The clinical sign of children’s kidney and urinary tract petrification diseases and the result of eswl Background: A substance exchange disorder where stones form in the kidney or urinary tract with a tendency toward inheritance is called urinary tract petrification disease. In many countries throughout the world, the incidence of urinary tract petrification disease is one to fifteen percent. Urinary tract permeability disease affects 7% of people under the age of 17. Due to the unique nature of the habitat, the incidence of urinary tract petrification disease is higher in India, Thailand, Scandinavian countries, and the Caucasian, Ural, Siberia, and Equator areas. However, the incidence of urinary tract petrification disease spread is two to three percent for children, but the reoccurance risk is 6.5–54 percent. In our country’s case, J. Horloo’s 1993 research indicates that 4.1 to 4.7 percent of kidney and urinary tract patients have urinary tract disease. During urinary tract disease, the common symptoms are abdominal pain, macro- and microhematuria, and kidney and renal bacterial infection. But in younger children, those symptoms are quite grim. In the last 15 years, mongolian’s urine’s oxalate stone’s volume increased by 5 times and mixed stones decreased by 2.5 times. The research of G. Erdenetsetseg’s 1990–1998 study on 305 children and the 2001–2003 study on 161 children indicate that the incidence of urinary tract disease is high between ages 1-3, and 65 percent of the stones consist of calcium oxalate. In 1980, German scientists invented the stone crushing technology using electrohydraulic shockwaves, which turned out to be a beneficial treatment for kidney surgery practice. The National Hospital for Maternal and Child Health's kidney surgery team had 17 surgeries in 2015, 19 surgeries in 2016, 24 surgeries in 2017, and 28 surgeries in 2018, and all of those surgeries were done and treated open. In the last 10 years of our country, children’s urinary tract petrification disease has gradually increased, but research on those diseases risks and factors is lacking. Also, the stone crushing method is necessary for our country’s children's treatment. That’s why we decided to do research on the risk factors of urinary tract disease and its relation to the stone crushing method. Aim: Describe the features of children’s kidney and urinary tract petrification disease and study the stone crushing method’s results. Materials and methods: The study was done between December of 2019 and April of 2022, with the assistance of NCMCH's children's kidney surgery team. Within the parameter of the first objective, within the group of cases of kidney and urinary tract disease, there were 13 children under the age of 17. The research study was conducted cross sectional. The research results were processed by the SPSS 25 program. On the seventh meeting of the health ministry, we got the acceptance of a research patent with the assistance of EHEMUT. Results: The research group consisted of 13 children ages 0–17. The average age of participants was 10.6+-4.2.74. 4 percent of it consisted of men. The research of symptoms showed that back pain n = 13 (100), right side abdominal pain n = 13 (100), disurie n = 3 (23.1), mouth drying n = 2 (15.4), nausea n = 3 (23.1), urine with blood n = 10 (76.9), urine with smell n = 9 (69.2). The position of the stone consisted of 8 (61.5) in the kidney cup, 8 in the kidney cradle. Showing it in which kidney showed that 8 (61.5) were in the right kidney, 3 (23.1) in the left kidney, and 2 (15.4) in both kidneys. The density of the stones was n = 265.8+ 41.9 on average. Kidney stone coming out time was measured by Caplan-Myer’s survivability scale. The stones on the right side of the kidney came out within 14 days on average, while the left and both-sided kidney stones came out within 30 days. Conclusions: 1. Showing the number of stones and locations indicates that 8 (61.5) were in the right kidney, 3 (23.1) in the left kidney, and 2 (15.4) in both kidneys. 2. The results of Caplan-Meyer's scale indicate that kidney stones within the right kidney came out within 14 days, and left- or both-sided stones came out within 30 days.

Introduction: Vaccination is a cost-effective intervention to prevent major illnesses that contribute to child mortality in the country. Increase in parental knowledge abour vaccination will lead to increase in vaccination rates of children. The main aim of our study was to assess the knowledge, attitudes and perceptions of vaccination. People’s knowledge about immunization and their attitudes toward them are likely influence uptake. Goal: The main purpose of the study is to evaluate the knowledge and attitude of the population towards measles and to clarify their satisfaction and understanding of the measles immunization program. Materials and Methods: We conducted cross-sectional study, involved participants from 3 aimags and 6 districts covered voluntarily. Total participants were 509. We used to online model and with the participant’s self-answer closed questionnaire. Results: 76% of the respondents were female and 24% were male. 64.1% of respondents who have children of 0 to 5 years of age, had little or bad knowledge towards immunization schedules against measles. Overall, the general attitude towards vaccines was positive, but the knowledge about significance of vaccines was weak. Further, district and province family doctors need to pay particular attention to increasing awareness and knowledge on importance of vaccines among families with young children. It is necessary to conduct extensive, long-term research and training among population to evaluate their knowledge and attitude towards measles, its vaccine and prevention, and to identify causes of lack of knowledge. Conclusion Our study shows the importance of good physician–patient communication in improving knowledge attitude and practice of parents towards their children’s vaccination.

