Background: Liver transplantation (LT) recipients frequently develop complication kidney dysfunction (KD), but the predisposing factors and long-term consequences of KD are not well understood. Post-LT complications that lead to graft failure and patient morbidity/mortality can be generally categorized as vascular, biliary, parenchymal and malignant. Main reasons for our study are to identify complications’ rate for early post-transplant KD and to evaluate the post-LT patients and graft survival rate. Aim: Our aim was to evaluate complications in recipients with early post-transplant KD and to investigate the survival rate after LT. Material and Methods: This study retrospectively and prospectively analyzed the demographic characteristics, preoperative and perioperative clinical parameters, as well as postoperative outcomes of patients who underwent liver transplantation (LT) at the First Central Hospital of Mongolia (FCHM) between September 2011 and December 2024. Renal function was evaluated by estimating the glomerular filtration rate (GFR) using the Cockcroft-Gault creatinine clearance formula at baseline (pre-transplantation) and at 24 hours, 72 hours, 7 days, 14 days, and 28 days following LT. Early and late complications following LT were classified according to the international classification. Ethical approval for the study was obtained at a meeting of the Research Ethics Review Board of the Mongolian National University of Medical Sciences (MNUMS). Results: In our study KD rate was 29.7%. Several factors increased the risk of KD among recipients. Post-LT complications’ related risk factors for KD was high MELD score (OR, 1.11; 95%CI, 1.06-1.16), Child-Turcotte-Pugh scores of B and C (OR, 5.57; 95%CI, 1.27-24.52 and OR, 8.21; 95%CI, 1.87–36.54), comorbidities (OR, 1.92; 95%CI, 1.14-3.23), post-LT acute bleeding (OR, 3.22; 95%CI, 1.22-8.46), early relaparotomy for revision (OR, 3.12; 95%CI, 1.34-7.28 respectively. Additionally, the survival rates for recipients with post-LT KD were 90.7% at 1 year and 81.3% at 3 years. Conclusions 1. Variables like a recipient high age (p<0.001), female gender (p<0.001), elevated liver function scores (p<0.002), comorbidities (p=0.013), severe ascites (p=0.001), preop intensive care (p=0.026) are pre-LT risk factors for post- LT KD. 2. Acute bleeding (p=0.013), early revision (p=0.006) are risk factors for post-LT KD. 3. Early KD in recipients who underwent LT affects both patient survival (Log Rank p=0.522; HR 1.3) and graft survival (Log Rank p=0.457; HR 1.26).

Background: Postpartum readmission rate has been increasing after both caesarean and vaginal delivery. Postpartum diseases, in some cases with infection and anemia, result in hospital readmission. Also it raises the issue associated with maternal hospital’s healthcare quality. There has lack of study focusing on postpartum readmission. So we will study postpartum readmission rate. Material and Methods: 112 patients who readmitted in Amgalan maternity hospital in Ulaanbaatar were involved in this study. We used patient’s medical history to determine risk factors resulted in hospital readmission after caesarean and vaginal therapy. Results: The mean age of women delivered by cesarean was 30.2±7.32 and vaginal delivery’s was 28.3±7.21. 34.8 percent of women who readmitted after vaginal delivery had 1-3 readmission days and 56.5 percent was 4-6 days and 8.7 percent was 7-10 days. Readmission day for women delivered by caesarean was 1-3 days in 21.2 percent of these, 4-6 days in 56.1 percent and 7-10 days in 19.7 percent. The mean readmission day of women delivered by vaginal delivery was 4.73±1.61 (mean±SD) and the mean of women delivered by caesarean delivery was 5.54±2.34 (mean±SD). In each category, there had 24.2-28.3 percent cases with lochia. Women who had caesarian delivery were infected their scar with 24(36.3) cases. Renal urinary system infection had in 12(26.0) women delivered by vaginal delivery. Conclusion 58.9 percent of total readmissions cases were caesarean and 41.1 percent was vaginal delivery. Lochia and renal urinary infection had influence in readmission after vaginal delivery. Also both lochia and infected wound impacted on postpartum readmission after caesarian delivery.

