1.Diabetes Screening, diagnosis, and healthcare service indicators in Chingeltei district, Mongolia
Gantsetseg Kh ; ; Bayartsetseg B ; Oyuntugs B ; Myagmartseren D
Mongolian Journal of Health Sciences 2026;97(7):207-211
Background:
Evaluating diabetes screening coverage, newly diagnosed cases, and regular follow-up indicators is essential for improving diabetes care. However, comparative studies assessing these indicators at the district level in Mongolia remain limited.
Aim:
To evaluate diabetes screening coverage, the detection of newly diagnosed diabetes, and the distribution of specialist consultations in Chingeltei District, Mongolia, and to assess the current status of diabetes care.
Materials and Methods:
A retrospective descriptive study was conducted using aggregated healthcare statistics from Chingeltei District for 2024, 2025, and the first half of 2026. Data were collected on diabetes screening coverage, newly diagnosed cases per 1,000 individuals screened, the distribution of specialist consultations, and International Classification of Diseases, 10th Revision (ICD-10) diagnostic codes from 2,448 diabetes-related consultations recorded in 2025.
Results:
Diabetes screening coverage increased from 68.6% (39,677/57,856) in 2024 to 72.7% (41,953/57,690) in 2025. Coverage was 43.1% during the first half of 2026. The number of newly diagnosed diabetes cases increased from 32 in 2024 to 95 in 2025, corresponding to an increase in the detection rate from 0.81 to 2.26 cases per 1,000 individuals screened (risk ratio [RR]=2.81; 95% confidence interval [CI]: 1.88–4.19). The total numbers of diabetes-related specialist consultations were 9,000 in 2024, 9,127 in 2025, and 7,633 during the first half of 2026. The proportions of consultations classified as active follow-up visits were 35.3%, 54.1%, and 47.9%, respectively. Among 2,448 consultations recorded in 2025, 74.0% were coded as diabetes without complications, whereas 26.0% were coded as diabetes with complications or unspecified complications.
Conclusions
1. Although diabetes screening coverage and the number of newly diagnosed cases increased in Chingeltei District from 2024 to 2025, the detection rate per 1,000 people remained low, and diagnostic confirmation was relatively limited. 2. There is a need to improve the accuracy of diagnostic confirmation in the diabetes registry, particularly the coding of diabetic complications.
2.Occurance of different tooth wear and degree of dental attrition
Gantsetseg L ; Bilgee J ; Urjimlkham Kh ; Bayarchimeg B ; Oyun-Enkh P ; Oyunkhishig Kh ; Batsuuri M ; Nyamsuren E
Innovation 2018;12(4):65-
65
Non-bacterial originated tooth wear is a normal process which occurs throughout lif. If the rate of loss is likely to prejudice the survival of the teeth, or is a source of concern to the patient, then it may be considered ‘pathological’. Robb reported that the prevalence of pathological loss of tooth tissue in patients less than 26 years of age was greater than in many older age groups. Tooth surface loss was classified into 4 groups: attrition, erosion, abfraction and abrasion.
To find the prevalence of four different types of tooth wear among patients visited Digital Dental Office, Ulaanbaatar, Mongolia and investigate their dental attrition severity.
Methods: From total of patients visited Digital Dental Office clinic between September 2016 and September 2017 adults aged 16-62 who was found with any type of tooth wear were explored by 4 types. Those patients with attrition were chosen and severity was determined by Bardsley’s simplified tooth wear index (TWI).
There were total of 5432 patients examined and treated during this period of time. From them total of 1002 patients aged 16-62 presented some degree of tooth hard tissue wear/dental attrition. Most of the patients were with combination of 4 types of tooth wear: attrition, abrasion, abfraction and erosion. Attrition (At) was found in 68 patients which was only 6.7%, Abrasion (Ab) in14 people-1.3%, Abfraction (Abf) in 4-0.3%, Erosion (Er) in 2 -0.1% alone. The combination of these types of tooth hard tissue was dominant. At+ab+abf+er in 59 patients of total 1002 (5.8%). At+ab+er in 58 (5.7%). Ab+abf in 29 (2.8%). At+er in 25 patients (2.4%). Er+ab in 27 (2,6%). At+abf+er in 264 people (26.3%). At+abf in 452 (45.1%), which was the most prevalent combination.
Dental attrition severity in these 1002 patients were shown as following:
-0-0- No loss of contour.
-1-229 people (22.8%) - Loos of enamel surface characteristics. Minimal loss of contour.
-2- 505 people (50.3 %) - Loss of enamel exposing dentine for less than one third of surface.Loss of enamel just exposing dentine. Defect less than 1 mm deep.
-3- 211 people (21 %) - Loss of enamel exposing dentine for more than one third of surface.Loss of enamel and substantial loss of dentine. Defect less than 1-2 mm deep.
-4-57 people (5.6%) - Complete enamel loss - pulp exposure - secondary dentin exposure.Pulp exposure or exposure of secondary dentine. Defect more than 2mm deep - pulp exposure - secondary dentine exposure.
In this descriptive study showed patients with some degree of tooth wear were around 19% from total patients visited during 1 year of period. Four types of tooth hard tissue wear shown as a different combination, very low percentage was in these types alone. Most of the attrition patients were with mild to moderate degree of enamel loss. This kind of study should be continued to explore harmful dentofacial change
3.Result of epidemiological surveillance of anthrax which registered in Khentii province
Gantsetseg G ; Erdenechimeg CH ; Battsetseg J ; Burmaa KH
Mongolian Medical Sciences 2010;153(3):85-87
Background: Last years increased the human and animal cases of anthrax. During 2000-2009 infected 197 livestock of them 73 cattles, 7 horses, 13 goats and 104 sheep and 10 human cases of anthrax at Khentii province. Goal: We are aimed to evaluate human and animal cases of anthrax which registered at Khentii province last 10 years.Materials and methods: Used for registration of veterinary report of 2000-2009, last 10 years report of human cases of CIDNF Khentii province. Analyzed the data, compared and evaluated the result of human and animal anthrax cases. Results: The Khentii province included at zone of middle risk, active foci by classification of anthrax risk foci (Tserendorj and et all, 2006). Totally 1148 livestock infected by anthrax during 2000-2009 in national level and of them 17.1% registered at Khentii province. Infected 10 patient during 2000-2009 occurred 12.7 % than national level. Most of patients 95.2% (16) infected by used the skin, meat with died from anthrax. The 4.8% (1) of all patients infected from soil which work at soil. All patients infected by bubonic form. Last 2007, 2008,2009 disinfected at soil and decreased the detection of cultures or positive results from soil.Conclusion: The high risk of human anthrax depends on most likely from animals and soils. Herders take more risks due to their job specialization. Male workers of working age groups are generally infected by anthrax in particular. Especially assistant workers in agriculture and mining sectors are extra vulnerable in anthrax. The new areas have been infected by the virus of human and animal anthraxes because of increases of animal movement from place to place. The reasons of animal movement are number of people working in commercial and hand operated gold mining, herders movement to another area for looking pasture (otor) and growing number of celebration activities (Batshireet, Norovlin soum in 2007).
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