1.The current situation of the early detection and control of hypertension and its strategy
Nandintsetseg B ; Baigalmaa L ; Tsolmon U ; Serjee D ; Zolzaya B ; Angarmurun N
Mongolian Medical Sciences 2010;153(3):6-11
Background According to the report of World Congress of Cardiology in 2007, 1.5 billion people had hypertension and 45% of hypertensive people were unaware of their condition. In our country, some study had provided estimation of risk factors and prevalence of hypertension, but main characteristics presenting the early detection and control of hypertension have not been studied well and information does not exist.The quality of the control, registration and early detection of hypertension will be improved by studying this topic and complications and mortality due to the hypertension could be decreased.GoalThe aim of our study is to evaluate the current situation of the early detection, registration and control of hypertension, and to describe future strategyObjectives:1. To describe the hypertension awareness and risk factors associated with early detection of hypertension2. To evaluate the current situation of registration system of hypertension and to find out the strategies for renewing registration system3. To investigate the rates of the treatment and control of hypertension, and to survey factors associated with the control of hypertensionMaterials and MethodIt was population based, cross sectional, prospective study. Participants of the study were selected by randomized method.In the study, 1103 individuals, 133 physicians and 2 family hospitals located in Bayanzurkh, Songinokhairkhan districts, were surveyed. The study based on questionnaire and BP measurement which aimed to reveal:• Hypertension awareness (%)• Treatment (%)• Control (%)Software program name: Arterial hypertension registration and control Objectives of the program: to evaluate registration of arterial hypertension, to detect earlier, to determine control level of hypertension Users: family hospitals, family doctorsType of morbidity registration: population basedStatistical analysis was performed with SPSS-17 software program. Single- and multi-factorial analysis was explored by using simple and logistic regression and significance.ResultsIn the study, in total, 1103 people aged of ≥18 years living in Bayanzurkh and Songinokharkhan districts of Ulaanbaatar, have been involved. 37% of all participants were male and 63% were female and mean age of all participants was 40.6±16.1. According to our study, 305 individuals of 431 hypertensive participants (70.8%) were aware of their hypertension. This result was different in gender: 58.0% in male, 79.0% in female. Our research team created software program that can integrate all hypertension data to one database. We are planning to determine unawereness; aware and treated; treated and controlled; and uncontrolled levels by using this software and to introduce the program created by us to all primary level physicians in order to use routinely.Conclusions:1. Among hypertensive individuals, awareness of hypertension was 70.8%. Factors such as young age (<35), single people and not measuring BP for the last one year influence negatively on early detection of hypertension (p<0.05).2. Current method of hypertension registration is not proper at the time. Therefore, we concluded that renewing of the arterial hypertension registration database and conversion it into electronic type is convenient to control arterial hypertension and to provide integration.3. Treatment level of arterial hypertension was 39.9%, controlled arterial hypertension among all hypertensive population - 10.2% and among treated population – 25.2%.
2.Explanation of the reason of “Fundamental principles of food and drink” was called the “Khublai’s fundamental principles of food and drink”
Nandintsetseg D ; Sumiyakhorol G ; Bao An ; Ulaan-Od Kh ; Naranzaya L ; Bold Sh
Mongolian Pharmacy and Pharmacology 2024;25(2):12-17
Introduction:
In “Bencao gangmu” (李时珍本草纲目 Compendium of Materia Medica) written by Li Shizhen in 1590 mentioned that “Khublai’s Fundamental Principles of food and Drink” (忽必烈飲膳正要) instead of “Fundamental Principles of Food and Drink” by Khusekhui. “Compendium of Materia Medica” is an encyclopedic work on traditional Chinese materia medica before the 16th century. It was compiled and written by Li Shizhen (1518-1593), a medical expert of the Ming Dynasty (1368-1644). The compendium is the most complete and comprehensive medical book ever written in the history of Traditional Chinese medicine. It has been translated, totally and partially, in more than 20 foreign languages, including Japanese, Korean, Latin, French, German, English, Russian, etc. It has been reprinted over 100 times in the past 400 years and is still used by scientists, professionals, and practitionars of the fields as a monumental reference work. Why was famous herbalist Li Shizhen highlighted “Khublai’s Fundamental Principles of Food and Drink”?. Based on the “Bencao gangmu”,
the title of the book was “Fundamental Principles of Food and Drink”, but its popular name was “Khublai’s Fundamental Principles of Food and Drink”.
Methods:
We used following study methods; manuscripts, primary source methods, hermeneutic method,
analysis-synthesis method.
Results:
According to the general content of the foreword by Minister Yuji and Khusihui (Husihui), the
“Fundamental Principles of the Food and Drink” is not a newly developed work. Khublai Khan provided the
motivation and basis for compiling this book.
Conclusion
“Fundamental Principles of the Food and Drink” is based on the use of herbal medicine and
food that was founded by Khublai Khan and evaluated and selected and the actual consumption of the food
and drink of eight Mongolian Khans from Khublai (1260-1294) to Zayat Khan (1328-1332). Before Husehui’s
book “Fundamental Principles of the Food and Drink” was published, some information related to Mongolian
food and drink can be found in the “ Secret history of the Mongols”.