1.Detection of chorioamnionitis in pregnant women using the TRIPLE I criteria
Selenge D ; Lkhagva-Ochir E ; Bolorchimeg B
Mongolian Journal of Health Sciences 2026;92(2):49-53
Background:
Chorioamnionitis, defined as an infection of the chorionic and amniotic membranes, is a significant contributor to maternal and neonatal morbidity and mortality. The condition triggers an inflammatory immune response between the mother and fetus, thereby increasing the risk of preterm delivery and neonatal infection. Globally, chorioamnionitis occurs in approximately 2–4% of term deliveries and 40–70% of preterm births, with an inverse relationship to gestational age. In 2015, an expert panel led by the U.S. National Institute of Child Health and Human Development recommended replacing the term “chorioamnionitis” with the broader concept of intrauterine infection or inflammation, abbreviated as “Triple I,” and proposed diagnostic criteria based on six clinical indicators.
Aim:
To identify intrauterine infection (chorioamnionitis) among pregnant women using the “Triple I” diagnostic criteria.
Materials and Methods:
A retrospective study was conducted using medical records from women who delivered at Urguu Maternity Hospital in 2024. Data were collected from archival records, including clinical signs, physical examination findings, laboratory results, and histopathological analyses, in accordance with the “Triple I” criteria established by the U.S. National Institute of Child Health and Human Development. Of the total 5,838 deliveries recorded in 2024, 326 cases were selected and analyzed.
Result:
The mean age of the pregnant women included in the study was 31.5±6.4 years (range: 15–44 years). Of all births, 91.1% were preterm and 8.9% were term. Gestational age ranged from 28 to 44 weeks, with a mean of 35.1±1.7 weeks and an additional 2.5±2.1 days. Among the 29 term mothers diagnosed with chorioamnionitis, 38% developed fever during labor or in the postpartum period, whereas 62% had no history of fever. According to the “Triple I” criteria for intrauterine infection, fever was observed in 17 cases (5.2%), while 6 cases (35.3%) were classified as suspected. Among the suspected cases, placental histopathological examination confirmed inflammation and infection in 1 case (5.8%), thereby establishing the diagnosis of chorioamnionitis. Comparison of preterm and term mothers based on the “Triple I” criteria showed that clinical signs were less pronounced in preterm births; however, infection progression and diagnostic confirmation were more frequent compared with term births.
Conclusion
1. Chorioamnionitis was suspected in 5.2% of pregnant women, with histopathological confirmation in approximately one in seven cases.
2. Based on the “Triple I” criteria, clinical manifestations were more frequently observed in term mothers, whereas chorioamnionitis was more commonly confirmed by placental histopathology in preterm mothers.
2.Ayurvedic medical books in the “Mongolian Tanjur”
Tudevdagva N ; Selenge E ; Gerelmaa B ; Shagdarsuren D ; Bold Sh
Mongolian Medical Sciences 2024;209(3):40-46
“Tanjur” is the greatest sutra written on thick Chinese muutuu paper with red nature
dust paint size 22,7 x 71,8 cm and has 107839 pages. It is the largest collection of ten
great and small sciences (philosophy, technology, logic, medicine, philology, astrology,
model dance, poetics, Abhidarma, and composition) created by ancient Indian and
Tibetan scientists and panditas. The Mongolian dust paint printed Tanjur had been
translated from Tibetan into Mongolian by over 200 translators under the supervision
of reincarnated Janjaa Rolbiidorj and Shireet Luvsandambiinyam between 1741 and
1742 and had been printed in Beijing between 1742 and 1749.
To print “Mongolian Tanjur” from blocks, 2160.9 ounces of silver were used. The
“Mongolian Tanjur” contains 8 Indian Ayurvedic medical books. As a result of this
research, we have briefly explained each of the 8 Ayurvedic medical books. Namely:
1. “One Hundred Medical Preparations” composed by Nagarjuna Acharya,
2. “Medical
Advice for Longevity” composed by Nagarjuna Acharya,
3. “Ritual Ava Medicine”
composed by Nagarjuna Acharya,
4. “Essence of Eight Branches” written by master
Vagbhata,
5. “An Explanation of Medical Practices called “The Essence of the Eight
Branches” written by master Vagbhata,
6. “A Commentary on the Essence of the
Eight Branches called Rays of Moonlight on the Meaning of the Words” written by the
Kashmiri Candranandana,
7. “Lexicon of Medical Terms from the Commentary on the
Essence of Eight Branches” written by the Kashmiri Candranandana and
8.“A powerful
healer to treats all diseases and promotes physical strength” written by Sivadasa.
