1.Analysis on components of rational use of drugs
Mongolian Pharmacy and Pharmacology 2021;19(2):100-108
Introduction:
A drugstore runs its activities in the framework of the primary goal of providing quality guaranteed, high-treatment satisfaction, and safe drugs and medical devices uninterrupted access to pharmaceuticals at retail prices. Pharmacists and chemists, doctors, medical professionals, and consumers will also be involved in promoting the rational use of drugs in the community.
It is practical to study the role and involvement of components in the rational use of drugs.
Method:
Processes and concludes using a one-moment model using a questionnaire survey method.
Conclusion
51.2% of the respondents for the questionnaire survey were 31-40 years old, 80% were women, and 20% were men. 82% of the respondents have a higher education degree.
According to the survey, 61.8% of respondents answered that there are long queues to see a doctor, 79.5% of them responded like pharmacists provide good enough instruction for the use of drugs, 66.4% of respondents aware of the rational use of drugs, and 78.5% of them buy prescribed antibiotics under the prescription from pharmacies. The response shows that the knowledge and information on the rational use of drugs among the population are improving.
According to a survey among physicians, 36.8% of the total number of physicians examines 21- 30 people, 47.4% prescribe prescriptions for 11-20 people per day, 42% gives instructions to their clients on the medications they prescribed, and 42% spends 6-10 minutes for a single client, and 63.2% recommends antifungal drugs when prescribing antibiotics. It shows that the number of people per doctor meets the norms and standards specified in the joint orders of the Minister of Labor and Social Welfare and the Minister of Health dated 30 May 2019 A / 185 and A / 252.
According to a survey of pharmacists, 42.1% of pharmacists surveyed spend an average of 3-5 minutes per customer, 89.5% do not prescribe drug prescription, 88.9% regularly advise their clients on the rational use of drugs, and 78.9% dispense medicine necessarily by prescription. The response to mandatory prescriptions indicates that the requirements of prescription and prescription standards are partially met, indicating the need further to improve the implementation of relevant standards and regulations.
2.Publication Overview of Sumbe Khamba Ishbaljir and Wonder of his Mindset
Oyun-Erdene B ; Bold SH ; Bolor B ; Ankhtsatsral L ; Ankhtuya P
Mongolian Medical Sciences 2014;170(4):68-72
Introduction: It is significant to translate medical texts having a beginning source of Ayurveda and identifyMongolian doctors, maaramba’s works and books on prescription as well as treatment methods that meetour culture, living condition and climate. Especially, we should clarify the new ideas includes innovatedtheories, which became paradigm not only Traditional Mongolian Medicine but also in Tibetan Medicine.Thus, it has become important to introduce and use in the training for students and practitioners the “FourAmbrosia Essences” and “Dictionary of Drug Identification” by Sumbe Khamba Ishbaljir (1704-1788).Goal: The aim of this study is to investigate “Four Ambrosia Essences” and “Dictionary of Drug Identificationby Sumbe Khamba Ishbaljir and to clarify the new idea of theory and treatment methods created by him.Materials and Method: “Source of Spring” (བདདུ ་ར་ིྩ ཆ་ུ རནུྱྒ ), “White Dew of Spring” (བདདུ ་ར་ིྩ ཟལི ་དཀར), “Drop of Spring”(བདདུ ་ར་ིྩ ཐགི ་པ), “Wedding of Spring” (བདདུ ་ར་ིྩ དགའ་སནོྟ ” by the Sumbe Khamba Ishbaljir were the main materials in thisstudy. In addition, we used to take some sort of sources and manuscripts that related to our studies andcomparative historical method, analysis and synthesis method were used in the studies.Results: According to resources we found, Sumbe khamba Ishbaljor detailed a number of new theoreticaland practical concepts which were never or seldom mentioned in The Four Medical Tantras, in his bookRashaany Dusal (“Drop of Spring”). He expanded the list of common diseases from three wind (khii), bile(shar), phlegm (badgan) to 6 (wind, bile, phlegm, blood, yellow fluid (shar us), nyan or khorkhoi (virus andbacteria) and prescribed treatments for each of them. In addition, he established a concept of 10 importantdiseases and gave them satiric names making them easy to read and understand as well as taught theways to treat them.Ishbaljir developed the traditional medicine and made a reform in it by the discovery of three more causesof diseases blood, bile us and bacteria in addition to the existing causes wind, bile and phlegm. His theorywas that disease causes are wind, bile, phlegm, blood, yellow fluid, and bacteria or virus individually and\or combined. Wind, bile, phlegm, blood, yellow fluid, and bacteria or virus called as diseases. Ishbaljir’sconcept of bacteria duplicates that of some Noble Prize laureates. At the beginning of the 20 century, anAustralian scholar Barry J. Marshall and J. Robin Warren won the Noble Prize for their discovery of the“Bacterium Helicobacter pylori and its role in gastritis and peptic ulcer disease” in 2005.Conclusions:1. Sumbe Khamba Ishbaljir expanded the list of common diseases from 3 wind (khii), bile (shar), phlegm(badgan) to 6 (wind, bile, phlegm, blood, yellow fluid (shar us), nyan or khorkhoi (virus and bacteria)and prescribed treatments for each of them.2. Sumbe Khamba Ishbaljir established a concept of 10 important diseases and gave them satiric namesmaking them easy to read and understand as well as taught the ways to treat them.3. The Four Medical Tantras did not mention stomach bacteria. It is pity that Sumbe Khamba Ishbaljirfound out the stomach bacteria disease in the 18th century.
