology. Materials and Methods: This research is based on the HEdPERF model Beaumont (2012) who has developed a model for evaluating the quality of higher education with 6 factors, each factor having 4 questions and 1-10 points. F of these factors were used in this research [12]. It includes:
1. Training-Lecture Quality, Seminar/Laboratory Quality, Teacher's Teaching Methodology, Importance of Course Content
2. Teacher-Professional knowledge and experience: Ability to support and help students, Recognize the needs of the students, Ability to attract student's attention in training, Communication skills
3. Organization and materiality of study - Organization, Management, Flexibility of the training, Quality, and Availability of training materials and equipment
In the academic year 2020-2021 and 2021-2022, students who studied biology were asked to evaluate the performance of the "Biology" curriculum by answering 30 questions with 3 groups of questions using Google form, and answering one of the points 1, 2, 3, 4, 5 for each question and collected the research material by clarifying. General information of the research participants : 147 first-year students in "Ach" Medical University aged 17-20, 86.4% female and 13.6% male, or 29.4% of all students, participated in the survey. : Result Teaching process of biology course: The participants of the research who studied the biology course through combined online and classroom learning answered that the lecture course was conducted that explains the phenomenon broadly in a scientific unity. They answered that the method of lecturing is appropriate for explaining cases, repeating topics, clarifying interrelationships, the content and quantity of independent work, and practical importance if the tasks are completed. Evaluation methodology of the teaching: The participants said that the lessons are taught clearly, with real-life examples, communication between teacher and students is proper, independent work is checked promptly, the results reporting is done on time and the evaluation is as realistic. When the teacher asks for corrections during class in the future: The students said that if the teacher has more conversations with them, if the teacher speaks louder while taking classes, and some answered that there is nothing to correct. Biology curriculum evaluation: When asked about the environment for implementing the Biology curriculum and the availability of teaching materials, the students said it is moderate. In response to the question of describing the advantage and disadvantages of the Biology curriculum:
• The knowledge and skills of the teacher, as well as the opportunity to learn from other programs are an advantage
• Classrooms, equipment, and e-learning were evaluated as weaknesses. Conclusion
1. According to the satisfaction survey results obtained from 147 students who are representatives of the students who studied Biology in the 1st year of 2021 and 2022 at "Ach" Medical University, it was concluded that the teaching process of biology is 84.8 percent or good.
2. In order to further improve the course's quality and results, and also each student's practice, it was determined that some changes to the ratio of the content of the lectures and seminars, in addition to attending practice classes regularly in the classroom and with mutual discussion, are required.

Diets, boosting circulating ketones are used to use for treating some neurological disease. But recent years it’s usage in coordinating the weight is becoming more popular among overweight population. Weight loss is being offered as a therapy is aimed to reduce some risk factors of metabolic syndrome. Ketogenic diet offers high amount of fat in food composition and very low amount of carbohydrate. Results regarding the impact of ketogenic diet on cardiovascular risk factors and metabolic parameters are controversial and seem to be limited in time, which means it depends on lasting time of ketogenic diet. Ketogenic diet is not totally safe and can be associated with some beneficial and adverse effects on metabolism.

IntroductionThe metabolic syndrome is a cluster of the most dangerous heart attack risk factors: diabetes andprediabetes, abdominal obesity, high cholesterol and high blood pressure. Also it is known as acluster of changes associated with resistance to insulin.There is a convincing evidence of important ethnic differences in the prevalence of metabolic syndrome,its components and sequelae. Estimates vary by country, but generally they show higher prevalenceof metabolic syndrome in non-European groups. Based on these findings, we were convinced inthe importance of studying the prevalence of metabolic syndrome and insulin resistance among thepopulation of Mongolia.Materials and MethodsThe main goal of our study was the determination of insulin level and insulin resistance in metabolicsyndrome exposed and non-exposed groups. We included 194 randomly selected people aged 20-60 years old; among them 51 had metabolic syndrome which was identified by the criteria of theInternational Diabetes Federation. All participants underwent general medical examinations andsigned a written consent paper. Fasting blood glucose, triglyceride, HDL, insulin levels were measuredin fasting blood serum and insulin resistance was calculated as a HOMA-IR model.ResultsAverage age of participants was 44,26±8,66 years, of whom 46,4% (n=90) were male, 53,6%(n=104)were female. By IDF criteria, 26,2% (n=51) of the participants had metabolic syndrome. Insulin levelwas 17,23±14,91μIu/mL in MS exposed group which was much higher than in the control group.Insulin, HOMA-IR, had direct correlation with the body mass, BMI and waist circumference andinverse correlation between HDL.Conclusions26.2% of the study participants had metabolic syndrome which was defined by IDF criteria. Insulin levelin the MS exposed group was 17,23±14,91μIu/mL, higher than in the control group by 7,53±2,21μIU/mL. Insulin, HOMA-IR, showed a direct correlation with the body mass, BMI and waist circumferenceand inverse correlation between HDL.

Background: However kidney transplantation has being performed in Mongolia since 2006, because of pre-transplant sensitization, ABO incompatibility, hepatitis B and C virus activation many patients are taken kidney transplantation in abroad. The transplantation centers use own immunosuppressive regimens. Objective: Our aim was to assess the immunosuppressive regimens efficacy and toxicity in kidney transplant Mongolian recipients. Methods: We analyzed data from 96 adult kidney transplant recipients who had taken kidney transplantation in different transplant centers from August 2006 through January 2014. There were 3 kinds of regimens Group I Simulect induction with standard triple /FK506/CyA+MMF/AZA+steroid/, Group II Campath-1H induction with CNI monotherapy and Group III Campath-1H induction with standard triple /FK506/CyA+MMF/AZA+steroid/. We retrospectively collected the post-transplant first two years serum creatinine. The study was performed in 2014. The questionnaire was taken and blood samples collected for determination of tacrolimus through level and for other laboratory tests. The primary end point was the first two years serum creatinine, the secondary end points included rejection episodes, blood through level of tacrolimus and some laboratory findings. Results: The post-transplant first two years serum creatinine levels were significantly different in 3 groups. Group III showed similar results compared to Group I. There was not enough data of biopsy proven acute rejection episodes however group II said more rejections occurred. However participants said that rejection occurred in 15 (15.6%) biopsy was done only 3 (3.1%) cases. Blood through level of tacrolimus was significantly different in three groups. Some laboratory findings showed different between three groups. Conclusions A regimen of Campath-1H induction with CNI monotherapy (Group II) may be advantageous for short-term renal function and cost effective but there were more rejection complications and increased creatinine. The regimen of Campath-1H induction 11 with standard triple (Group III) may be advantageous for long-term renal function, allograft survival, but there should consider about infection complications and polycythemia. Simulect induction with standard triple could be best choice but transplantations were performed in experienced centers. The study enrolled few cases and cases which were performed at the beginning of transplant program so many things could influence on the result. The study was compared beginner transplant center with experienced centers. Longitudinal cohort study needed in the future.