Ayurveda is perceived as one of the most ancient and well-documented systems
of medicine, equally relevant in modern times. Its holistic approach, whether for
healthy individuals or diseased ones, remains unparalleled. Prevention of disease
and promotion of health are the main objectives of Ayurveda. Ayurveda is an ancient
medicine system of the Indian subcontinent. It is said to have originated in India
about 5000 years back. The word Ayurveda is a conjugation of two Sanskrit words,
“ayus,” meaning “life,” and “Veda,” meaning “science,” thus, it literally means the
'science of life. Unlike other medicinal systems, Ayurveda focuses more on healthy
living than the treatment of diseases.
3.Elucidating the uses of the plant Veronica Incana from the ancient medical books
Sansarkhuyag E ; Ariunjargal T ; Tungalag D ; Selenge E ; Odontuya G ; Bold Sh
Mongolian Pharmacy and Pharmacology 2023;23(2):5-11
Background:
In 2011-2020, WHO approved the Global Strategy for Traditional Medicine. The strategy states that "The
trend of using traditional medicine and alternative medicine as a source and resource for health care is
expanding worldwide."
In this regard, it is important to develop a policy and methodology to develop a proper combination of traditional and modern medicine. Also, there are demands to study and solve the problems of ensuring the safe, effective, quality, availability, and appropriate use of medicines and treatments.
Purpose:
Finding traditional medicinal recipes containing the herb Veronica incana L from the ancient Mongolian
medical books written by famous Mongolian scientists Jambalchoizhidanzanperenlei, Luvsandorj, and
Jigmeddanzanjamts.
Research materials and methods:
1. Research materials: Jambalchoijidanzanperenlei. gso rig bstan bcos mtha' dag gi snying po rnams phyogs gcig tu bsdus pa man ngag rin chen 'byung gnas bzhugs so. Wooden printing block with Tibetan script. Luvsandorj. sman sbyar tshad kyi skor rnams che long tsam phyogs gcig tu bkod ba kun phan bdud rtsi'i snying bo zhes bya ba bzhugs so). Wooden printing block with Tibetan script. Jigmeddanzanjamts. rgya badmkhas grub du ma'i gzhung lugs dam pa gong ma rnams kyi man ngag zhal shes lag len myong grub gnad don gnyen po ngo sprod mdzub tshugs dmar khrid kyi bkod pa mthong ba don gsal dga' byed snying po'i rnam gsal bzhugs so. Wooden printing block with Tibetan script.
2. Research methods: Methods of textual analysis for ancient books and checklist methods were used in the study.
Conclusion
Medicinal recipes containing the herb Veronica Incana L were sampled from the ancient medical books surveyed. There are 6 recipes in the book of Jambalchojidanzanperenlei, 3 recipes in the book of Luvsandorj, and 2 in the book of Jigmeddanzanjamts, a total of 11 ingredients. In general, these ancient medical books had a significant impact on the development of traditional Mongolian medicinal prescriptions. Therefore, even today, these works are still important in the theory of pharmaceutical composition and the practice of drug therapy.
4.Elucidating the uses of the plant Veronica Incana L from the ancient medical books
Sansarkhuyag E ; Ariunjargal V ; Tungalag D ; Selenge E ; Odontuya G ; Bold Sh
Mongolian Pharmacy and Pharmacology 2023;23(2):26-32
Background:
Medicinal plant research has been successfully carried out in the field of pharmacy and pharmacology
in Mongolia, and dozens of research projects are still being carried out However, there are still fewer
studied medicinal plants of practical importance growing in Mongolia. Therefore, there is a need to register and study the ancient medicinal books written by ancient Mongolian doctors about the relatively lilUe-studied Veronica Incana L plant. In addition, taking into account that scientific research on Veronica Incana L. which grows in Mongolia, has not been done in the field of medicine, the topic was selected for research in this field.
