AimThe aim was to study retrospectively the possible changes in practice patterns in the managementof patients with acute myocardial infarction who were admitted to the State Second Central Hospitalduring the last 5 years.Material and MethodThis study conducted at the State Second Central Hospital in September 2014.Patients with acute myocardial infarction were divided into 2 groups: main and control. Main groupincluded 95 patients with myocardial infarction who were treated from 2010 to July 2014. Controlgroup included 102 patients with myocardial infarction who were treated from 2005 to 2009.From 2005 to 2012 patients fulfilled the diagnostic criteria of myocardial infarction based on WHOcriteria. From 2013 to 2014 patients fulfilled the diagnostic criteria of myocardial infarction based onnational guideline’s criteria. Differences in proportions in the groups were tested with the chi squaretest. P value of <0.05 was considered significant.ResultsA total 197 patients (mean age 71.2±6.1, 62% man, and 38% women) with acute myocardial infarctionwere enrolled. More than half had a history of arterial hypertension. Atypical forms of myocardialinfarction increased from 25.8% in 2005-2009 to 40.4% in 2010-2014. ST elevation myocardialinfarction and non ST elevation myocardial infarction were detected in 61% and 39% of patientstreated in 2010-2014. Diagnostic use of troponin was increased significantly in last 5 year (44.2% vs.88.6%, p<0.05).The study revealed only 17.2% of patients with acute myocardial infarction met the national guidelinesgoal of pre-hospital time <12 hours. Eighty four (88.3%) patients of the main group received medicaltherapy and 11(11.7%) treated with percutaneous coronary intervention. Aspirin was prescribed in80.7% of main group, heparin in 97.9%, ACE inhibitors in 47.9%, Beta blocker in 14.9% within 24hours of acute myocardial infarction.ConclusionsCompared with control group use of troponin and invasive treatment strategy has increased since2010 in the management of patients with acute myocardial infarction. Delay of pre-hospital timeremains an actual problem in the management of acute myocardial infarction.

Mental health team includes a psychiatrist, a psychiatric nurse, psychologist and social workers. Mental health workers are more stressful than other sector’s workers. Mental workers are working with mental patients, who have chronic,severe and poor prognosis disorders for long time, and may have Work Burnout Syndrome (WBS). Worldwide, many researches are used Maslach Burnout Inventory (MBI) for assessing WBS. Our goal was to detect risk factors of WBS among mental health workers. We conducted the survey among workers mental (doctors, nurses and assistant nurses) and study design was a descriptive cross-sectional. We are used a questionnaire, is including MBI. Our subjects were 103 workers, who were 27 (26,2%) doctors, 32 (31,1%) nursesand 44 (42,75) nurse- assistant. They were 15 (14,6%) male and 88 (85,4%) female and average age was 38.21 (SD = 8.92). The worker’s average professional working year was 13.09 (SD = 9.76). Most of subjects (n=63 61.2%) were shift-workers and they (n=99 96.1%) have high workload. We determined 3 groups by level of MBS among mental workers, such as the group with EE’s high scale (n = 27; 27%), thegroup with DP’s high scale (n = 23; 22.8%) and the group with PA’s high scale (n = 50; 50.5%).MBS was high among NMHC’s workers. However their work time is low, but theyhave risk factors for MBI such as high workloads, shift work, number of patients. Workers of emergency department had termination burnout syndrome more than other acute departments. This was associated with working condition.

Abstract: Diabetes is describe as a disease of the thirst (undaasah) in the four foundations of traditional drug (Kh. Tumbaa, 1991).
There are drugs such as Jur Ur-4, Sopagi-14, Yunva-4 and Usu-3 used for thirst disease. One of the main medicines used in Mongolian traditional drug is “Usu-3”. This is drug with 3 ingredients (Coriandrum sativum L.), (Inula helenium L.), (Hippophae rhamnoides L.). Each of these ingredients were studied indivudually, but not studied in combination. Purpose: To study liver protection effects and toxicity of the “Usu-3” traditional drug in the pathological diabetic model. Methods: The experiment were performed using acute and chronic toxicity study by Organization economic cooperation development (OECD 423), effect of antihyperglycemic and antihyperlipidemic on the alloxan induced diabetic milletus. (Sheriff Modu*, A. Laila et al, 2011) and (Ju JB, Kim JS et al, 2008) method. Results:
1. The “Usu-3” traditional drug was tested in animals at a dose of 5 to 5000 mg/kg in accordance with OECD guideline 423 for acute toxicity study and was found to be harmless in the GHS category. Therefore showed no signs of chronic poisoning with the maximum dose determined for chronic toxicity studies oral administration by 5000mg/kg for 2 months.
2. The “Usu-3” traditional drug’s group has been shown to reducing the levels of Aspartate Aminotransferase and Alanine Aminotransferease comparison with other groups. Conclusion “Usu-3” traditional drug was found to be harmless in the GHS category, showed no signs of acute and chronic toxicity.
“Usu-3” traditional drug have a protection effect for liver at short and medium time in alloxan induced diabetic rats model.

