1.RISK FACTORS THAT INFLUENCE THE CLOSED REDUCTION MANAGEMENT OF THE COLLES’ FRACTURE
Bulgan Ts ; Baasanjav N ; Munkhjargal B ; Chuluunbaatar O ; Baatarjav S
Journal of Surgery 2016;20(2):87-91
Introduction: In 1814 Irish surgeon
Abraham Coll first introduced distal radial
bone fracture in clinical practice as a colles
fracture. It is one of the most common
fractures account for 10-20% of the total
respectively fracture. Case of Colles fracture
has being increased in the developed country
year by year besides the increasing number
of elderly patients. Depending on severity
displaced of the fracture, management
includes closed reduction or surgical
procedure. The aim of study was to study
result of risk factors that influence the
closed reduction management of the Colles
fracture.
Materials and Methods: From hospital
based population 80 patients aged between
5-76 years (mean age 47.31 years, male
61.25%, female 38.7%) were recruited by
cross sectional and randomized method.
Participants were divided into displaced and
non-displaced groups which confirmed by
refractive index difference on X-ray.
Results: The risk factors that influence the
colles fracture closed reduction management
was osteoporosis (p=0.38), menopause
(r=0.18, p=0.27), calcium supplement intake
(r=0.21, p=0.05), received hospital care in
24 hour (p=0.39), apply plaster (p=0.64),
hand sling immobilizer brace (p=0.5) and
physical therapy (p=0.5).
Conclusion: Osteoporosis and menopause
were the risk factors that influenced the
closed reduction management of Colles
fracture. The patient cases that not receiving
emergency medical care in first 24 hours,
not applying plaster, not using the hand sling
immobilizer brace and not receiving physical
therapy was risk factors for extending the
closed reduction management of the Colles
fracture.
2.Phytochemical and anti-inflammatory studies of banzi 12 Mongolian traditional medicine
Оchgerel O ; Munkhjargal N ; Davaasambuu T
Mongolian Pharmacy and Pharmacology 2021;19(2):130-136
Introduction:
The research is based on the study of the action of traditional drugs that have important anti-bacterial and anti-inflammatory effects, as well as their low cost and low side effects in medical practice.
Material and methods:
We conducted the research based on the material base of Otoch Manramba University’s pharmaceutical chemistry laboratory. We took Banzi 12 medicinal powder as research object, made in Manba Datsan pharmaceutical plant. The content of alkaloids, flavonoids, coumarins and total phenolic compounds in Banzi 12 medicinal powder drugs was determined by spectrophotometry, extractive substances by titrimetric method, weighted content of extractable substances, heavy metal content by atomic absorption spectrophotometry and bacteriological analysis according to the methodology specified in MNF. The effect on acute inflammation (U.E. Strelnikov) was determined according to the method of formalin causing an edema.
Conclusion
1. The highest concentrations of flavonoids70% alcohol content is11.5%±0.001, preservatives 14.5%±0.72, and polyphenolic compounds 1.68%±0.005were used to determine the content of biologically active substances in Banzi 12medicinal powderdrug.
2. Banzi12medicinal powderdrug produced by Manba Datsan traditional medicine factory used in the study meets the requirements of MNS 5586: 2006 for traditional medicine.
3. Formalin has been shown to have anti-inflammatory action for acute inflammation.
3. RISK FACTORS THAT INFLUENCE THE CLOSED REDUCTION MANAGEMENT OF THE COLLES’ FRACTURE
Bulgan TS ; Baasanjav N ; Munkhjargal B ; Chuluunbaatar O ; Baatarjav S
Journal of Surgery 2016;20(2):87-91
Introduction: In 1814 Irish surgeonAbraham Coll first introduced distal radialbone fracture in clinical practice as a collesfracture. It is one of the most commonfractures account for 10-20% of the totalrespectively fracture. Case of Colles fracturehas being increased in the developed countryyear by year besides the increasing numberof elderly patients. Depending on severitydisplaced of the fracture, managementincludes closed reduction or surgicalprocedure. The aim of study was to studyresult of risk factors that influence theclosed reduction management of the Collesfracture.Materials and Methods: From hospitalbased population 80 patients aged between5-76 years (mean age 47.31 years, male61.25%, female 38.7%) were recruited bycross sectional and randomized method.Participants were divided into displaced andnon-displaced groups which confirmed byrefractive index difference on X-ray.Results: The risk factors that influence thecolles fracture closed reduction managementwas osteoporosis (p=0.38), menopause(r=0.18, p=0.27), calcium supplement intake(r=0.21, p=0.05), received hospital care in24 hour (p=0.39), apply plaster (p=0.64),hand sling immobilizer brace (p=0.5) andphysical therapy (p=0.5).Conclusion: Osteoporosis and menopausewere the risk factors that influenced theclosed reduction management of Collesfracture. The patient cases that not receivingemergency medical care in first 24 hours,not applying plaster, not using the hand slingimmobilizer brace and not receiving physicaltherapy was risk factors for extending theclosed reduction management of the Collesfracture.
