1.A study on the level of depression among cancer patients
Khandmaa G ; Tuul M ; Pagmadulam S ; Batchuluun P
Diagnosis 2025;113(2):29-34
The global average cancer incidence is 9.3 per 100,000 population, while this figure is 93.7, or 10 times higher, in our country. At the end of the 2023 report, 28,855 people were being monitored and treated for cancer under the supervision of the province's district oncologists. According to the 2022 statistics of the World Health Organization, about 10 million people die from this disease every year in the world. In Mongolia, the incidence and mortality rate of cancer have also increased rapidly in recent years, and as of 2021, it has become the second leading cause of death.
To determine the level of depression in cancer patients and study the relationship between some factors affecting it research methods and scope: The study was conducted using a single-point analytical research design, and data were collected from 95 cancer patients under the care of a family health center between February 10, 2025 and March 20, 2025 using the PHQ 9, 18 Sleep Disorders Questionnaires, and 15 General Information Questionnaires, a total of 42 questionnaires issued by the WHO for primary health care providers. 26.3% (25) of the study participants were male, and 73.7% (70) were female. Of the total study participants, 39 (41.1%) were not depressed, 25 (26.3%) had self-limiting depression, 15 (15.8%) had moderate depression, 3 (3.2%) had moderate to severe depression, and 13 (13.7%) had severe depression. The majority of cancer patients are depressed. Severe depression can make it difficult to perform simple social activities and may even lead to suicide, so psychiatric evaluation, diagnosis, and treatment are necessary.
2.Results of a study on the relationship between children’s innate nature physical and body composition indicators
Nyamdorj G ; ; Dorjbat S ; Enkhbold G ; ; Tuul M
Mongolian Journal of Health Sciences 2025;90(6):120-127
Background:
In Mongolian Traditional Medicine (MTM), the human body constitution is classified according to the
doctrine of Khii, Shar, and Badgan, resulting in seven types: three single constitutions Khii, Shar, Badgan, three mixed
constitutions Khii-Badgan, Shar-Badgan, Khii-Shar, and one combined constitution in which all three principles coexist.
This concept considers not only physical, physiological, mental, and behavioral characteristics but also environmental
influences. Childhood obesity has become a major global public health issue. In Mongolia, the prevalence of overweight
and obese children aged 5–19 years is projected to reach 19% (approximately 79,648 children) by 2030. However, limited
research has examined the relationship between children’s constitutional types and their physical and body composition
indicators.
Aim:
Children (11-17 ages) innate nature of and study of the relationship between physical and body composition.
Materials and Methods:
A cross-sectional analytical study was conducted among 459 students aged 11–17 years from
“Erdmiin Khutuch” Secondary School No. 58, Sukhbaatar District, Ulaanbaatar, selected through random sampling.
Constitutional types were determined using the “Mongolian Traditional Medicine Human innate nature Typology” developed
by B. Dagvatsereen and U. Batchimeg (2003), based on 19 parameters and 44 indicators through a web-based tool
(WEB1). Body composition was measured using a Tanita DC430a analyzer. Statistical analyses were performed using
SPSS version 27.
Results:
Among children aged 11-13 years, the predominant constitutional types were Badgan-Shar, Khii-Badgan, Khii-
Shar, Badgan-Khii, and Shar-Khii, with Badgan-Khii being the most common. In those aged 14-17 years, the dominant
constitutions shifted to Shar–Khii, Khii–Shar, and Shar–Badgan, with Shar–Khii and Khii–Shar more frequently observed.
These patterns may be related to the physiological characteristics of growth during childhood and adolescence.
The average height of boys was 158.35±1.13 cm (118-175), while that of girls was 154.94±0.61 cm (116-175), indicating
that boys were 3.41 cm taller than girls (p<0.05). The mean waist circumference of boys was 69.66±0.79 cm (60-110),
compared to 67.77±0.66 cm (29.50-108) in girls, showing a statistically significant difference of 1.89 cm (p<0.05). The
findings demonstrated that girls had higher body fat percentage and fat mass than boys, whereas boys exhibited greater
skeletal muscle percentage, skeletal mass, muscle percentage, and muscle mass. These sex differences in fat and muscle
composition among children aged 11-17 years may be attributable to hormonal variations associated with pubertal development.
