Background: Simulation-based education has become an effective and widely used modern teaching method in health professional education. This approach allows students to apply theoretical knowledge into practice and develop essential skills such as clinical assessment, clinical decision-making, and teamwork in a safe and controlled learning environment. In recent years, international studies have demonstrated that simulation-based training improves students’ clinical skills, confidence, communication abilities, and professional attitudes. However, evidence regarding the effectiveness of simulation-based training remains limited in certain educational settings, particularly in developing countries. Therefore, evaluating the effectiveness of simulation-based training within local educational contexts is necessary. Aim: To evaluate the effectiveness of simulation-based training on students’ knowledge, clinical skills, and professional attitudes. Materials and Methods: This study included 45 third-year medical students from four classes at the Mongolian National University of Medical Sciences using a random sampling method. Participants were divided into two groups according to the training modality: a simulation-based training group (n=20) and a traditional learning control group (n=25). Knowledge was assessed before and after training using an 18-item test covering asthma etiology, pathophysiology, clinical features, diagnosis, and treatment. After the training session, students’ knowledge, clinical skills, and professional attitudes were evaluated using a 21item Likert-scale questionnaire and small-group discussions to identify factors influencing learning outcomes. The reliability of the questionnaire was evaluated using Cronbach’s alpha, which demonstrated high internal consistency (α=0.90). Statistical analysis was performed using SPSS software. Paired samples t-tests were used to compare pre- and post-training knowledge within groups, while independent samples t-tests were used to compare post-training outcomes between groups. Result: After training, mean knowledge scores significantly improved among all participants (pre-training: 9.18±2.33; post-training: 10.47±2.31; p<0.001). In the simulation group, knowledge scores increased from 7.65±2.01 to 9.05±2.46, while in the control group, scores increased from 10.40±1.80 to 11.60±1.41 (p=0.007). Post-training comparisons showed that the simulation group demonstrated higher mean scores in knowledge (36.70±3.73 vs 34.44±4.77) and clinical skills (11.35±1.69 vs 10.92±1.75) than the control group; however, these differences were not statistically significant (p>0.05). Professional attitude scores were significantly higher in the simulation group compared with the control group (43.35±3.60 vs 40.64±4.51, p=0.034). Conclusion Simulation-based training demonstrated positive effects on students’ knowledge and clinical skills and significantly improved professional attitudes. Integrating simulation-based training with traditional teaching methods may serve as an effective educational strategy to enhance the quality of clinical education.

Study about caeserean section In nulliparous women Introduction: Cesarean section rates in Mongolia exceed WHO recommendations of 5–15%, reaching 27.6% nationally and 34.1% at the First Maternity Hospital between 2019–2023. C-sections, while life-saving, increase risks of hemorrhage, infection, uterine complications, and reduced maternal quality of life. This study aimed to analyze emergency C-sections by Robson classification and identify associated risk factors in groups 1, 2a, 3, and 4a. Materials and methods: A retrospective case-control study was conducted using 886 medical records (443 emergency C-sections and 443 vaginal deliveries) from 2021–2023. Data were analyzed with IBM SPSS 24.0, and binary logistic regression was used to calculate odds ratios (OR) with 95% confidence intervals (CI). Results: Robson 2a was the most frequent category (43.8%), followed by 4a (25.7%), 1 (20.1%), and 3 (10.4%). Significant risk factors for emergency C-section included maternal age (p<0.001), early cervical dilation (<5 cm) at labor diagnosis (OR 3.54), abnormal CTG, pre-eclampsia, PROM, amniotomy, infertility, and malposition. Multivariate analysis showed PROM (aOR 14.66), amniotomy (aOR 6.85), fetal weight ≥4000 g (aOR 4.07), and maternal age (aOR 1.48) as key predictors. Conclusions: Emergency C-sections were most common in Robson group 2a. Major contributing factors included PROM, amniotomy, maternal age, macrosomia, and abnormal labor patterns. Targeted interventions to manage these risk factors could reduce unnecessary emergency C-sections.