3.Some results of the study on morbidity of gastrointestinal infectious diseases among population of soums in Selenge River Basin
Nyamsuren L ; Oyun-Erdene O ; Tuya E ; Dorjkhand B ; Erdenechimeg E ; Burmaajav B ; Bolormaa I
Mongolian Medical Sciences 2015;171(1):30-35
INTRODUCTION:Waterborne diseases, especially diarrhea, related to water quality and safety, personal sanitation and hygienehave been still reported very high in developing countries. Globally, there are an estimated 1.4 million casesof hepatitis A every year. The hepatitis A virus is transmitted through ingestion of contaminated food and wateror through direct contact with an infectious person. Hepatitis A is associated with a lack of safe water and poorsanitation [2].Dysentery is bloody diarrhea, i.e. any diarrheal episode in which the loose or watery stools contain visiblered blood. Dysentery is most often caused byShigella species (bacillary dysentery) or Entamoeba histolytica(amoebic dysentery) [3].Kharaa and Orkhon River are tributaries of the Selenge River-basin, in which many mining and other industries,agriculture, and residential areas reside. It has become a one pollutant factor for water of the Kharaa andOrkhon rivers. As a result, water of the Tuul, Kharaa and Orkhon River was reported to be highly contaminated(Mongolian Human Development Report 2010: Water and Development report) [4].GOAL:The aim of the research was to study incidence of gastrointestinal infectious diseases among population ofsoums are located in Selenge River Basin.MATERIALS AND METHODS:Data on health statistics 2009-2013 years of gastrointestinal infectious diseases, including dysentery, diarrhea,hepatitis A virus and others, were collected and analyzed.RESULTS:Incidence of dysentery was registered highly among people who live in Mandal soums in 2009-2013 years. Butincidence of dysentery (per 10 000 population 2.82) among population ofMandal soum lower than the Selengeprovince and National average. Incidence of hepatitis A virus was registered highly among people who livein Orkhon (74.46), Orkhontuul (48.86) soums and it was greater than 1.3-2 times than the Selenge provinceaverage. Incidence of diarrhea was registered highly among people who live in Khushaat soum and it wasgreater than 2.18-3.8 times the than Selenge province averageCONCLUSION:Incidences of diarrhea and hepatitis A virus were registered highly in Orkhon, Orkhotuul and Khushaat soumscompared to other target soums and it was greater than 1.3-3.8 times than the Selenge province average.Especially, these diseases were registered highly among 0-16 aged children.