Body mass index, waist circumference, body fat percentage, visceral fat level, daily metabolic expenditure,
obesity grade, and bone mass showed a weak inverse correlation with the Khii–Shar and Shar–Khii constitutional types.
Conclusions
1. Among children aged 11-13 years, Badgan-Shar, Khii-Badgan, Badgan-Khii, and Shar-Khii constitutions were
dominant, while in those aged 14-17 years, Shar-Khii, Khii-Shar, and Shar-Badgan types predominated.
2. When comparing children’s physical indicators by sex, boys have greater height and waist circumference than girls.
Regarding body composition, girls show higher body fat percentage and fat mass, whereas boys have greater skeletal
muscle mass, muscle percentage, and total muscle mass compared to girls.
3. The body mass index, waist circumference, body fat percentage, and degree of obesity showed a weak positive
correlation with the Badgan-dan and Badgan-khii constitutional types. In contrast, skeletal muscle mass, muscle
weight, body water percentage, and body protein percentage demonstrated a weak positive correlation with the
Khii-shar and Shar-khii constitutional types.
3.Use of Saccharomyces buolardii probiotics during antibiotic treatment
Tsend B ; Baasandulam B ; Sainbileg G ; Unuzolboo T ; Tuul Kh
Mongolian Pharmacy and Pharmacology 2024;25(2):95-99
Probiotics are considered safe for all ages and anyone with a healthy functioning immune system. During
antibiotic treatment, the normal intestinal microflora is destroyed and the normal balance is lost. This article reviews clinical trials of the probiotic Saccharomyces boulardii. The yeast Saccharomyces boulardii CNCM I-745 is a unique, non-bacterial microorganism classified as a probiotic agent. The mechanism of action of probiotics is to attach to intestinal pathogens and their toxins and destroy them; It also destroys the toxic extracellular degradation products of pathogens and regenerates the intestinal mucosa by having an anti-inflammatory effect.
4.Research on kidney disease in the scriptures
Gunjidmaa G ; Narkhand A ; Khaliunaa S ; Oyun-Erdene B ; Tuul Kh
Mongolian Pharmacy and Pharmacology 2022;21(2):23-26
Introduction:
Kidney disease is common in our country due to the four seasons and harsh climate. This article is discussed about the kidney health, causes, pathology and kidney on the relationship of other organs in traditional medicine.
Methods:
The study was processed using analysis and synthesis methods.
Results:
1. The root nature of the five vital organs are included in the yang character organs which hot nature qualities in five elements. However, some of the five vital organs will be under the influence of that place, as they will be located in the place of the “badgan”, in the place of the “mkhris”, and in the place of the “rlung”.
2. Kidney disease is usually caused by falling from a height, hit and injured, lifting heavy things, jogging and twisting your back uncomfortably, sit for a long time in a damp place, water events excess, eating too sweets that are heavy and cold qualities. In medical practice, kidney disease is accompanied by heart disease and liver disease.
Conclusion
In according to traditional medicine main theory, kidneys are a solid vital organ that generates heat and warms the lower body because of the high blood flow through its, on the other hand they are cold character which are in the place of the “rlung”. The kidneys are functionally closely related to other organs therefore, to get sick the effects of disease on other organs.
5.Relationship between quality of life, depression and burden of mothers with child withсerebral palsy
Dulamjav S ; Nasantogtokh E ; Baljinnyam B ; Tuul O ; Unaganshagai A ; Oyunchimeg G ; Davaahuu V
Mongolian Journal of Obstetrics, Gynaecology and Pediatrics 2022;31(1):2272-2277
Relationship between quality of life, depression and burden of mothers with child withсerebral palsy
Background: Regular care and treatment of children diagnosed with cerebral palsy can be time-consuming and costly, increasing the risk of burden and depression, and adversely affecting quality of life. So there are many reasons why mothers' quality of life is poor socio-economic status and support related to the family, cerebral palsy from child care techniques and understanding of the disease the quality of life of mothers with sick children depends. There are few studies in Mongolia that assess the quality of life and other factors of mothers with cerebral palsy. We aimed assessing the relationship between quality of life, stress and depression in mothers with children with cerebral palsy.