Purpose:
Comparing the information of the ancient medical books written by Mongolian doctors and scientists,
who wrote about Veronica Incana L, to clarify the taste, power, and quality
Research materials and methods:
1. Research materials: Sumbe khamba Ishoaljir. gso dpyad bdud rtsi 'i chu rgyun gyi cha lag gi nang tshan gyi sman so so'i mngon brjod dang ngos 'dzin shel dkar me long. Wooden printing block with Tibetan schpl. Toin Jambaldorj. gso byed bdud rtsi'i 'khrul med ngos 'dzin bzo rig me long du rnam par
shar ba mdzes mtshar mig rgyan zhes bya ba bzhugs so. Wooden printing block with Tibetan script.
2. Research methods: Methods of textual analysis for ancient books and checklist methods were used in the study.
Conclusion
Gandhabhatra plant is used in traditional Mongolian medicinal practice from ancient times, the plant
is called Veronica Incana L in Lalin. Also called Buural gandbadraa in Mongolian. On the other hand,
the traditional medical doctors of China's Inner Mongolia and Tibet use Gandbadraa, the Latin name
Gnaphalium affine D. Don. The appearance, shape, and color of the flowers of these two plants are
different According to the research of the source, the main instruction and usage of the plants are the
same: to deslroy benign tumors, lo remove poison, to treat colds, and to stop cough.
5.Tannin rich medicinal plants
Enkh-Amgalan P ; Telmen D ; Altan-Erdene N ; Selenge E
Mongolian Pharmacy and Pharmacology 2022;20(1):78-85
Abstract
Secondary metabolites present in the plants are predominantly responsible for treating various ailments. Secondary metabolites are also called as plant constituents or natural compounds which exert significant pharmacological and toxicological effects in humankind. The chemical compounds present in the plant sources are categorized as primary and secondary metabolites based on the chemical structure and biosynthetic derivation. These substances are called plants secondary metabolites. One of the most important of secondary metabolites is Tannins. Tannins are phenolic compounds, secondary metabolites of plants widespread in terrestrial and aquatic natural environments. As they can be found in plenty of plants and herbs, they have been traditionally used for medicinal and other purposes, such as the leather industry. This fact is explained by the fact that they exert plenty of different biological activities and, thus, they entail a great potential to be used in the food, nutraceutical, and pharmaceutical industry.
Among the biological activities of tannins, the most relevant ones are antioxidant, anti-inflammatory, anti-diabetic, cardioprotective, healing and antimicrobial (antiviral and antibacterial)
Consequently, this review article is directed towards the description of the biological activities exerted by tannins as they could be further extracted from by-products of the agri-food industry to produce high-added-value products.
6.Non-invasive markers for staging fibrosis in patients with chronic hepatitis Delta
Sarantuya G ; Sumiya D ; Selenge J ; Uranbailgal E ; Otgonbayar R ; Munkhbat B ; Bira N
Mongolian Medical Sciences 2021;195(1):18-24
Introduction:
Determining stages of liver fibrosis in chronic liver disease is essential for clinical practice such as
decision making on medical treatment, setting the interval of follow-up examination for its complication,
screening intervals for hepatocellular carcinoma.
Goal:
We compared non-invasive fibrosis markers among the patients with chronic hepatitis Delta.
Materials and Methods:
Totally 70 patients with chronic hepatitis D enrolled into this study. The blood samples were examined
for complete blood count, liver function test and serum M2BPGi level. Non-invasive markers such
as AAR, APRI, Fib-4 scores were calculated. Those with AAR >1, APRI >0.7, FIB-4 >1.45 were
considered with advanced fibrosis. All patients underwent liver stiffness measurement using FibroScan
M2 probe. The cutoff values of FibroScan for advanced fibrosis were 9 kPa for patient with normal
transaminase level and 11 kPa for patients with elevated transaminase.
Results:
Advanced fibrosis was observed in 25.7%, 38.6% and 38.6% by AAR, APRI and Fib-4 score,
respectively. When cut-off levels of serum M2BPGi for advanced fibrosis was 2.2 COI, 35.7% had
advanced fibrosis. FibroScan tests showed 34.4% had advanced fibrosis. The AUROC of M2BPGi
were 0.894 and 0.827 for predicting advanced fibrosis and liver cirrhosis.
