Background: Maintaining the concentration of a drug in the blood at a therapeutic level is crucial for enhancing treatment efficacy and reducing adverse effects. Conventional dosage forms are rapidly absorbed, causing a quick rise in the drug concentration in the blood, but it soon declines. As a result, frequent dosing is required in chronic or acute conditions. This can lead to drug concentrations exceeding therapeutic levels, increasing toxicity, or failing to reach the required level. To address these limitations, drug delivery systems (DDS) have been intensively developed over the past few decades. Among these systems, microencapsulation technology enables targeted delivery of the drug within the body, maintains stability, controls release, improves bioavailability, reduces side effects, and protects the active pharmaceutical ingredient from degradation or elimination, delivering it specifically to the necessary tissues. These characteristics provided the rationale for conducting this study. Aim: Select a suitable polymer for microcapsule formation, develop a production technology using the emulsion solvent evaporation method, and evaluate certain morphological characteristics of the resulting microcapsules. Materials and Methods: The microcapsules were prepared using an O/W emulsion solvent evaporation method. Dichloromethane (DCM) was used as the solvent, and the wall materials were solutions of chitosan (2% w/v) and gelatin (5% w/v), which are polymers combining biodegradability and biocompatibility. These solutions were mixed in a total of eight different ratios and emulsified into an aqueous phase containing polyvinyl alcohol (PVA, 1% w/v) using a high-speed homogenizer at 8000–10000 rpm to form the emulsion, followed by solvent evaporation. The resulting microcapsules were freeze-dried to obtain dry microcapsule forms. The morphology and surface structure of the microcapsules were characterized using light microscopy and scanning electron microscopy (SEM), while their size and distribution were analyzed using the ImageJ software. Result: To determine the optimal wall material for the microcapsules, a total of eight formulation ratios were prepared, and the emulsion stability and viscosity were evaluated. Chitosan-dominant formulations (F1, F7, F8) exhibited excessively high viscosity and a tendency for the system to thicken, which reduced the uniformity and stability of the emulsion. In contrast, formulations with low or imbalanced gelatin content (F2, F3) failed to achieve complete emulsion stabilization and showed significant phase separation. The F5 formulation demonstrated the best stability, minimal phase separation, and appropriate viscosity, making it the optimal choice for microcapsule wall preparation. The chitosan-to-gelatin ratio of 1:2 (F5 formulation) was found to be the most suitable in terms of complete microcapsule formation, spherical shape, uniform surface, and proper viscosity. Microcapsules of the F5 formulation had an average diameter of 290±30 µm, were spherical, and maintained shape stability even after freeze-drying. A microcapsule preparation technology based on the emulsion method was developed experimentally, and the most suitable conditions were established. Conclusion 1. The results of the study indicated that a chitosan-to-gelatin ratio of 1:2 was the most suitable formulation for microcapsules in terms of complete formation, spherical shape, and uniform surface characteristics. 2. When the gelatin content increased, microcapsule morphology deteriorated and aggregation tendencies were observed, whereas higher chitosan content increased the viscosity of the solution, which affected the stability of the emulsion and resulted in non-uniform microcapsule sizes. 3. The 1:2 chitosan-gelatin ratio is therefore crucial for microcapsule preparation, and this wall composition can be applied in further studies involving drug-loaded microcapsules.