Abstract: Noncommunicable diseases (NCDs) kill 41 million people each year, equivalent to 71% of all deaths globally and diabetes is one of the top 5 causes of these diseases.According to Mongolia's health statistics, diabetes accounted for 41.5% of all diseases of endocrine, nutritional and metabolic disorders and the morbidity rate was 82.9 per 10 000 population in 2018.
We chose to study the Usu-3 traditional medicine, which has been used in medicine for diabetes. Purpose: The study of effects for "Usu-3" traditional medicine in alloxan-induced diabetic model Methods: The experiment were performed using (Sheriff Modu*, A. Laila et al, 2011) and (Ju JB, Kim JSet al, 2008) method. Results: The "Usu-3" traditional drug has been shown to have a gradual effect on lowering serum glucose in short time and normal level in medium time. Therefore as well as normal levels of lipids in all groups. Conclusion "Usu-3" traditional drug has been shown to gradually lower blood serum glucose and when to study the antihyperglycaemic and antihyperlipidaemic effects of "Usu-3" traditional drug at in alloxan induced diabetic rats.

Since ancient times, arsenic (As) compounds have been used to cure certain ailments. However, it is a metalloid poison, with cancerous effects. The main cause of poisoning from arsenic is usage of arsenic containing drinking water. According to WHO reports the permitted maximum level of arsenic in drinking water is 0.01 ppm. According to the study conducted in 57 sums (unit of the province) of 17 provinces of Mongolia, arsenic levels in drinking water in some provinces especially Dornogobi, Dundgobi and Gobisumber located in the southern part of Mongolia were higher than the allowed level. Therefore, there is a great risk of arsenic related diseases among Mongolian population. The aim of this study is to induce arsenic related pathology in albino mice and examine the effect of vitamin C on it. Six to eight week old 20 female Beijing breed mice weighing 20-25 g were used. Experiments were carried out in vivarium (20±2℃) of “Monos” medical university. Mice were fed with normal food for 28 days. Animals were divided into 4 groups: group A or control group without arsenic treatment, group B received arsenic at 1mg/kg per day, group C received arsenic at 30 mg/kg per day, and group D received arsenic 30 mg/kg per day and vitamin C at dose of 20 mg/kg. The arsenic and vitamin C were administered orally. After the treatment blood samples were taken and analyzed for levels of АST, АLT, total protein, and glucose. Hystopathological analysis of mice heart, liver, kidneys and lungs were also performed. Weight losses in animals of all arsenic treated groups were observed. Arsenic increased levels of АLT and decreased levels of АST, glucose and total protein in a dose dependent manner. Hystopthological analysis revealed chronic inflammation, dystrophy, and necrosis in the heart, liver, kidneys, and lungs in mice administered arsenic. There were lesser change and injury detected in mice treated with vitamin C.

Background: In the network of health sector reform, improving the quality and safety of service, organizational development, and ethics and responsibility of doctors and health professionals is a priority issue. To bring this, the patient satisfaction is an important matter. Materials and methods: This study was carried out using a cross-sectional study design with quantitative and qualitative method. To collect data and materials of the study, we used questionnaires from Appendix No.2 of Order 13 of the Minister of Health dated 13 January, 2014. Results: 84 (61.8%) of inpatients evaluated hospital care as a good, while 117 of 197 outpatients (59.4%) evaluated hospital care as an average. The general satisfaction of patients is good for inpatients and average for outpatients. Discussion The patient satisfaction was different depending on the department, gender, age and age group for inpatients, while satisfaction was not dependent on age group for outpatients.

Background: In the network of health sector reform, improving the quality and safety of service, organizational development, and ethics and responsibility of doctors and health professionals is a priority issue. Therefore, it is important to study the satisfaction and needs of healthcare workers, who have essential role in the quality and accessibility of health care service, as well as in social and economic development. Materials and methods: This study was carried out using a cross-sectional study design with quantitative method. The questionnaires were conducted from 63 people who were working in the general hospital of Selenge province. To collect data and materials of the study, we used questionnaires from Appendix No.1 of Order 13 of the Minister of Health dated 13 January, 2014. Results: The Satisfaction score of doctors and healthcare workers which was evaluated by themselves was generally 1.74 ± 0.47 or average, meanwhile 1.62 ± 0.41 or good for each group. Conclusion The employee satisfaction with the General Hospital of Selenge aimag is good. The satisfaction of doctors and healthcare workers is not dependent on the age group, gender, position, and seniority.