Materials and methods: The survey was conducted to the cross-sectional design of the analytical study based on the NCMCH. The study included 70 mothers with children with cerebral palsy. The survey data were collected using a general demographic questionnaire and three groups of questionnaires (WHOQOL-BREF, Stephen Zarit, Beck’s ). Quality of life and burden were measured as minimum <5, maximum 95 and minimum >20, maximum <88 respectively. Depression score measured as minimum >10, maximum <40.
Results: The average quality of life of all mothers was 52.43 ± 11.95, environment was 44.8 ± 15.8. Maternal depression rates were 21 (30%), 90.0% of mothers had burden, and quality of life was statistically likely to be inversely related to depression and stress.
Conclusion: The poor quality of life of mothers with children with cerebral palsy, high levels of depression and stress indicate the need for policies to reduce the quality of life.
6.Comparison study of number of bones in human body of traditional and modern medicine
Tudevdagva L ; Bold Sh ; Tuul Kh ; Ariunjargal T ; Bat-Ochir M ; Bazarragchaa S ; Enkhjin G ; Duutbayr Kh
Mongolian Pharmacy and Pharmacology 2021;18(1):11-16
Background:
During the historical development of traditional medicine, many books and manuscripts have been written in Mongolian medicine. The main textbook of traditional medicine states that: “The size of a bone consists of 23 bone species, 28 spinal joints, 24 ribs, 32 teeth, and 360 pieces of bone.”
However, modern medicine estimates that the human body has 206 bones. Therefore, this topic was chosen to study the source material of traditional medicine, including the structure of the human body, and the number of bones in the modern medical anatomy textbook.
Purpose:
Details of the number of bones in the human body in the “Four Medical Tantras”
(རྒྱུད་བཞི) of traditional medicine and its commentary, as well as compare with the number of bones in the basic textbook of anatomy of modern medicine.
Objectives:
In order to successfully implement the research objectives, the following objectives will be implemented. These include:
1. Sampling and analyzing number of bones from traditional medicine;
2. Sampling and analyzing bone numbers from modern medical textbooks;
3. Compare the names and numbers of bones in traditional medicine and modern medicine
Results:
The number, classification and features of human bones were analyzed from the main scriptures of traditional medicine such as “Explanatory Tantra”, of the “Four Medical Tantras” and the “Legs bshad gser gyi thur ma” by Blo-bzang-chos-grags. In addition, the number of bones in the human body was sampled from modern medical textbooks and prepared for comparison. The number and characteristics of bones in the human body were compared by traditional medicine and modern medicine and made a conclusion.
This study reveals that the foundations for the integrated development of traditional medicine were laid long ago in Mongolian medicine. In addition, to highlight the book “Four Medical Tantras”, which is the basis of the textbook on the structure of the human body and the research work of scientists and scholars, which is considered in Mongolian mamba datsan’s contribution to the science of human anatomy. The importance of this research is to change the extremes of Western medicine and traditional medicine and increase opportunities to use its introduction and development into training and clinical practice.
Conclusion
1. The main creature of body structure in traditional medicine is the “Four Medical Tantras” which generally assumes that the numbers of bones are 360 but does not specify it in detail. During the research, we identified 357 bone names to identify each bone. The names and locations of the three bones were not clearly marked in the medical sources.
2. The numbers of bones are 206 in modern medical textbooks. We recalculated 151 bones based on traditional medical sources without duplication of that.
3. Compared to traditional medicine and modern medicine, the number of bones and are higher than 154 bone names in traditional medicine because we included the number of teeth, small bones in the ears and small bones in the fingers and toes. Some cartilage was also counted as bones.