Background: In recent years, work-life balance has become a pressing issue for healthcare workers in many developing countries around the world. An imbalance between work and personal life leads to psychological stress, health problems, loss of self-confidence, job dissatisfaction, and decreased work productivity due to an inability to concentrate. It also results in a decline in the quality of treatment and services. Furthermore, it increases the risk of medical errors and contributes to both physical and mental burnout, ultimately leading to resignation. Aim: The study analyzed the work-life balance and turnover intentions of employees at family health centers. Materials and Methods: The study was conducted using a cross-sectional model and a quantitative survey method. The work-life balance of employees at Family Health Centers was examined using the work-life balance assessment question naire developed by Hayman (2005), and turnover intentions were assessed using the standard questionnaire developed by Auerbach et al. (2014). The research was carried out in 2024. The study included 123 employees from 22 Family Health Centers located in the Bayangol, Bayanzurkh, Sukhbaatar, Songinokhairkhan, Khan-Uul, and Chingeltei districts of Ulaanbaatar. Results: Of the participants, 95.1% were female, with an average age of 35.2±9.5. Among them, 55.3% were doctors, 29.3% were nurses, 9.8% were health social workers, and 5.7% were other non-medical staff. The income of Family Health Center employees was found to be insufficient; 8.9% had incomes below the minimum subsistence level, and their ability to meet basic household needs was very limited. The results show that participants’ work negatively impacted their personal life (WIPL–23.5), and personal life negatively affected their work (PLIW–15), both of which scored high. Meanwhile, the positive interaction between work and personal life (WPLE–10.7) was low, indicating a disruption in their work-life balance. Working overtime was statistically significant in relation to work-life imbalance (p=0.038). As age and years worked at the current organization increased, the negative impact of work on personal life and personal life on work tended to decrease. Conclusion The work-life balance of Family Health Center employees has been disrupted. The level of work negatively affecting personal life and personal life negatively affecting work is high. 65% of Family Health Center employees are considering leaving their current organization, and 41% are considering leaving the healthcare field.

Background: According to the World Health Organization (WHO), the shortage of human resources in the healthcare sector has shown a growing trend year by year. Notably, there is a significant shortage, inadequate distribution, and high turnover of licensed professionals, influenced by various factors. Aim: This study aimed to examine healthcare workers’ turnover intentions and the influencing factors in referral healthcare organizations in Ulaanbaatar city. Materials and Methods: The study employed a cross-sectional study using quantitative research methods was conducted during 2024–2025. A total of 150 healthcare workers from central hospitals, maternity hospitals, and district health centers participated. The standardized questionnaire developed by Auerbach et al. (2013) was used to assess turnover intention. Data were analyzed using SPSS 26.0 software. Results: Of the participants, 38% were from central hospitals, 33.3% from maternity hospitals, and 28.6% from district health centers. The majority (85.3%) were female. In terms of profession, 44.6% were doctors, 34.6% nurses, and 20.6% comprised paramedics, public health specialists, laboratory physicians, pharmacists, and midwives. Regarding retention, 78% of participants intended to continue working in the healthcare sector until retirement, while 35.3% expressed an intention to leave in the near future. Statistically significant differences in turnover intention were observed by age and profession. Younger employees demonstrated a higher intention to leave, whereas middle-aged employees with longer work experience showed greater stability within the healthcare sector. Additionally, 76% of participants emphasized salary and incentives, 68% workplace atmosphere, and 73.3% opportunities for career advancement as key factors influencing job retention. Conclusion The study revealed that one in five healthcare workers intends to leave the healthcare sector, while one in four is considering leaving their current organization. Turnover intention varied significantly by age and profession.

Introduction The rate of global warming has accelerated over the past 50 years, with 2014 and 2015 being the earth’s warmest years on record. The prevailing scientific view is that increased ambient temperatures are changing rainfall patterns and cause extreme weather conditions. Increasing surface temperature is melting glaciers and raising the sea level. More flooding, droughts, hurricanes, and heat waves are being reported. Accelerated changes in climate are already affecting human health, in part by altering the epidemiology of climate-sensitive pathogens.
Annually, one out of every four deaths worldwide is due to environmental pollution and climate change-related diseases.
Greenhouse gases from human activities are the most significant driver of observed climate change since the mid-20th century.
These warming trends may have profound effects not only on the environment but also on human health directly and indirectly. In fact, climate change has been considered the biggest threat to global health in the 21st century.