GoalTo evaluate the quality, results, and processing of cytology analyses of early detection program ofuterine cervical cancer implemented in Mongolia, which based on Pap test, at Ulaanbaatar city level.Materials and MethodsInformation was collected from the databases of the recalling system of screening program of theCancer registration and information unit of the NCC of Mongolia and districts pathology laboratoreis.Statistical significant level of 1.96 (95% CI) andthe margins of error 0.05 were considered andsample size was calculated by using the information that 10% of unsatisfied results appear onquality assurance of international level. Thus calculations were madefortotal of 1723 (585 positiveand negative 1138) samples, by collecting 287smears from each district.At the district level all the selected slides were reviewed blindly and compared to the previouscytological conclusion. Diagnostic validity was defined by calculating parameters such as specificityand sensitivity, positive and negative predicted values. The Kappa index criteriais used for statisticalcalculation of the cytological diagnosis conclusion matches.ResultsThe target group women coverage of cervical cancer screening program is 40.8%. Out of all positiveresults of early screening cytology, 77% were at an early stage and 23% were at an advanced stage.Thus positive signs were showed with increased detection results in early stage of uterine cervicalcancer (P = 0.05). Positive results of Pap test were follows; ASCUS (53.2%), ASC-H (10.0%), LSIL(19.2%), HSIL (13.4%), CIS (3.4%), and SCC (0, 8%). Out of total slides, 86.7% were as satisfactory.The test results conducted at the district level were90.1% of sensitivity, 88.8% of specificity and9.9% of false negative response. The discrepancy of results of cytology test in districts and repeatedseen is 31.4% (K = 0.749; p = 0.001).ConclusionThe coverage of cervical cancer screening program that has been implementing in our country isnot enough. There are problems at the district level including severe damages of uterine cervix andincomplete diagnosis. The quality of the cytology test is relatively unsatisfied.

In pathopsychology, one branch of mental analysis, recently we are using qualitative analyzing methods for mental phenomena. But improvement of professional methods of study, generalization of the new computer based technology, children’s psychology assessment and many other problems are becoming an urgent issue in this field.Our study involved 45 children from orphanage and the High School Personality Questionnaire (HSPQ) computer based questionnaire is used to measure the personality characteristics of orphan children. Spielberg-Hanin test is used to reveal anxiety. Study is analyzed by SPSS program.In total, 45 children (age from 9 to 18), 22 boys and 23 girls participated in our survey. 8.9% of them measured as a high intelligence, 91.1% measured as a lower and an average intelligence. Interestingly, 60% of children were good at controlling their emotions and behavior. Thus 55.6%had symptoms of flexible mind, imagining and probability of affect illness. Having more stress is due to introverted preference and self-blaming, also a feeling of self-blaming is due to not being bold. 51.1% of them assessed that they have dependent, emulative personality and submissive behavior which was very considerably. The anxiety of condition was high in 34.1% of children andlow in 12.2% of them, thus anxiety of individual was high in 36.6% and low in 7.3% of children. Therefore, it’s essential to help orphan children and consider reducing anxiety and improving their self-independence.

Bullying or peers violation is one of adolescent`s truly urgent issue but it is not public discussion topic. We conducted a study in 3 different schools which began from 6th of October, 2014 to 13th of October, 2014. There are total 167 subjects aged between 13-18 were from classes of junior and senior- high at: Orchlon school, School of 1 and School of 13. We used 53- item Questionnaire consisted of 4 sections for our study. We concluded 98(58.7%) participants from School of 1, 26(15.6%) participants from School of 13 and 43(25.7%) participants from Orchlon school who were aged between 13-17 (M=14.7±0.1) which comprise of 84 (50.3%)male and 83 (49.7%) female in our study We assessed correlation of depression and bullying by linear regression. The result of it shows 1 more score of depression measuring scale-CES-D can rise score of Aggression scale 1 by 0.33 point and also it can rise score of Aggression scale 2 by 0.84 point. There is a positive correlation between bullying and depression which confirms high risk of bullying is associated with majordepression in significantly. (p value 0.000) The findings of the study reveals that high levels of bullying associated with high levels of depression.

In 1992, the World Health Organization (WHO), developed a detailed set of criteria on oligophrenia diagnosis and differential diagnosis of clinically and recommends the methodology to test natural state of people’s psychology-intelligence development within the nation’s cultureand living environment and to define clinical characteristics. Thus, this study has been done upon the needs to localize some questions on IQ tests in close consideration of natural state of the Mongolians’ intelligence development within the nation’s culture.We had totally 340 individuals, who were sent by the stationary and ambulatory of the National Center for Mental Health, the Health Care Centers of Districts, the clinics in provinces, and Child Care and Protection Center for IQ tests as recommended by psychotherapists, as a target group and analyzed their test results with the WAIS test for defining their IQ levels.Totally 340 individuals of 15-58 year olds, including 178 males and 162 females were involved. According to the WAIS test, their IQ scores were between 32 and 120 with an average score: IQ=59.6%±0.8. According to the general knowledge scale test results, all the respondentseither from urban or rural areas were unable to answer two specific questions: “What is the name of the airplane inventor?” and “Who discovered the American continent?” out of the 25 questions in the test. Moreover, the 98.2% (n=334) of the respondents could also not answerthe question “What is the name of the Hamlet’s author?”.There were five respondents, who were able to answer the question and four of them were from the urban area. To the question “What centimeter is equal to 10 decimeter?” the 85% (n=289) of the respondents were unableto answer and the 92.2% (n=167, р=0,001) of the espondents from rural areas provided no any answer to the question.Test results are depending on the level of individual’s intelligence quotient (IQ). It is obvious that some respondents from rural areas more failed to answer the questions in, comparing to those provided by the respondents from urban areas. It would be caused anddirectly dependent on availabilities of information accessing sources, educational environment,and levels.