Conclusion
Serum M2BPGi and FibroScan would be reliable diagnostic tool for identifying liver
fibrosis in Mongolian patients with chronic hepatitis D.
7.2014-2016 ОНД УЛААНБААТАР ХОТОД ТОЛГОЙН ГЭМТЛИЙН УЛМААС НАС БАРСАН ТОХИОЛДЛУУДЫГ СУДАЛСАН ДҮН
Dolgormaa D ; Amartuvshin T ; Selenge T ; Sergelen B ; Batbayar Kh ; Tserenbat M ; Bayarmaa E
Innovation 2017;11(2):108-110
BACKGROUND OF STUDY: For the past 10 years, accidents and trauma are ranking third
in the cause of Mongolian population’s death. Russian scientists have defined that skull
and brain trauma comprise of 40% of the total traumas and is one of the serious injuries
that have damaging effect to the health. Defining its creation, injury period, death
cause in the leading direction of science of forensic medicine in our country are still the
urgent issues. Nowadays little research which studied case mortality due to accident
and trauma has been studied, this became background of our research work.
PURPOSE OF STUDY: To study cause and peculiarity of pathology of case mortality due
to brain trauma, in the condition of our country and to consider the result.
OBJECTIVE OF STUDY:
To study the cause, some risks of head injury.
To define pathology of case mortality due to head injury.
MATERIAL AND METHODOLOGY: We did retrospective study in 555 case material of an
autopsy of case mortality of head injury of forensic medicine and research department
of national institute of forensic science. Statistical work out was done by Microsoft excel
and extensive index.
RESULT OF STUDY: 84.5% (n=459) is male and 15.5% (n=86) is female out of our 555 involved
cases and the gender ratio is 5:1. The most or 81% of the research participants
had head injuries due to hitting with firm and dull stuffs and 15.9% head injury as a result
of traffic accident follows in the second place. To analyze from the characteristics of
mortality, 93% is subarachnoid hemorrhage, subdural, epidural hematoma, 64% is brain
tissue injury were detected.
CONCLUSION: Young manhood men mortality that has head injury resulted from the
firm and dull things occupies most of the percentage in our research. The head injury
can lead to the mortality of his ordinary process.
8. DETECTING FOR WORK BURNOUT SYNDROME AMONG WORKERS OF NCMH, USING MBI SCALE
Odonchimeg D ; Khishigsuren Z ; Khongorzul D ; Munkh E ; Bayarmaa B ; Enkhtaivan B ; Baatarjav O ; Tsendsuren Z ; Selenge E
Innovation 2015;9(1):20-23
Mental health team includes a psychiatrist, a psychiatric nurse, psychologist and social workers. Mental health workers are more stressful than other sector’s workers. Mental workers are working with mental patients, who have chronic,severe and poor prognosis disorders for long time, and may have Work Burnout Syndrome (WBS). Worldwide, many researches are used Maslach Burnout Inventory (MBI) for assessing WBS. Our goal was to detect risk factors of WBS among mental health workers. We conducted the survey among workers mental (doctors, nurses and assistant nurses) and study design was a descriptive cross-sectional. We are used a questionnaire, is including MBI. Our subjects were 103 workers, who were 27 (26,2%) doctors, 32 (31,1%) nursesand 44 (42,75) nurse- assistant. They were 15 (14,6%) male and 88 (85,4%) female and average age was 38.21 (SD = 8.92). The worker’s average professional working year was 13.09 (SD = 9.76). Most of subjects (n=63 61.2%) were shift-workers and they (n=99 96.1%) have high workload. We determined 3 groups by level of MBS among mental workers, such as the group with EE’s high scale (n = 27; 27%), thegroup with DP’s high scale (n = 23; 22.8%) and the group with PA’s high scale (n = 50; 50.5%).MBS was high among NMHC’s workers. However their work time is low, but theyhave risk factors for MBI such as high workloads, shift work, number of patients. Workers of emergency department had termination burnout syndrome more than other acute departments. This was associated with working condition.
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