Introduction: Sanitation facility supply and service availability of Mongolia is essential due to the slow process of bacterial decomposition which is getting significant difficulties because of the cold and arid climate. Only 37 percent of Ulaanbaatar’s population is connected to the central sewerage system, and the majority of ger area residents, or 95 percent, use pit latrines in demand of sanitation facility. Numerous studies have shown that the main contaminant of the soil in ger area were pit latrines. It not only pollutes the environment but also affects human health. There is a lack of awareness about the transmission of infectious diseases and options of new sanitation facilities and poor knowledge and bad conditions to introduce new drainage systems. Most pit latrines in ger areas are of poor quality and do not meet relevant standards. Goal: To determine the effect of ”Gipon” ionized disinfectant solution produced by Japanese technology for disinfecting pit latrines Material and Methods: This study was conducted in December 2019 using a random sampling method. Five households in ger areas were selected and pit latrines were disinfected by ”Gipon” ionized disinfectant solution. Results: The survey covered pit latrines of 5 households in the 21st khoroo of Bayanzurkh district. All owners allowed to participate in the survey. The pit latrines are located approximately 9.8 meters away from the households participated in survey. They have been utilized it for 7.6 years and used by an average of 6 people per day. For inner cover, 60.0 percent are lined with wood, and 40.0 percent are cleaned once a month. Before the use of the disinfectant solution, having taken the swab from door handles, floors and walls of the toilet and were detected Enterobacter spp, E.Coli, and Pseudomonas spp in all samples.
However, after one and 24 hours of spreading of the disinfectant solution, the amount of intestinal coliform bacteria and E. coli was reduced dramatically and in some places no bacterial were detected. 72% of the soil near the latrines in the study covered ger areas was contaminated with bacteria. In terms of E.Coli contamination in soil, 60% of them were contaminated in low degree and 32% were medium and 8% were high degree. Anaerobic microorganisms such as Cl.prefrings were accounted for 82% of the total sample, 19% moderate and 81% low contamination. Conclusion Intestinal coliform bacteria (Enterobacter spp, E.Coli, Pseudomonas spp) and pathogenic bacteria (Serratia spp, Staphylacoccus spp) were not detected and the number of fungi was sharply reduced after 1 and 24 hours using Hypon disinfectant. No intestinal pathogens (Salmonella spp, Citrobacter freundii) were found in the soil near the latrine. The amount of coli titers was reached to the acceptable limits. According to this study, the disinfection activity of “Gipon” solution was ranging from 105 to 104.

Introduction: Major outbreaks of infectious diseases caused by enteroviruses (EV) have been reported in recent years. As of 2017, in Mongolia, hand, foot and mouth disease, or HFMD, accounts for 13.7% of all infectious diseases. The purpose of this study was to investigate the circulation of EV among healthy children, and clinical characteristics of infection. Materials and Methods : The analysis of EV circulation was conducted on Polio Laboratory data of 1172 specimens, collected in 2013-2018, from 9 districts of UB and 21 provinces of Mongolia. Also specimens of 239 patients, who underwent outpatient and inpatient treatment at the NCCD in 2014-2018, were randomly selected and stool samples were collected. Clinical symptoms of patients were analyzed and virus isolation analysis was performed in order to confirm the diagnosis. Results: Children from 1 month of age to 5 years have participated in the study and the average age was 2 years and 5 months. The enterovirus rate among healthy children was 20.1%. Virus circulation rate was highest in 2013 (37.2%), lowest in 2014 (11.8%). The peak of circulation is observed in May and October, while the minimum rate is in July.
Out of selected patients 52.7% (n=126) were diagnosed with HFMD, rash infection occurred in 28.5% (n=68), acute flaccid paralysis-18.8% (n=45). EV was detected in 56.4% (n=135) of the collected stool samples.
Children from 1 month of age to 5 years have participated in the study and the average age was 2 years and 5 months (95% CI:2.5 ±0.1). 49% (n=578) of participants were female, 50.7% (n=594) were male. The enterovirus rate among healthy children were 20.1% (n=236; 95% CI: 20.1 ± 0.55). Virus circulation rate was highest in 2013 (37.2%), lowest in 2014 (11.8%). The peak of circulation is observed in May and October, while the minimum rate is in July. Although the enterovirus isolation rate was relatively high among children under 3, there was no statistically significant difference (p>0.05), as well as there was no difference in gender (p>0.05). As for the EV circulation by region, the highest prevalence rate is found in Central region (27.5%), while the lowest is in the Eastern region (12.7%) with no statistical significance by regions (p>0.05). Conclusions Among children, HFMD is a common disease, that caused by EV. Enterovirus infection can often cause fever, flu like symptoms as well as spotted, maculopapular rash. The EV isolation rate of 20.1% indicates that the incidence of enterovirus is characterized by symptoms of influenza-like illness or is asymptomatic.

