Background: By supporting the production of domestic substitutes for essential medicines listed in Mongolia’s national drug policy, pharmaceutical companies are enabled to ensure product quality assurance, conduct safety monitoring and research, and carry out quality control and certification of medicines. Therefore, ongoing quality assessment is essential to ensure that domestically manufactured medicines meet established standards before they can replace imported alternatives. This study seeks to assess whether the quality parameters of both locally produced and imported 500 mg Chloramphenicol capsules available in the Mongolian pharmaceutical market conform to the requirements of the Mongolian National Pharmacopoeia. Aim: To compare and study the quality parameters of certain domestically manufactured and imported chloramphenicol capsule formulations in accordance with pharmacopoeial standards Materials and Methods: This study examined four types of 0.5 g Chloramphenicol capsules: three domestically produced (X1, X2, X4) and one imported (X3). The evaluation included tests for identification, average weight, weight variation, dissolution, disintegration, thin-layer chromatography (TLC), assay, high-performance liquid chromatography (HPLC), and microbiological analysis, following the standards outlined in the Mongolian National Pharmacopoeia 2011 (MNP 2011), United States Pharmacopeia 39 (USP 39), Japanese Pharmacopoeia 18 (JP 18), and Chinese Pharmacopoeia 2020 (ChP 2020). Statistical analysis was performed using SPSS version 22.0. Result: The purity analysis of samples X1, X2, X3, and X4 indicated that all met the applicable standards. Among them, X1 and X3 complied with pharmacopoeial requirements for identification, weight variation, dissolution, active ingredient assay, and thin-layer chromatography (TLC). In contrast, X4 failed the identification test and had a low active ingredient content, while both X2 and X4 exhibited inadequate dissolution, suggesting non-compliance with standard requirements. Furthermore, high-performance liquid chromatography (HPLC) analysis based on USP criteria revealed that neither X1 nor X3 met the specified limits. Conclusion Among the four Chloramphenicol capsule samples analyzed, only X1 and X3 met the pharmacopoeial standards. The non-compliance of X2 and X4 underscores the importance of continuous monitoring and quality assessment of domestically manufactured pharmaceuticals.

Background: Conventional methods for assessing exposure to environmental tobacco smoke rely mainly on questionnaires and biomarkers with short half-lives, such as urinary cotinine. In contrast, oral mucosal pigmentation may represent a visible, non-invasive biomarker of chronic exposure. However, its clinical and policy relevance, as well as its validity for screening purposes, remain insufficiently established. Aim: To summarize the evidence on the association between exposure to environmental tobacco smoke and oral mucosal pigmentation and to assess some confounding factors. Materials and Methods: We synthesized findings from observational studies that examined the association between environmental tobacco smoke exposure and oral mucosal pigmentation across all age groups. International electronic databases, including PubMed, Embase, Web of Science, and Scopus, were searched. Data were extracted on exposure–response relationships, measurement instruments, anatomical distribution of pigmentation, confounding by physiological pigmentation, and biochemical validation. The quality of included studies was assessed using the Mixed Methods Appraisal Tool (MMAT). A narrative synthesis was conducted, focusing on the biological plausibility of the biomarker, standardization of measurement, and its potential implications for screening and tobacco control policy. Results: Thirteen observational studies from seven countries, involving a total of 3,284 participants, met the inclusion criteria. Four studies reported a statistically significant association between duration of exposure and severity of pigmentation, while one cohort study showed that urinary cotinine levels increased with age among children. The Gingival Pigmentation Index and the Dummett Oral Pigmentation Index were the most commonly used assessment tools; however, methodological heterogeneity limited direct comparability across studies. The anterior gingiva was the most frequently affected anatomical site. Only a limited number of studies adequately controlled for physiological pigmentation, and skin color was identified as an important confounding factor. The pooled odds ratio was 2.35; however, the certainty of evidence was low due to the observational nature of the included studies. Conclusion Oral mucosal pigmentation may serve as a potential biomarker of long-term exposure to environmental tobacco smoke. Nevertheless, standardized assessment protocols, adequate control for physiological pigmentation, and validation against “gold-standard” biomarkers are required. If validated, this marker could be used for rapid identification of high-risk groups and incorporated into tobacco control policies.