Introduction: Researchers have found that people living in polluted areas have a lower ability to resist skin bacteria and increase the number of skin microflora. Decreased immune function increases the risk of sore throat, influenza, respiratory infections, pneumonia and gastrointestinal diseases. One of the main indicators of the human immune system is the normal microflora. Goal: To study the relationship between normal human microflora and specific immunity. Material and Methods: This study was conducted within the framework of the project “Effects of non-specific immune factors on injectable infectious disease immune system”. The survey sampled 10 households from Dornod aimag, 8th khoroo of Chingeltei district, Ulaanbaatar city, and 3rd khoroo of Baganuur district. A total of 176 people aged 6 months to 50 years were involved. A total of 528 swab samples and 31 blood samples were collected from the throat, tonsils, skin and mucous membranes to study the relationship between normal human microflora and specific immunity.
The research methodology was discussed at the meeting of the Academic Council of the Ministry of Social Welfare and the Medical Ethics Review Committee under the Ministry of Health (January 5, 2018, Resolution 646) and the research was approved. Results: The total number of normal microorganisms in the skin and mucous membranes of the study participants changed, and the number of hemolytic strains and fungi increased. 58%-67% of the participants had normal and long-term immunity against diphtheria and tetanus, while 5% -14% were not. This result was as high as in urban and rural areas. Conclusion This result was as high as in urban and rural areas. As the age group increases, the level of the body’s specific immunity decreases, the structure of the normal microflora changes, and the number of fungi and hemolytic bacteria increases. Furthermore, it is necessary to study specific and nonspecific immunity in detail in relation to environmental pollution indicators.

BACKGROUND OF STUDY: Not only in developed countries but also in Mongolia it is vital problem to decide how to improve human life’s quality, to make clear the measurement to take, discover human body’s change, aging mechanism and predict from these diseases. The research on herders’ biological aging which is connected to the geography, nature, environment, climate, inhabitant, culture and labor’s specialty hasn’t been done yet. So it causes the basis to write this research. AIMS: Defining the nomadic herder’s biological aging MATERIAL AND METHODOLOGY: All the herders in Gobi-Altai were included in this research. They wereclassified into ages such as 30-39, 40-49, 50-59 and 60-69, and 202 female and 212 male herders were chosen accidentally. The model types of research “Cross-Sectional” method is used for this, the equipment called “Tanita” which is used for measuring body is used for collecting information and also SPSS-22programmis used for producing result. RESULT OF STUDY: 1. 49% of all research participants are male, 51% are female. 2. Herder’s biological aging is 50,4+9,4 and it shows that 6,3 older than calendar ages. 3. Herders’ aging was different for male and female herders. 81,8 percent of the male herders get older very fast whereas 69,4 of female herders get older slowly. CONCLUSION: • Male herder’s aging is 14 years older than womenThe older female and male herders get, the less their difference in their biological age becomes. • The percentage of the herders whose aging is getting fast is 21-26 % older than biological aging of the UB city’s people. • Biological age and sex’s connection (r=0,0001 p=0,00488) between biological age and weight’s index is (r=0,00488, p=0,001) is different and statistical significant.