BACKGROUND. Hypertension is an increasingly important medical and public-health issue. Recent years complementary and alternative medicine therapies are getting popular and frequently than medical treatment used by patients with hypertension and cardiovascular disease. Aiming to analyze the efficacy of bloodletting to treat impure blood and hypertension and to implement to the clinical practice. METHODS. 14 day before and after loodletting treatment, triglycerides, cholesterol, high- density lipoprotein were analyzed and compared to body type for 30 patients (30- 60 years old ) who have 1st stage arterial hypertension. The LDL was calculated with Fridvalid formula. The participants took traditional prescription ( formula of three seeds) 2gr twice per day for 5 days after bloodletting vena. ( jinshug) RESULTS. The study showed that triglycerides are decreased by 0,4mml/l (P value 0.0047), cholesterol was decreased by 1,54 mml/l (P value 0.00001), LDL was decreased by 1,68 mml/ l (P value 0.00001), and HDL was increased by 0,22 mml/ l (P value 0.0001) after bloodletting treatment. After treatment we observed decreasing hypertension when measured the systolic and diastolic blood pressure for three months. LDL and cholesterol increasing in the blood is risk for cardiovascular disease. But in this study LDL and cholesterol were decreasing after bloodletting treatment which means it is possible to prevent from cardiovascular disease. As well after treatment HDL was increased in the blood that showed prevention from arteriosclerosis. СONCLUSION. Most of patients were shar and badgan type. The badgan type with patients had obesity and high cholesterol compared to other body types. After treatment cholestrol was decreased in all patients, LDL was decreased and HDL was significantly increased in the badgan type patients with hypertension. Systolic and diastolic blood pressure were decreased and stable and kept for long time after bloodletting treatment.

BackgroundIn 1988, the Forty-first World Health Assembly adopted a resolution for the Global Polio Eradication.Since the initiative was launched, number of polio cases has fallen by over 99%. Today, only threecountries in the world, Afghanistan, Pakistan and Nigeria - remain polio-endemic. The Polio Eradicationand Endgame Strategic Plan of 2013-2018 calls for the gradual eradication of wild virus strain and thevaccine virus strain at the same time. In order to prevent the border transmission of wild type poliovirus,virus leakage from laboratories, it is required to conduct inventory of laboratories handling poliovirus andpotential infectious materials every 2 year.GoalTo identify laboratories handling poliovirus and potential infectious materialsMethodsSurvey of laboratories handling poliovirus and potential infectious materials was conducted amongstate, private, clinical, biomedical and environmental testing in total of 127 laboratories operating in21 provinces and 9 districts of Ulaanbaatar city by questionnaire. Survey questionnaire consists of 6sections (general, sample storage, laboratory biosafety, staff knowledge, information source, trainingand etc.). Study results were processed using SPSS-19 statistical programme.Results34.7% of 96 biomedical laboratories were analyzed stool samples. These laboratories were analyzedrotavirus (17.0%), intestinal bacteria (67.0%), Helicobacter (14.3%), parasite and other indicators (1.7%)in stool samples. 43.8% of laboratories were stored stool samples for one day and 3.1% up to oneyear. From 31 environmental testing laboratories 73.3% were bacterialdetection test on environmentalsamples. 60% of wastewater samples were collected from rivers, 16% on entrance to wastewatertreatment plant and after biological treatment combined, and 24% from other sources. Soil sampleswere collected near waste disposal and other sources (46.4%), and from unknown sources (53.6%).24.1% of all laboratories were stored environmental samples for 3 days, 3.4% for 45 days. Accordingto results, surveyed laboratories did not store samples for more than 1 year. Also, none of surveyedlaboratories (100%) were not stored poliovirus and potential infectious materials.Conclusion· The investigated laboratories were not stored poliovirus and potential infectious materials.· The biosafety and biosecurity status of laboratories should be improved in near future throughenhancing knowledge of laboratory workers and organizing training related to biosafetyandbiosecurity.

