1.Knowledge, attitudes, and practices regarding modifiable cardiovascular risk factors and healthy lifestyle among adults
Punsaldulam Ts ; Mungunchimeg D ; Tumur-Ochir Ts ; Narandelger M ; Adiya N ; Batnaran D ; Mungun-Ulzii Kh ; Suvd B
Mongolian Medical Sciences 2025;213(3):20-31
Introduction :
Noncommunicable diseases (NCDs) caused at least 43 million deaths in 2021, equivalent
to 75% of non-pandemic-related deaths globally. Cardiovascular diseases account for most
NCD deaths, or at least 19 million deaths in 2021, followed by cancers (10 million), chronic
respiratory diseases (4 million), and diabetes (over 2 million including kidney disease deaths
caused by diabetes). These four groups of diseases account for 80% of all premature NCD
deaths. According to the Fourth National Survey on the Prevalence of Noncommunicable
Diseases, Injuries, and Their Risk Factors: 14.0% of adults aged 15–69 have experienced
a heart attack or stroke, 11.0% report taking aspirin to prevent or manage cardiovascular
disease (CVD), 2.2% use lipid-lowering medications (statins) for CVD prevention or treatment,
among adults aged 40–69, 19.3% are at high risk of developing CVD within the next 10 years.
These findings underscore the urgent need to strengthen cardiovascular disease prevention
efforts and improve the management of key risk factors in Mongolia.
Goal:
To determine the population’s knowledge, attitudes, and practices related to cardiovascular
disease risk factors and healthy lifestyle behaviors.
Materials and Methods:
This descriptive cross-sectional study included 2,532 participants aged 18–69 years from all
21 provinces of Mongolia and Ulaanbaatar city, as part of the “Cardiology, Cardiac Surgery,
and Telemedicine in Mongolia” (MON/007) Project. Data were collected using a structured
questionnaire comprising six sub-sections, designed to assess knowledge, attitudes, and practices related to 10 modifiable cardiovascular risk factors. Ethical approval was obtained
prior to the study, and data were analyzed using SPSS version 23.
Results:
Thirty-three percent of study participants reported having no knowledge of cardiovascular
disease, indicating that roughly one in three adults consider themselves to have little or no
understanding of cardiovascular health. In the study, 53.0% of participants reported being
unaware of the symptoms of a heart attack, while 42.0% did not recognize the symptoms of a
stroke. Among participants who could identify these symptoms, 68.0% indicated dizziness as
a sign of hypertension, 65.0% reported headache, and 58.0% noted blurred vision. Among
the respondents, 31.0% knew that the normal arterial blood pressure for an adult is 120/80
mmHg, 57.0% were aware that an adult should sleep 7–8 hours per day, 13.0% knew about
body mass index (BMI), 30.0% were aware of fasting blood glucose levels, and 44.0%
recognized that adults should engage in 30 minutes of physical activity daily. Knowledge of
key physiological indicators was significantly associated with educational attainment, gender,
and age group, with lower levels of awareness observed among participants with lower
education, males, and younger adults (p=0.001). The majority of participants (75.0%-96.0%)
reported being aware of the modifiable risk factors for cardiovascular disease. Among the
study participants, nine out of ten agreed that maintaining a healthy lifestyle includes regular
physical activity, exercising, walking short distances, and understanding that hypertension
is harmful and smoking adversely affects the heart. Furthermore, 80–85% reported avoiding
excessive alcohol consumption, and 79% believed that cardiovascular disease is preventable.
To prevent or reduce obesity, a risk factor for cardiovascular disease, 49.0% of participants
reported engaging in regular physical activity, while 33.0% reported following a healthy diet.
Among all study participants, 61.0% had never checked their cholesterol levels, 49.0% had
never measured their blood glucose, and 15.0% had never monitored their blood pressure.
Among respondents exhibiting 1–3 common risk factors, the majority were female, aged
25–34 years, living in rural areas or ger districts, with secondary or specialized secondary
education, employed in government institutions, and had a normal BMI. In contrast, among
those with 7 or more common risk factors, the majority were male, aged 35–44 years, residing
in Ulaanbaatar, living in ger districts, and employed in private organizations.
Conclusion
Most of surveyed participants had sufficient knowledge and positive attitudes toward
modifiable risk factors for cardiovascular diseases (p=0.001). However, they exhibited
inadequate preventive practices related to these risk factors. This indicates the importance
of targeted intervention on behavior change to address this gap.
2.Biological and clinical aspects of S100 Proteins
Mungun B ; Ganbold L ; Munkhtsetseg G
Mongolian Medical Sciences 2023;205(4):67-74
S100 proteins regulate intracellular processes such as cell growth and motility, cell cycle regulation,
transcription and differentiation. S100 proteins represent the largest subgroup in the EF-hand Ca2+
binding protein family. The S100 protein family consists of 24 members functionally distributed into
three main subgroups: those that only exert intracellular regulatory effects, those with intracellular and
extracellular functions and those which mainly exert extracellular regulatory effects.
Within cells, S100 proteins are involved in aspects of regulation of proliferation, differentiation, apoptosis,
Ca2+ homeostasis, energy metabolism, inflammation and migration/invasion through interactions with
a variety of target proteins including enzymes, cytoskeletal subunits, receptors, transcription factors
and nucleic acids. S100 proteins have received increasing attention due to their close association with
several human diseases including cardiomyopathy, neurodegenerative disorders and cancer. They
have also been proven to be valuable in the diagnostic of these diseases, as predictive markers of
improving clinical management, outcome and survival of patients and are considered having a potential
as drug targets to improve therapies.
3.Доод мөчний артер венийн судасны эмгэг сүлжээрлийг бөглөж эмчилсэн нь
Lkhagvasuren.Z ; Batchuluun. B ; Erdenekhuu.N ; Mungun-ulzii.Kh
Innovation 2008;5(2):22-25
INTRODUCTION
More attention is paid recently following the increase in vascular diseases which 1MH3jnr is affecting the disability rate of the population at working age. Arteriovenous
- malformation can occur at any place of human body and cause different levels of
complaints and disability.
OBJECTIVE
Main goal was to make complete diagnosis of the AVM of lower extremity and to identify necessary coil for the treatment after to analyze the treatment result after the procedure.
METHOD
The treatment procedure of Lower extremity AVM was accomplished on 29 year old female at Angiography department of Shastin's Central Hospital. AVM was created by the anastomosis made between a. glutca superior, a.glutca inferior, a.obturatoria dextra and v.glutca superior, v.glutea inferior, v.obturatoria dexstra which have created pulsatile, pain at m.gluteus major et minor level.
In control picture after the M.Coli embolization treatment the filling of the malformation have disappeared expressing the successful result.
CONCLUSION
Having previous experience of M.Coli embolization of brain vessel malformation we need to improve the skill and perform the procedure for different caliber vessels of the brain.
It is preferable that we perform embolization treatment prior to surgical treatment and analyze the result.
Result Analysis
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