A school environment may cause positive effect upon health and healthy behavior, but also representmain factor for transfer of non-infectious diseases. Therefore, the issue of maintaining an appropriate environment in operations of training and educational institution would be considered as vital in every country of the world. In our country the solid waste hygienic conditions around children organizations represent one of actual problems. Through the research work was aimed to evaluate the state of solid waste at external environment of general educational institutions by the momentum model of analytical research and involving 103 state proprietary Educational Institutions of 9 districts. At developing estimation list of solid waste at external environment of schools were used current effective standards, resolutions and regulations. 88.3 percent of schools involved into research work had special solid waste-points and 11.7 percent had no special solid waste-points. 38.8 percent of solid waste-points were fenced from all sidesand 44.7 percent fenced from some sides and 16.5 percent had no fence in whole. The research of material from which was made a solid waste-keeping facility showed that 44.2 percent were made from metal, 2.3 percent from wood and 52.3 percent from brick. When we studied whether the solid waste-keeping facility is placed in distance of 25 meters from school according to standard,was determined that 71.8 percent were built according to the standard, 28.2 percent were allocated within 25 meters showing inconformity with the standard. During the research it has been detected that among schools 27.2 percent had too much solid waste-heap, 25.5 percent had placed no special recycle-bins on the school site and 13.6 percent conducted wrong activity by incinerating solid waste on the territory of school.2/3 or total 63 schools among Metropolitan state proprietary educational institutions has non- standard solid waste-keeping facility, 1/3 or 29 schools has located their solid waste-points in non- standard distance, there exists much solid waste-heap because of insufficient recycle-bins, absence of solid waste-points results in collection of solid waste in a special room inside of school and later its transportation with scavenger. Also, 13.6 percent or 14 schools are incinerating their solid waste within school site. This breeches effective hygienic norms and normative.

BACKGROUND: Worldwide, the number of people killed in road traffic accidents (RTA) each year is estimated at over 1.2 million, while the number f injuries reaches as high as 50 million. In Mongolia, the number of road accidents, crimes and road safety violations is on the increase, and it is forecasted that this trend will continue in the future The third leading cause of mortality in Mongolia is injury, and more injuries are caused by traffic accidents (18.9%) than any other cause. According to the National Statistics reports, health and demographic studies, it can be seen that there are a high number of road traffic accidents and injury cases in Mongolia.OBJECTIVE: The main objective was to identify the risk factors of road traffic injuries and deathsMETHOD: Primary data on Road Traffic Accidents (RTAs) of the Road Traffic Police was used. 4000 investigation forms were randomly selected and analyzed. Within the research objectives, necessary descriptive and analytical statistics were calculated and the results were illustrated by tables and charts.RESULT: The rate of road traffic accidents is high in urban areas from January till May while it is high in rural areas from February till October. The rate of road crashes caused by alcohol is significantly different in rural and urban areas (36% in rural and 16% in urban). The statistically significant risk factors for Road Traffic Injuries (RTIs) were the fault of pedestrians, drunk driving, failure to stop the vehicles, turning maneuver, inadequate estimation of the distance between cars and collation of lane and for Road Traffic Deaths (RTDs) the alcohol consumption, speeding, vehicle defects, driver’s negligence, cross the intersection, turning maneuver, failure to keep distance, fault of pedestrians and transportation people or goods.CONCLUSION: To decrease the risk factors of injuries and deaths of RTAs, specific actions are required to enhance the road traffic safety control and patrolling during certain months, weeks, days and times when accidents mostly happen in urban and rural areas.

WHO informed that across world an average of 565 young people aged 10 to 29 die every day through interpersonal violence. Some studies mentioned that anxiety was most frequently occurred as one of the psychological consequences among victims of child abuse. Recent research on effects of adverse early life experiences on central nervous system as stress systems (hypothalamus-pituitary-adrenal axis-HPA) has provided a greater understanding of the link between childhood abuse and susceptibility to anxiety disorder. Therefore, this research was done to study anxiety among abused adolescents, some physical parameters and level of cortisol in saliva. There were selected 20 abused children and 40 non abused children aged between 11-16 years old and lived in Ulaanbaatar city. The Spence Children’s Anxiety Scale (SCAS; Spence, 1997) is a 38-item self-report questionnaire that assesses multiple symptoms of childhood anxiety disorders based on current diagnostic criteria. All participants were measured the cortisol in the saliva by Cortisol ELISA kit, Sigma, Average age of all subjects in the study was 13.52±1.57 and 59% of them were female and 41% were male. All anxiety symptoms of case group was statistically significance higher (p<0.01) than control group. The average amount of salivary cortisol of case group was (18.65±7.08) statistically significantly lower (p<0.01) than average amount of control group (32.15±20.99). Anxiety was more frequently occurred among abused children and blunted cortisol responses might indicate a level of impaired HPA functioning that could constitute a vulnerability to psychopathology with exposure to anxiety.