7.Investigation of Klinefelter syndrome among infertility men
Ganbayar B ; Jamyan P ; Purevtogtokh M ; Batmunkh G ; Tuul B ; Bolortulga P ; Munkhtuya T ; Sarantuya J
Mongolian Journal of Obstetrics, Gynaecology and Pediatrics 2020;27(1):1914-1923
Investigation of Klinefelter syndrome among infertility men
Background: Klinefelter syndrome (KS) is the most common sex chromosomal anomaly, which is estimated to be 1 in 500-1000 male live births and 2.1-28.4 % among infertility men. Klinefelter syndrome is defined as LD50.30 by International Classification of Diseases 11th Revision. So far, KS syndrome has not investigated among Mongolian infertility men.
Materials and methods: We recruited participants who were diagnosed in Center of Infertility, Child and Maternal National Center from October 2017 to October 2019. These participants showed azoospermia and the clinical characteristics of KS. Clinical characteristics of KS were as the anthropometric values, testicle size and also gingival cells were checked by Sanderson method to detect Barr body. Cytogenetically, blood lymphocytes were incubated and evaluated by standard method of G-band using “Metasystem” for karyotyping diagnosis.
Results: During the research period, we recruited 1636 male participants with infertility and out of them 145 people were shown the azoospermia and nine people had clinical characteristics of KS. We confirmed the diagnosis of KS in five cases out of these nine patients (3,4%). The mean age of these KS cases was 33.5±4.5. Gynecomastia was presented in 100% (n=5), no underarm hair in 80% (n=4) cases, sparse body hair in 20% (n=1) cases, no facial hair in 100% (n=5) cases, female-like pubertal hair was detected in 80% (n=4) cases. Mean size of testicles was as 4±1.25 ml in left and as 4±0.75 ml in the right. We found that karyotyping pattern of the cases was in 80% 47,ХХУ (n=3) and mosaicism in 20% 48,ХХХУ/47,ХХУ (n=1) and 20% 46,ХХ (n=1), and Barr body was detected in all 100% (n=5) cases.
Conclusions: Azoosperm was detected in 8.9% among infertility men in our study. Klinefelter syndrome cases were detected in 3.4% among infertility Mongolian men.
8.Study result of some treatment effects in collagen induced arthritis mouse model
Khongorzul B ; Bilguun E ; Undarmaa E ; Tuul B ; Gudegmaa TS ; Choijamts G ; Chimedtseren S
Mongolian Medical Sciences 2012;162(4):111-117
IntroductionRheumatoid Arthritis (RA) is chronic systemic inflammatory autoimmune disorder that still remains a disease of unknown etiology and complex disease without a single treatment that is dominated by serious and debilitating sequalae resulting from synovial membrane, cartilage and progressive joint destruction involvement. There is a one major obstacle in elucidating the early events in the pathogenesis of RA has been the lack of definition of the initial features of the disease. To overcome these difficulties, various animal models have been developed. But Collagen Induced Arthritis (CIA) mouse model is known to be the most valuable animal model to explore the pathogenic process, molecular and cellular mechanisms of joint destruction, to discover the immune system respond and activation and to develop new effective treatment methods and useful drugs [1].Materials and Methods:Within this study we have used 40 male mice at age 6-8 weeksfor 0-60 days and divided into following 4 groups which are:I group–CIA induced mouse group treated with Derveger Jirgeruu (Saposhnicovia divaricata) (n=12) II group–CIA induced mouse group treated with Natriisalicylas (10%) (n=12) III group–Healthy control mouse group (n=8) IV group–CIA inducedcontrol mouse group (n=8). To induce CIA model, we have used standard method of Murali /2005/’s design. Standard drug Natriisalicylas (10mg/ 20gr), one of the often used drug anti-inflammatory and Mongolian herbal plant Derveger jirgeruu (Saposhnicovia divaricate) (0.26mg/20gr) were daily administered by orally, starting on day 21 until day 60.To evaluate and compare 2 drug’s anti-inflammatory effect, we have done clinical score evaluation (Kim W.U, 2002), laboratory testing and histological examination of the joints using standard methods.ResultTo summarize the research result, both medications have proven to be as a medication which has anti-inflammatory effect that decreased the signs and symptoms of RA by it is histological and laboratory analysis.Conclusions:1. CIA model was effectively induced, which have proven by clinical signs, laboratory result and histological examination.2. Within this study it has proven that traditional herbal medicine Derveger Jirgeruu (Saposhnicovia divaricate) (0.26mg/20g) have anti-inflammatory effect on CIA induced mouse model of Rheumatoid Arthritis, which have had similar effect asstandard non-steroid medicine Natriisalicylas (10mg/20g).