Background: Passive smoking among children remains a serious public health concern, particularly because children’s ability to avoid household environmental tobacco smoke exposure is limited when parents smoke. In recent years, increasing scholarly attention has been given to oral mucosal pigmentation as a potential clinical sign of long-term passive smoking in children. However, no previous study has synthesized the available evidence on this topic. Aim: This systematic review and meta-analysis aimed to evaluate the association between passive smoking and oral pigmentation in children. Materials and Methods: A systematic search was conducted in international electronic databases, including PubMed, Scopus, Web of Science, and the Cochrane Library, in accordance with PRISMA guidelines. Observational studies assessing the association between passive smoking and oral pigmentation among children aged ≤18 years were included. Methodological quality was assessed using the Mixed Methods Appraisal Tool (MMAT). A random-effects meta-analysis was performed, and pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated. Between-study heterogeneity was assessed using the I² statistic, and the certainty of evidence was evaluated using the GRADE approach. Results: Seven studies involving a total of 1,582 participants met the inclusion criteria. The meta-analysis demonstrated that passive smoking was significantly associated with an increased risk of oral pigmentation in children, with a pooled OR of 2.58 (95% CI, 1.35-4.95; p=0.004). Compared with children without exposure to passive smoking, those exposed to environmental tobacco smoke had an absolute risk increase of 17% (95% CI, 6.3%-23.9%). Subgroup analysis by assessment method showed a consistent effect among studies using the Gingival Pigmentation Index (GPI) (OR, 2.12; 95% CI, 1.58-2.84), whereas studies using the Dummett Oral Pigmentation Index (DOPI) showed a wider confidence interval (OR, 3.26; 95% CI, 0.68-15.54). According to the MMAT assessment, the included studies demonstrated adequate participant selection in 100% of cases, appropriate outcome measurement in 76.9%, and adequate control of confounding factors in 46.2%. Owing to the observational nature of the included studies, moderate heterogeneity, and the potential risk of confounding by physiological pigmentation, the certainty of evidence was rated as low according to GRADE. Conclusion Children exposed to environmental tobacco smoke had a significantly higher likelihood of oral mucosal pigmentation than unexposed children. These findings suggest that screening for oral mucosal pigmentation during pediatric oral examinations may serve as a non-invasive marker of passive smoking exposure and may provide visible clinical evidence to support counseling parents on smoking cessation and smoke-free household environments.

Background: Although a considerable number of oral health studies have been conducted among children in Mongolia, most have focused on dental caries in school-aged children, and data on non-carious oral conditions in preschool children remain scarce. Aim: To determine the prevalence of oral mucosal, gingival and traumatic dental conditions among preschool children in Ulaanbaatar. Materials and Methods: In this cross-sectional pilot study, 686 children from six randomly selected kindergartens in Ulaanbaatar underwent oral examination in accordance with the World Health Organization (WHO) 2013 guidelines, using the WHO Oral Health Assessment Form for Children. The main outcomes were oral mucosal changes, including pigmentation, gingival bleeding, dental trauma and dental erosion. Analyses were restricted to the 598 children with complete records for these outcomes, and frequencies, percentages and Wilson 95% confidence intervals (CIs) were calculated using this common denominator (n=598). Results: Of the 598 children analysed, 86 (14.38%; 95% CI 11.80–17.42%) had at least one of the four main conditions. Dental erosion was observed in 74 children (12.37%; 95% CI 9.97–15.26%), confined to the enamel in 45 (7.53%) and extending into the dentine in 29 (4.85%). Oral mucosal changes were recorded in 10 children (1.67%; 95% CI 0.91–3.05%), gingival bleeding in 7 (1.17%; 95% CI 0.57–2.40%) and dental trauma in 1 (0.17%; 95% CI 0.03–0.94%), whereas oral mucosal pigmentation was observed in 64 children (10.70%; 95% CI 8.47–13.44%). Of the 86 children with findings, 85 (98.84%) attended two of the six participating kindergartens. Conclusion When dental caries was excluded, dental erosion was the most prevalent condition among preschool children, whereas oral mucosal changes, gingival bleeding and dental trauma were observed in a small proportion of children. The concentration of these findings in two of the six kindergartens may reflect local demographic and socioeconomic factors, as well as differences in examination and recording practices. Future studies should therefore standardise examination criteria in advance and include a larger number of kindergartens.