4. Study of practical significance the first embrace
Otgontugs L ; Bolortuya B ; Oyun-Erdene L ; Saruul P ; Urnaa T ; Enkhtuya T ; Shatar SH
Innovation 2016;10(2):32-36
The Western Pacific Region have the highest neonatal mortality rate of any country in the world. It has 37 countries and areas with approximately 1.8 billion people which comprises one-fourth of the total world population. The First Embrace It is care for all mothers and newborn infants. The components of the First Embrace are immediate and thorough dying, appropriately timed clamping and cutting of the cord, skin to skin contact and initiating exclusive breastfeeding for all newborns. Aim: First embrace and Early Essential Neonatal Care the importance of infant seeks to to learn some of the problems faced by identifying the skills of medical personnel. We were conducted in this study by a cross sectional questionnaire in order to assess the knowledge, attitude and practices of healthcare providers about essential newborn care and administrated a structured questionnaire to evaluate instruments and materials of the maternity wards.Skin to skin contact and a mother first embrace is the beginning of a healthy life is to reduce the newborn mortality. And the first embrace is improves the children’s immunity. We determined urgent problems for EENC including a lack of maternal health education, inadequate salaries for health care providers, a lack of essential medicines and commodities for birth preparation and numbers of health care providers delivering neonatal intensive care are increased due to the stillbirth rate has increased dramatically year by year.The first embrace is important to reduce neonatal mortality rate and 92.0% of all participants have the enough experiences for the first embrace care and 80.3% of all participants for the EENC.
5. The study results of correlation between levels of contamination of Kharaa and Orkhon river’s water and rate of gastorintestinal infectious disease of people who live near to Selenge river basin
Nyamsuren L ; Oyun-Erdene O ; Tuya E ; Dorjkhand B ; Burmaajav B ; Bolormaa I ; Erdenechimeg E
Innovation 2015;9(2):44-48
In recent years, many researches that is related to waterborne diseases, especially diarrhea and water quality, safety, personal sanitation, hygiene have been conducting in developing country. Kharaa and Orkhon river are tributaries of the Selenge river basin and the many industries,agriculture, mining, provinces, soums are located in the near of Selenge river basin. Also Tuul,Kharaa and Orkhon river water is very polluted (Mongolian human Development Report 2010: Water and Development report).The aim of the research is to study correlation between to Kharaa and Orkhon river’s water pollution level and rate of gastrointestinal infectious diseases of people who live in the near of Selenge river basin.We analysed Kharaa and Orkhon river’s water quality and statistical data of gastrointestinal infectious diseases (such as dysentery, diarrhea, hepatitis A virus and others). Then we conducted correlation analysis between to river water pollution level and rate of intestinal infectious diseases. Kharaa and Orkhon river’s water was determined “less polluted” by physical, chemical andorganic indicators. But total number of bacteria was determined highly and Proteus vulgaris,Citrobacter freundi, Enterobacter agglomerans pathogens were detected in these river’s water. There were significant positive correlations between level of nitrit in river water and incidence of dysentery and diarrhea. (r=0.38, p=0.022; r=0.291, p=0.005).
6.Survey of citizens’ esophageal and gastric cancer knowledge, attitudes, and practices in Uvs, Zavkhan, and Khovd aimags
Ulziisaikhan B ; Ankhzaya B ; Bayar D ; Oyun-Erdene B ; Tegshjargal B ; Tulgaa L ; Sodgerel B
Mongolian Medical Sciences 2021;197(3):80-86
Introduction:
Cancer continues to be one of the world’s major health issues, with Mongolia continues
to lead Asia in esophageal (100’000: 17.1) and gastric cancer incidence (100’000: 41.0). In the
previous decade, 8,137 new cases of gastric cancer were reported in Mongolia. According to TNM
staging, eight out of every ten people are diagnosed late, recognizing the need to improve people’s
knowledge, attitudes, and practices.
Methods:
The survey was carried out using a questionnaire. A total of 320 participants between 17-
80 ages from the aimags of Uvs, Khovd, and Zavkhan were chosen at random for the survey, and
data was collected through social media. SPSS (v28.0, SPSS Inc., Chicago, IL, USA) software was
used for statistical analysis.
Results:
The survey included 110, 106, and 104 participants from the aimags of Uvs, Zavkhan,
and Khovd. A total of 320 participants, with 20.9% (67) and 79.1% (253) being male and female
respectively. The average age was 35.56±9.15 years. The participants’ mean knowledges, attitudes
and practices scores were 7.54±2.7, 9.6±2.2, and 3.82±1.1 respectively in the first survey. Following
the advocacy campaign, the mean knowledge, attitude, and practice scores increased to 9.3±2.7,
10.1±2.2, and 4.00±1.2, respectively.
Conclusion
The attitudes and practices of the participants were related to their level of knowledge.
It is critical to increase health education and advocacy efforts in order to develop the appropriate
attitudes and behaviors to reduce cancer-related deaths.