9.A kinematic comparison of overground and treadmill walking
Batlkham D ; Munkh-Erdene B ; Tuul G
Mongolian Medical Sciences 2011;157(3):10-12
Introduction: Gait evaluation and training using treadmill will be increasingly used in near future. However it is con¬troversial whether the treadmill replicates the overground environment. Goal: Aim of this study was to compare overground and treadmill ambulation for possible differences in gait tempo¬ral variables and leg joint kinematics. Materials and Methods: A total of 10 participants walked on overground and treadmill. Participants walked at their preferred velocity on overground. The treadmill velocity was adjusted average velocity obtained in overground walking. Walking in two conditions was captured by high speed camera and analyzed by motion analyses software. Results: The maximum hip flexion angle (P=0.046), maximum hip extension (P=0.0001), maximum knee extension (P=0.0001) and maximum ankle dorsiflexion (P=0.022) were significantly different in the two conditions. Conclusions: The present study suggest that statistically significant differences exist between overground and treadmill walking in healthy subjects for some joint kinematic and temporal variables.
10.Measurements of esophageal diseases and distribution
Gerelee G ; Tuul M ; Baikov V.V
Mongolian Medical Sciences 2011;172(2):8-16
Incidence rate of esophageal cancer is not similar in each country, for example higher incidence in Central Asia, North America and northern Africa. An esophageal cancer in Mongolia is 4th most common cancer after liver, stomach and lung cancers. At first to determine the structure and functional tendency we need to formulate mathematic analysis, processing and reference values of measurements. Formulation consists of 2 main parts that are quantitative and qualitative methods.Goal: By this research study we have aimed to determine pathological types and morphometric indices in esophageal cancer.Materials and Methods: Materials and samples for research study were chosen from biopsies, which were taken for diagnosis of esophageal disease in national center of cancer, Ulaanbaatar city among 1998-2002. These materials were diagnosed by international classification, 2006 of WHO. Totally 286 samples were prepared, here 184 (64.5%) samples were squamous cell carcinoma (well differentiated- 55, moderate differentiated-103, poorly differentiated-26), adenocarcinoma 20 (7%), undifferentiated carcinoma 7 (2.4%), intraepithelial neoplasia 74 (25.9%), low grade neoplasia 9 (3.1%) and high grade neoplasia was 65 (22.8%). Measurement was done by Video test 5.0 of Russia and software SPSS 17.0 was used for statistical analysis.Results: From the result of the study concluded the average indices are increased by 1.5 times in neoplasia cases of squamous epithelium, 2.1 times in well differentiated squamous cell carcinoma cases, 3.2 times in moderate differentiated squamous cell carcinoma cases, 2 times poorly differentiated squamous cell carcinoma cases, 2.1 times in adenocarcinoma cases and 1.7 times in the undifferentiated carcinoma cases in compare with relatively healthy average volume indices. But in the performed study was not observed a real difference between average volume indices of variable cancer cases. The most high rate of cell volume indices and square indices of nucleus were observed in moderate differentiated squamous cell carcinoma cases while in undifferentiated carcinoma and poorly differentiated squamous cell carcinoma cases were lowest rate of cell volume indices were observed.Conclusions: There are considerable signification on caryometrical and stereometrical research of differentiation between esophageal cancer and precancerous diseases.
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