“Tanjur” is the greatest sutra written on thick Chinese muutuu paper with red nature dust paint size 22,7 x 71,8 cm and has 107839 pages. It is the largest collection of ten great and small sciences (philosophy, technology, logic, medicine, philology, astrology, model dance, poetics, Abhidarma, and composition) created by ancient Indian and Tibetan scientists and panditas. The Mongolian dust paint printed Tanjur had been translated from Tibetan into Mongolian by over 200 translators under the supervision of reincarnated Janjaa Rolbiidorj and Shireet Luvsandambiinyam between 1741 and 1742 and had been printed in Beijing between 1742 and 1749.
To print “Mongolian Tanjur” from blocks, 2160.9 ounces of silver were used. The “Mongolian Tanjur” contains 8 Indian Ayurvedic medical books. As a result of this research, we have briefly explained each of the 8 Ayurvedic medical books. Namely:
1. “One Hundred Medical Preparations” composed by Nagarjuna Acharya,
2. “Medical Advice for Longevity” composed by Nagarjuna Acharya,
3. “Ritual Ava Medicine” composed by Nagarjuna Acharya,
4. “Essence of Eight Branches” written by master Vagbhata,
5. “An Explanation of Medical Practices called “The Essence of the Eight Branches” written by master Vagbhata,
6. “A Commentary on the Essence of the Eight Branches called Rays of Moonlight on the Meaning of the Words” written by the Kashmiri Candranandana,
7. “Lexicon of Medical Terms from the Commentary on the Essence of Eight Branches” written by the Kashmiri Candranandana and
8.“A powerful healer to treats all diseases and promotes physical strength” written by Sivadasa.
Ayurveda is perceived as one of the most ancient and well-documented systems of medicine, equally relevant in modern times. Its holistic approach, whether for healthy individuals or diseased ones, remains unparalleled. Prevention of disease and promotion of health are the main objectives of Ayurveda. Ayurveda is an ancient medicine system of the Indian subcontinent. It is said to have originated in India about 5000 years back. The word Ayurveda is a conjugation of two Sanskrit words, “ayus,” meaning “life,” and “Veda,” meaning “science,” thus, it literally means the 'science of life. Unlike other medicinal systems, Ayurveda focuses more on healthy living than the treatment of diseases.

Background: Headache disorders are most prevalent public-health problem. Worldwide, among the adults 46% suffer from primary headache, where the migraine presents 11% and tension type headache (TTH) presents 25%. Recently, one type of the primary headache, medication overuse headache tends to increase. Nowadays, there is no sufficient study about primary headache in Mongolia. So that, it is necessary to investigate prevalence, clinical type and risk factors of the primary headache. Purpose: To study prevalence and risk factors of primary headache in Mongolia. Materials and Methods: This cross-sectional study was carried out from June to November of 2017. Participants aged 18-65 years old were randomly selected from four provinces and three districts of Ulaanbaatar city. The diagnosis of headache was made using the International Classification of Headache Disorders-3 beta. Statistical analysis was performed on SPSS-23 program. Results: A total of 2043 participants (812 men and 1231 women) were reviewed. The participant’s average age was 38.6±13.4years. 1350 (66.1%) participants reported recurrent headache within the last 1 year. Of the total study population, the prevalence rate of primary headache was 1305 (63.9%). Number of people who suffered from migraine was 494 (24.2%), significantly greater in female than male participants (p=0.0001), with most frequent attacks at age 26-45 years. The risk of migraine associated with sex, education and family history (p=0.001). 592 (29.0%) of participants had TTH, mean age of them was 37.7±5.24, significant high rate in female than men, risk of TTH depends on education and job. The medication overuse headache was diagnosed at 116 (5.7%), 29.4% in men and 70.5% in women with average of 45.6±11.4 and 43±12.7 respectively. Among the participants 38.6% used medications, 28% people had one drug, 8.5% two drugs and 2% used three or more drugs. Use of non-steroid anti-inflammatory drugs (NSAID) made up major percent in headache patients. Increased frequency of medication and multidrug affected to medication overuse headache (p=0.008). Conclusion More than half of studied population had primary headache. Migraine was in 24.2%, TTH in 29.0% of people, and associated with sex, education and family history. Use of non-steroid anti-inflammatory drugs made up major percent in headache patients.

BACKGROUND OF STUDY: For the past 10 years, accidents and trauma are ranking third in the cause of Mongolian population’s death. Russian scientists have defined that skull and brain trauma comprise of 40% of the total traumas and is one of the serious injuries that have damaging effect to the health. Defining its creation, injury period, death cause in the leading direction of science of forensic medicine in our country are still the urgent issues. Nowadays little research which studied case mortality due to accident and trauma has been studied, this became background of our research work. PURPOSE OF STUDY: To study cause and peculiarity of pathology of case mortality due to brain trauma, in the condition of our country and to consider the result. OBJECTIVE OF STUDY: To study the cause, some risks of head injury. To define pathology of case mortality due to head injury. MATERIAL AND METHODOLOGY: We did retrospective study in 555 case material of an autopsy of case mortality of head injury of forensic medicine and research department of national institute of forensic science. Statistical work out was done by Microsoft excel and extensive index. RESULT OF STUDY: 84.5% (n=459) is male and 15.5% (n=86) is female out of our 555 involved cases and the gender ratio is 5:1. The most or 81% of the research participants had head injuries due to hitting with firm and dull stuffs and 15.9% head injury as a result of traffic accident follows in the second place. To analyze from the characteristics of mortality, 93% is subarachnoid hemorrhage, subdural, epidural hematoma, 64% is brain tissue injury were detected. CONCLUSION: Young manhood men mortality that has head injury resulted from the firm and dull things occupies most of the percentage in our research. The head injury can lead to the mortality of his ordinary process.