4.Technological and standardization study of Dentos 1% gel medicine
Erdenetuya O ; Battulga G ; Munkhjargal N ; Khashchuluu B ; Chimgee TS ; Lkhagva L ; Hurelbaatar L
Mongolian Medical Sciences 2014;169(3):59-66
BackgroundMonos Pharm LLC has been started production of Dentamon which is an elixir medicine for gumtissues and a oral cavity inflammation and consumer product has been under appreciated today since1998. Now days, as the technology develops, improved levels of consumer demand for consumptionand they want the product easier to use. In this study, sustainable refers to both the technology andstandardization characteristics of gel medicine for a new Dentamon or Dentos gels were prepared using20% ethanol extract for mixture of Chamaenerion angustifolium L, Stellera chamajasme L and Oxytropispseudoglandulosa which are pharmacological active for gum tissues and a oral cavity inflammation.GoalThe aim of this work was to standardize of Dentamon elixir gel medicine and make technological studyof Dentamon.Materials and MethodsThe present study included plant species which were Chamaenerion angustifolium L, Stellerachamajasme L and Oxytropis pseudoglandulosa. Those three medicinal plants were collected fromdifferent regions of Mongolia and samples their upper part of ground. The plants were used for thepurpose of their phytochemical analysis and technological study of gel formulation. For the contentof flavonoids, total coumarin and tannin in the gel and extract of those plants were determined byspectrophotometric method. The direct measurement of the microbiological climacteric was determinedin extract by according to Mongolian National Pharmacopeia and the viscosity property of gel medicinewas identified using viscometer.ResultsThis study has revealed the presence of photochemical considered as active medicinal chemicalconstituents. Chemical tests of the screening and identification of main active components in the plantsunder study were carried out in the ethanol extract (20, 40, 70%) and aqueous extract using generalextraction method. The tannin content of the upper part in water and three different concentrated ethanolextract was found to be (2.16±0.04%, 1.73±0.04%, 2.58±0.04% and 1.74±0.02%), respectively. Thetannin content of upper part in 40% of ethanol extract of the plants was 7.40±0.21% and coumarin contentwas 3.01+0.09% and the total flavanoids content were 0.70+0.03%. There were not detected Esherichiacoli, Salmonella, Pseudomonas aeruginosa and Staphylococcus aureus in plant extracts. The gelmedicine was prepared from concentrated plant extract using dispersion method and and gel formingmaterial selection using 0.5%, 1%, 1.5% and 2% of carbomer. The results from gel formulation assay,the 0.5% of the gel was turbid liquid state, and 1% of the gel was a colorless, clear liquid state, 1.5% gelwas colorless, created very clear and 2% gel was colorless but it was very dense. The pH condition ofthe 1% of Dentos gel was 7.6 and the viscosity property was 7400000 mPa/sec, the flavonoid contentwas 0.165%, the total coumarin content was 0.69 and Pseudomonas aeruginosa, Staphylococcusaureus, Enterobacteriaceae did not detected. Dentos 1% gel was compared its pharmacological trialwith Hi Ora gel which is produced by Himalaya LLC. On the treatment 14 days, Dentos gel more reduced45.9% of wound area index than Hi Ora gel.ConclusionThe 40% ethanolic extracts of the studied plants contained many bioactive chemical constituentsincluding alkoloids, flavonoids, tannin and coumarin. The 1.5% of carbomer was most effectivefor make a new Dentos gel and also new generated gel was most effective against Pseudomonasaeruginosa, Staphylococcus aureus, Enterobacteriaceae. The new generated gel was standardizedby its appearance, viscosity property and content of coumarin, alkaliod, flavonoids and microbiologicalpurity characteristics.