This study aims to evaluate the antioxidative activities of traditional Mongolian milk product. Anti-oxidant activity is generally used as merkmal for food function. It is known that reactive oxygen causes various life style diseases, for example hypertension, diabetes, obesity, osteoporosis etc. It is thought that antioxidant activity in our body is very important for preventing these diseases. Many dairy products such as aaruul, eezgii, bayslag orginated from different region of mongolia were used in the study. Anti-oxidant activity was measured by using lag time method. The method is not more popular than ORAC (Oxygen Radical Absorption Capacity) methods; however this method is more simple and easy. Briefly myoglobin-working solution was added to assay samples. After that, 2,2’-Azino-di-[3-ethylbenzthiazoline sulphonate (ABTS) solution as substrate for oxidative reaction was added to the mixture. Immediately the absorbance at 600 nm was read every 30 seconds for 15 min. The anti-oxidant activity of the samples was then calculated as the lag time of the curve of absorbance versus reaction time of the samples. Trolox was used as standard anti- oxidant substance. Using the compound, anti-oxidant activity was expressed as Trolox equivalent value. Milk products including of Japanese products have almost same values (6.5-17.99 µM Trolox eq.). Acid based dairy products such as curd (aaruul) and cottage (aarts) have high oxidization potential. Traditional dairy products antioxidant activities are differ depending on their region.

Background Concentrations of lead, chromium, cadmium, mercury, arsenic and boron in waste water treatment sample and soil sample of Mich Company in Khongor, Darkhan-Uul province were detected with high concentration by WHO, UNEP and FAO study in 1998. Therefore, the conclusion was required to conduct environmental audit and to determine pollution frame and risks [1, 2]. According to recommendation of WHO, UNEP and FAO study, it is required to conduct re-survey study of environ¬mental pollution in Khongor, Darkhan-Uul province. Goal Study was aimed to conduct re-survey study of environmental pollution and human health exposure assessment in Khongor, Darkhan-Uul province. Objectives: 1. To determine environmental pollution by questionnaire study and chemical analysis for mercury, chromium, arsenic, lead, cadmium and boron in hair, blood, urine and environment. 2. To develop guidance for next actions. Results Average concentration of arsenic in soil sample of Mich Co, Ltd was 8.458 mg/kg or 1.4 fold higher (95%CI 5.472- 11.444) than reference value (6.0 mg/kg) in “MNS 5850:2008 -Soil quality. Reference value for soil pollutants and elements” standard and mercury and cadmium were not detected (Table 1). Chromium and boron were detected with acceptable level in water samples and average concentration of arsenic (0.0014 mg/l) was lower than reference value (0.01mg/l) in “MNS 900:2005 Drinking water, Hygiene requirements and control” standard. This result shows that there was not arsenic migration from soil to water. Concentrations of lead, cadmium, chromium, arsenic, boron and mercury in soil and water samples were detected with acceptable level (Table 1). Conclusions: 1. Lead, mercury, cadmium, chromium and boron levels in environmental samples of Khongor, Darkhan-Uul province were at subordinate level from reference values in national standards. 2. Arsenic concentrations in biological samples were determined as a higher level, but in environmental samples its amounts were corresponded with acceptable level. Thus there was not environmental pollution exposure to human health. Because of detoxication processes of contaminated moulds by mercury and cyanides in MICH company area, it is possible to this area polluted by arsenic or gold associated elements. Thus it is necessary to decrease arsenic pollution in soil. 3. Concentrations of cadmium, arsenic, lead and mercury in hair, urine and blood samples were less than refer¬ence value of Human biomonitoring commission of Germany (HBM), PHI of USA, Clinical chemist’s agency of Russia and Canadian medical research center. So, in Khongor soum had not those of toxic elements ex¬posure to human health. 4. The boron and chromium concentrations of hair, urine and blood samples exceeded the maximum admissible limits in half of all cases, while their amounts in environmental samples were at permissible level according to national standards. And there was no statistical significance correlation (p=0.735) between chromium and boron concentrations in biological and environmental samples.