Background. Cerebral palsy (CP), which is the most commonly encountered neuromuscular disorder of childhood, causes permanent physical deficits and sometimes intellectual deficits. Despite advances in the diagnosis and treatment of CP, the incidence of that disorder has not declined; it parallels the increased survival rates of premature infants. The children with CP may not have trunk control because they have spasticity and weakness in their trunk control. Goal. This study aimed to investigate the efficiency of functional electrical stimulation (FES) application on the abdomen-posterior back muscles in children with Cerebral palsy (CP). Materials and Methods. However 40 children with spastic CP, being treated in physical therapy, were selected by the way of random-sampling in the study, some of children were excluded by exclusion criteria and then 30 children have completed the study. The participants were randomly divided into two groups FES (n=15) and control groups (n=15). The control group received physical therapy 3 days a week in 45 minute for 6 weeks. The children in the FES group received physical therapy in addition to function electrical stimulation. FES was applied 5 days a week for 6 weeks to abdomen-posterior back muscles in 30 minute-long sessions. To evaluate the score of gross motor function measurement (GMFM) and to evaluate the trunk asymmetry in sitting, radiographic measurements were used. Result. The comparisons of the measurements of the two groups before and after the treatment showed that the GMFM standing score were statistical significantly (p<0.001) increased, and Cobb angles were decreased both groups, but the decrease in the control group was not statistically significant (p=0.128), and FES group was statistically significant (p=0.033). The comparison between groups GMFM standing score increased higher in the FES group than in the control group. Cobb angles after the treatment were statistically significant higher in the FES group than in the control group. Conclusion: To improve gross motor developing for children with CP, FES applied on abdomenposterior back muscles along with physical therapy is more effective than physical therapy alone.

Abstract The scientists established that in the present time, consumption of medication containing chemical agents in its compound is increased in 2.1 – 2.8% and consumption of medication made with natural raw material in 3.5 – 4.8%. However, reserve of medicines of natural origin herbs became very rare and issues on their protection and cultivation of them are discussed a lot. In contrary, raw materials of mineral origin medicaments that are widely used in drug treatment of traditional medicine have such advantages as having sufficient resources, require no high technology for their storage and transportation and they are rarely polluted and spoiled. On the basis of above background, we put goal for our research work to tame the spar and explore the mineralization composition contained in it. Male spar selected for our research work is crystal of age of 750 years with the sediment of Medium Paleozoic limestone from the cave “Tsagaan agui”, Bayanlig soum, Bayankhongor aimag. According to the traditional medicine spar is called as precious stone and bone elixir and it is function is to stop diarrhea, eliminate the cancer of stomach and fever, and joint the bones [1]. We tamed the selected spar in milk and alcohol according to the traditional method [2], and carried out the trial using the roentgenfluorescence tools HOBIRA- 500W. The present tools determines the quality and quantities of the chemical elements in the solid powder sample by the roentgenfluorescence method (MNS JIS K 0119:2003) according to the standard requirements creating x-ray in the tube with high voltage and burning and then determine the mineralization measuring the created fluorescence ray. The main component of untimed spar is CaCO3 and some mixtures of such elements as Si, FE, MN, Al, S, Na, Mg and they exist in the form of oxide or carbon oxide salt. After taming the spar by traditional methods it became small crystal no razor edge soft and its colour turns into withish yellow, taste became sour and spicy, odour was sour and with milk odour, and it became soluble in water. It is established that elements such as Si, P, F, Mn which may be harmful for human organism were reduced in two kinds of tamed spar and besides that content of Ca, a useful element was increased in the tamed and extracted spar and but useful elements such as Na, Mg and K were reduced in the strong tamed spar.