Background: As the trend of pharmaceutical care around the world shifts to client-centered care, there is a need for new pharmacists to improve their knowledge and skills, learn psychological skills, provide customers with health education, and improve the rational use of drugs and pharmacological services. Objective: This study is based on the fact that no research has been conducted in Mongolia on factors that affect burnout syndrome and social-psychology of pharmacists. Literature review: The following are internationally accepted methods of assessing sociopsychological risks to determine the socio-psychological factors associated with the work and occupation of workers and their impact on health and safety. These include:
Burnout Measue-BM, 1981 (Pines & Aronson 1988). A method of measuring burnout, physical and emotional fatigue, and mental exhaustion. (Bazarragchaa, 2020)
The Copenhagen Psychosociol Questionnaire COPSOQ (Christenson et al. 2005) focuses on socio-psychological factors, stress, personal health, well-being and individual factors (style, sense of mutual understanding, etc.).
The Copenhagen Burnout Inverntory (CBI, 2005) examines fatigue, exhaustion, and work-related burnout as well as customer-related burnout. Conclusion There are more than 40 definitions of “Burnout syndrome”. The “Maslach Burnout Inventory” has become the “Gold standard” for assessing the burnout of service workers. The Copenhagen Burnout Inverntory (CBI, 2005) studies fatigue, exhaustion, and individual, work-related and customer-related burnout.

In this study we aimed to check a hypothesis about water sound (WS) effect can stimulate parasympathetic nervous system. A case-control study design was used. The students in control group did not listen WS, whereas students in case groups had been influenced under WSE by 3 different ways, including audio, video and shower. Data base had been obtained by performance of stress test, measurements of systolic and diastolic pressure, and counts of pulse. For statistical analysis, IBM SPSS 20.0 and Graphpad prism 7.0 were used. Interestingly, 92% of total students had stress. There were no differences between groups before WS effect. After WS effect, ANOVA test detected differences in diastolic pressure (ANOVA, F=6.209, p=0.001), stress score (F=15.21, p<0.001). Paired test was utilized to compare mean of values between before and post WS measurements, finding SP (p=0.001), SS (p<0.001) categories. It showed an effective WS influence. Chi-square test indicated that stress level of all students decreased significantly (p<0.001). But there were no differences between 3 methods of water therapy. In conclusion, WS has an effect of stimulation in immune system, useful for some diseases, in which parasympathetic system decrease and sympathetic system increases.

Нойр булчирхайн цочмог үрэвсэл, эмнэлзүйн урьдчилан тооцоолох дүрэм, Ranson –ийн шалгуур, APACHE II-ийн шалгуур A clinical prediction rule is a type of medical research study in which researchers try to identify the best combination of medical sign, symptoms, and other findings in predicting the probability of a specific disease or outcome. More than 80% of all patients with acute pancreatitis recover promptly without developing severe pancreatitis. The presence of early organ failure (within 24 hours of admission), multiple-organ system failure, and persistent or progressive (present beyond 48 hours after admission) organ failure are associated with prolonged hospitalization, ICU admission, need for surgery, and death. In high developed country, Ranson and APACHE II prognostic criteria are used in order to evaluate patient´s situation and modified treatment tactics. That is give an idea us to carry out retrospective study, by using patients´ documents, who hospitalized in National central hospital in last year. As result, according to Ranson´s criteria 13 (31.7%) of all patients had 0-2 score, which means mortality risk was 1.8%, 20 (48.8%) had 3-4 score (mortality risk is 11%), 8 (19.5%) were estimated 5-6 score, having 33% of mortality risk. Whereas, regarding to APACHE-II criteria 14 (34.2%) of total patients had score of 0-4, showing 4% of mortality risk, 23 (56.1%) were scored 5-9, having 8% of risk, 3 (7.3%) were scored 10-14, having 15% of risk, 1 (2.4%) had 15-19 score, having 24% of risk. Moreover, we determined that incomplete laboratory test, meaning essential prognostic criteria not used in Mongolia.