WHO informed that across world an average of 565 young people aged 10 to 29 die every day through interpersonal violence. Some studies mentioned that anxiety was most frequently occurred as one of the psychological consequences among victims of child abuse. Recent research on effects of adverse early life experiences on central nervous system as stress systems (hypothalamus-pituitary-adrenal axis-HPA) has provided a greater understanding of the link between childhood abuse and susceptibility to anxiety disorder. Therefore, this research was done to study anxiety among abused adolescents, some physical parameters and level of cortisol in saliva.There were selected 20 abused children and 40 non abused children aged between 11-16 years old and lived in Ulaanbaatar city. The Spence Children’s Anxiety Scale (SCAS; Spence, 1997) is a 38-item self-report questionnaire that assesses multiple symptoms of childhood anxiety disorders based on current diagnostic criteria. All participants were measured the cortisol in the saliva by Cortisol ELISA kit, Sigma, Average age of all subjects in the study was 13.52±1.57 and 59% of them were female and 41% were male. All anxiety symptoms of case group was statistically significance higher (p<0.01) than control group. The average amount of salivary cortisol of case group was (18.65±7.08) statistically significantly lower (p<0.01) than average amount of control group (32.15±20.99).Anxiety was more frequently occurred among abused children and blunted cortisol responses might indicate a level of impaired HPA functioning that could constitute a vulnerability to psychopathology with exposure to anxiety.

IntroductionCardiovascular diseases are among the first three causes of mortality in the global population. 1 billion people in the world suffer from arterial hypertension2. In USA 60 million people have high arterial blood pressure, while 40% of the adult population of Russia have arterial hypertension. In Mongolia 28% of the adults suffer this disease. For most countries, arterial hypertension is both health and social problems. Studies of research centers in the USA and Western European countries demonstrate that decreasing the prevalence of arterial hypertension diseases can prolong the life expectancy3. There is an increasing trend of cardiovascular diseases in the Gobi region on Mongolia (10000:645.63 in Umnugobi aimag) with no tendency to decrease predicted in the near future4,5.ResultsWe conducted the study in order to define the intermediate risk factors causing the cardiovascular diseases on the aimag and soum levels. The study involved 754 people over the age of 30 years from 14 soums of 4 aimags. Of these participants, 26.3% are males and 73.7% are females. Our study shows high prevalence of arterial hypertension among the population, particularly among the working age population. A majority of the people over 30 years old taking park in our study had a low level of education, lower than minimum living standard income and unemployed. Among the people aged over 30 years, every fifth person uses tobacco and every seventh abuses alcohol and it shows that there is high index of alcohol and tobacco use among the population. 92.4% of the reviewed used less than 5 units of fruits and 90.8 of them used less than the same units of vegetables.ConclusionThus, the Gobi region population consumes insufficient quantity of fruits and vegetables with the entire food pattern being generally unhealthy. Hypodynamia is common among the population varying across the ages, sexes, occupation groups and locations. The average systolic and diastolic pressures are higher in men than in women. The prevalence of overweight and obesity is high due to lack of physical exercising, weight control and optimization of food intake. As to the genders, women have a higher risk for overweight. Blood cholesterol and triglyceride levels are higher in men. The correlation between arterial hypertension and consumption of alcohol and tobacco, obesity and overweight and hypodynamia is strong.

IntroductionThe research was performed with a purpose of assessing the reality of first aid during road accidents in urban and rural areas, knowledge, attitude and practice of the population and risk groups and preparedness of primary care facilities.Materials and Methods30 cases were researched by epidemiologic approach. The observation covered 64 drugstores and shops in urban and rural areas and the action methods were applied to 1068 rural and urban people. ResultsThe percentage of totally-injured pedestrians is 66.7% in 30 cases of 23.3% received first aid. Although the first aid given to 40 percent of accident victims were people who accompanied them, such as drivers and other people, 66.7 percent of those first aids were not performed correctly while there was no the first aid available to the remaining 60%. There was no first aid material in all these cases. 50.7% of the total of 1068 participants involved in the KAP test had no knowledge on first aid, although a quarter of them attended a related training, 69.9% of them have never performed first aid personally, one of every two people had no material for emergency or there was such problem faced that they had no enough knowledge and experience of first aid. There is a first aid corner in 58.3% all drugstores and shops in Ulaanbaatar city and in 30.3% in rural places. Conclusion: As a result of the study, it shows that citizens have no enough KAP on first aid to provide during accidents and injuries: they have no materials for first aid. Training for the first aid is required for citizens. It is necessary make complex sets of first aid materials available in all trade units and to improve their usage commonly.