IntroductionSpondylogenic lumbar pain is a common and disabling disorder in individuals and society. Therefore,this disorder to medical care is in second place in the cause of people with respiratory diseases later.Lumbar pain is a problem in our country and the world are common among the population in thedeveloped world, and is considered to be one of the reasons for limited movement. Electrotherapy,which is a noninvasive, non-pharmacologicalmethod involving transcutaneous electrical stimulation,is an additional alternative for low back pain management. The electrotherapymethods most used inclinical practice.GoalTo evaluate the efficacy of transcutaneous electrical nerve stimulation (TENS) with acupuncturecombination in patients with chronic lumbar spondylitis.Materials and MethodsThe study was done in department of Rehabilitation at “Bayanzurh” hospital, conducted based onthe material resources of the “New Medicine” university. Study design case control-clinical trial. Withspondylogenic chronic low back pain patients mean age was 39.24±8.27years. Symptom time was1.83±1.23year. Group A (n=30) used acupuncture and TENS, group B (n=30) used acupuncture,group C (n=30) control group. For pain Visual Analogue Scale (VAS), for quality-of-life Oswestrydisability index Questionnaire (ODI), were used before and after the treatment.This study protocol was approved by the ethics committee of “New medicine” university.ResultTo respondents age group: in the 20-29 age group 17(18.8%), in the 30-39 age group 23 (25.6%),in the 40-50 age group 50(55.6%). More than 40-45 years of age with spondylogenic chronic backpain. There were women 57(63.33%) and men 33 (33.67%), and shows that women had more sick.Total respondents assessment visual analog scale (VAS) of pain before treatment 3 group <0.334 nostatistical difference, after treatment was p <0.0001 is a statistical difference. The Oswestry disabilityindex (ODI) has been recommended as a back pain- specific measure of disability by researchers inthis field. The ODI is simple to read. Total respondents assessment Oswestry disability index (ODI) ofpatients before treatment 3 group p<0.066 no statistical difference, after treatment wasp<0.0001 is astatistical difference. The differences of pre- and post-treatment values of parameters were evaluatedfor each group. Significant improvements were detected for VAS, ODI group a post treatment.Conclusion. Transcutaneous electrical nerve stimulation (TENS) with in combination acupuncturetreatment is effective on pain, function and quality of life in patients with spondylogenic chronic lowback pain.

Introduction: Among women with Polycystic Ovarian Syndrome (PCOS), obesity is one of the diagnosis criteria and it is evaluated by waist circumference. We aimed to determine the measurement of waist circumference in women with PCOS. Obesity and PCOS tend to increase throughout the world. In 1994, leptin was discovered to be directly related to body mass index in obesity. Ovarian cystic syndrome has been shown to be associated with leptin levels and also that indicating the need for prevention of obesity in women. Objective: Clinical and medical determination for the waist circumference of women with PCOS and comporation study to leptin and comparative study to leptin levels. Мaterial and Methods: This research included a total of 86 women aged 18-35 in Ulaanbaatar city. We took a permission to start the research at the meeting of the Research Ethics Council of the Mongolian National University of Medical Sciences on March 22, 2019. Statistical analysis of this study results was performed using SPSS 19.0, text recording using Microsoft Office 2018 software, T-test to exclude group differences, ANOVA test for differences between more than two groups, and p<0.05 statistical probability difference. Results: The research of the 56 women tested for leptin in the serum of women with PCOS, 28 (32.5%) had a normal BMI with PCOS and 28 (32.5%) had an excess of BMI with PCOS, respectively. The mean levels of leptin was 13.86±11.40 kg/ml for people with normal BMI, PCOS and 33.78±17.63 kg/ml for people with excess BMI, PCOS. Leptin is higher in women with BMI, PCOS and this result is statistically significant (P-value 0.000). Conclusion Leptin levels are higher during PCOS, and leptin levels increase as the number of risk factors increases. Leptin secretion is affected by BMI and waist circumference.