5.The study of plants and minerals with wound-healing activities
Erdenetuya O ; Munkhjargal N ; Battulga G ; Davaasambuu T ; Narangerel B ; Hurelbaatar L
Mongolian Medical Sciences 2012;162(4):91-97
BackgroundThe works done during the research include: conducting photochemical study on the surface of the piece of land on which the medicinal herbs chosen as samples for the research grow; extracting dry infusion from plants; identifying main substance and antibacterial activity of dry infusion; conducting pilot pharmacological experiment with mineral samples.GoalBased on the results of these experiments, we aimed at finding out wound healing functions of Chelidonium majus. L, Stellerae chamaejasme.L etc, widely used in both conventional and modern medicine as well as of such minerals as Sinder, Zeolite, Tormohon, Baragshun after selecting from them.Materials and MethodsAlkaloid, a biologically active substance found in surface of plant land and dry infusion, was determined by titration method, alkaloids such as protopine and berberine by high performance liquid chromatography, coumarin and flavonoid by spectrophotometric method, the amount of infusible substance by scale method. The methodologies of Gatsura.N and Avtandilov.G.G were adopted to make artificial wound on skin and to heal a wound respectively.ResultsAs the research result shows, the surface of the area where Stellerae chamaejasme.L grow, contains 0.33% ±0.004 total coumarin, 0.19 % ±0.002 flavonoid and 37.14 % ±0.61 infusible substance while that of Chelidonium majus.L contains 0.19% ±0.003 total alkaloid, 0.12 % ±0.004 flavonoid, 0.09 % ±0.002 coumarin and 36.27%±0.74 infusible substance. After the infusion was extracted from Stellerae chamaejasme.L and Chelidonium majus.L through method of percolation with mixer, there were 16% and 14.5% dry substance remained in the infusions respectively. These figures were reduced to 12.6% and 11.4% after freezing them in -500C for 72 hours in dry freezing. The fact that total coumarin contained in dry infusion of Stellerae chamaejasme.L is 2.95% and protopine and berberine in that of Chelidonium majus.L, is 28 мг,% and 3.7 мг,% respectively meets the requirements for medicinal plant extracts. It was found during the pharmacological experiment of preparing 25% oil ointment composed of minerals including Sinder, Tormohon, Zeolite, Baragshun that zeolite was the highest effective mineral in healing a wound by wound index. Therefore, we chose zeolite as an ingredient of the wound ointment. Oil ointments of 6 variations with 5% and 10% content were prepared from the dry infusion as well as minerals of the study plants, and pilot pharmacological experiment was conducted on an experimental mouse that had an artificial wound. The result of the experiment proved that oil ointments with 5% content of Stellerae chamaejasme.L, Chelidonium majus.L and zeolite were more effective in healing the wound than others.ConclusionBy photochemical analysis, the chosen plants proved to be meeting the requirements for medicinal plants. Pilot pharmacological experiment showed that zeolite was the one that accelerated a wound healing process more efficiently than others. Oil ointments with 5% content of dry infusion and 5% of zeolite were effective in healing a wound quickly.
6. Analyzes on dislipidemia in Govi-Altai population
Erkhemtsetseg G ; Dorjdagva D ; Enkh-Amgalan N ; Tuvshinbileg G ; Munkhjargal O
Health Laboratory 2016;5(1):18-23
Background:We determined lipid parameters which are the leading causes of developing cardiovascular diseases and atherosclerosis and investigated the increased serum triglyceride level which is referred to as atherogen triad , decreased high-density lipoprotein and increased low- density lipoprotein associating with age and sex.Method:237 people who were done lipid level parameter tests in the Central Hospital Laboratory were involved in the study. We identifed cholesterol, triglyceride, lowdensity lipoprotein (LDL) and high-density lipoprotein ( HDL) (COBASC-311,ROCHE,Germany) which are the lipid parameters using full automatic apparatus .Results:While serum cholesterol level increased in the ages between 40-60 and has a tendency to decrease in the further, HDL level was decreasing as the age grew. Serum LDL level has strong direct relevance to cholesterol (r=0.720, p<0.01) and weak relevance to triglyceride (r=0.189,p<0.01). As for the sex, high- density lipoprotein level decreased for men with statistical importance (p<0.05) and there was no signifcant difference in other parameters. LDL level increased for 81.8% , increased cholesterol for 51.1%, raised triglyceride for 27.9% comparing with the normal rate but HDL level was decreased for 32.2% of the participants in the study. These changes mostly occurred at the ages of 40-60. Atherogen triad occurred for 16.5% of the participants and 13(33.3%) of whom were male and 26(66.7%) female.Conclusion:LDL and cholesterol level raised more than the normal rate comparing with other lipid parameters particularly as for 40-60 aged people and atherogen triad which leads to develop atherosclerosis occurs in 16.5% of all adults in the study.