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.

Introduction. “Epidemiological study on the non-infectious diseases, accident and injury causes, and relevant risk factors” has been carried out in 2009 by the PHI to determine the alcohol drinking circumstances, frequency and risk factors by gender, age and residency locations. 26.7 percent of this survey participants aged 15-24 used alcohol during the last 30 days, 21.4 percent drank alcohol during last 12 months. GIA, HD (formerly named as the NHDC) carried out the alcohol consumption survey involving 2021 students from the universities, higher educational institutions and general education schools in Ulaanbaatar in 2004. According to this survey results, it is evidenced that 61.0 percent of students use alcohol. The aforementioned surveys and studies were quantitative studies and generally focused on providing cultures and habits of the alcohol consumption. Youth understanding of the alcohols, alcohol’s negative impact and consequences, some social and other factors influencing to the youth consumption of alcohols have not been previously studied.Goal. The purpose of the survey is to study the knowledge, attitude and tendency of the youth towards alcohol and its negative impact, consequences pertaining to the alcohol consumption by the youth and students.Materials and Methods. Qualitative survey has been carried out (focus group interview, observation) and survey target groups’ (students and youth), random selection methods. Target group consists of the students currently studying at the universities, higher educational institutions and VTPCs and unemployed youth aged 16-24. Total of 56 focus group interviews were carried out and totally 530 people were involved in the survey.Results. Totally 530 students and youth were involved in this qualitative survey. 72.0 percent of them are the youth aged 16-24 studying at the universities, higher educational institutions and VTPCs. 67.0 percent (355) of total respondents involved in the survey provided negative responses for the question “in your opinion, what is the vodka”. Vodka is useless chemical substance with negative impacts on human body. Without proper consumption, it can become a poison. It can venom not only body but also the heart and soul. Generally, vodka is one type of instruments to make human beings poor.Focus group interview, 20-24 years old, Female, Orkhon provinceVery small amount of participants involved in the interview responded positively to the question “what is the vodka” - such as the best of food, fluid with 380Ñ alcohol etc. 79.0 percent (419) of the survey respondents answered that alcohol consumption rate in our country is “higher” compared to other countries indicator. A half of total survey participants (272) considered lesser consumption of alcohol for personal use means “appropriate use of alcohol”. Some participants said that it is appropriate use if vodka is served 100-300 gram or 1-3 cups of beers for one serve. Some participants defined the adults as the people aged 18- 50. Most of them said that elders shall become role model if they don’t use vodka or other alcoholicbeverages. Most of the survey participants firstly use beer, secondly - vodka, and thirdly - vodka and other alcoholic beverages. Currently unemployed youth said that their peers and friends generally use vodka. 446 interviewees out of 530 participants, which is 84.1 percent have already tried vodka and other alcoholic beverages. 226 which are 50.7 percent of these youth who have already tried vodka and other alcoholic beverages drank alcohols under peer pressure and influence during some parties or special occasions. Places of drinking vodka and other alcoholic beverages were different for unemployed youth by their gender. For instance, majority of unemployed males visit their friends’ home to drink or drink at the streets, whereas women drink only during special occasions. Some participants said that where to drink vodka or other alcoholic beverages sometimes depend on the seasons – whether it is warm or cold. Conclusions:1. The majority of the students and youth have already tried vodka and other alcoholic beverages. More than half of the survey participants drank vodka and other alcoholic beverages under other’s pressure or influence during special occasions.2. General tendency of the interviewees towards vodka and other alcoholic beverages was negative due to numerous negative phenomena related to alcohols in the society.3. Participants aged 16-24 who have been involved in the FGDs had the following knowledge and understanding about the vodka and other alcoholic beverages: Majority of the interviewees thought that alcoholic beverages mean the beverages with lower alcohol ingredients such as beer and wine.