1.Results of a study on the prevalence of pulmonary tuberculosis among people with type 2 diabetes mellitus
Tsetsegtuya B ; ; Oyuntuya T ; ; Narantuya G ; Ulzii-Utas A ; Davaadulam D ; Purevsuren B ; Bolortsetseg G ; Aigul U ; Lkhagvajav N ; Ermek J ; Tsolmon B ; Oyuntugs B ; Naranzul D ; Mitarai S ; Buyankhishig B ; Sarantuya J
Mongolian Journal of Health Sciences 2025;90(6):135-140
Background:
The continuous annual increase in the prevalence of diabetes mellitus (DM) poses significant challenges not
only within our nation but also globally in the control and management of tuberculosis.
Aim:
This study aimed to determine the incidence of pulmonary tuberculosis among individuals with type 2 diabetes
mellitus (T2DM) residing in six central districts of Ulaanbaatar and to investigate associated factors.
Materials and Methods:
A cross-sectional study design was employed. Participants aged 18 years and older diagnosed
with T2DM and receiving care at endocrinology clinics in six central districts of Ulaanbaatar were selected using systematic random sampling. Presumptive TB cases were identified through a structured questionnaire and chest X-ray. Sputum
specimens were collected and subjected to smear microscopy and Xpert MTB/RIF assay for tuberculosis detection. Cases
confirmed by laboratory diagnosis, currently undergoing tuberculosis treatment and previously treated cases as per questionnaire data were classified as tuberculosis cases, and prevalence was calculated.
Results:
A total of 1,644 individuals with T2DM were enrolled in the study, of whom 836 (50.9%) were female, with
a mean age of 58 years (range 19–89). The overall prevalence of presumptive TB cases was 10.5% (n=172; 95% CI,
9.0–12.0). Among 112 suspected cases from whom sputum samples were obtained, 10 (8.9%; 95% CI, 4.9–15.7) were
laboratory-confirmed for M.tuberculosis. Notably, 7.2% (6 cases; 95% CI, 3.4–14.9) of asymptomatic individuals with
abnormal X-ray findings were diagnosed with tuberculosis. According to questionnaire responses, 9 participants (0.5%;
95% CI, 0.3–1.0) were undergoing tuberculosis treatment, and 53 (3.2%; 95% CI, 2.5–4.2) reported a previously treated
TB cases. The overall prevalence of tuberculosis among individuals with diabetes was 4.4% (n=72; 95% CI, 3.5–5.5).
Stratification by age and sex revealed a significantly higher prevalence among males (5.9%; n=48; 95% CI, 4.5–7.8)
compared to females (2.9%; 95% CI, 1.2–4.2) (p=0.002), indicating a twofold increased risk of tuberculosis in males.
Although no statistically significant differences in tuberculosis prevalence were observed across age groups (p>0.05), a
declining trend in prevalence with older age was noted.
Conclusion
The prevalence of tuberculosis among individuals with type 2 diabetes was 4.4% (n=72; 95% CI, 3.5–5.5),
with a significantly higher rate in males (p=0.002) and a decreasing trend with increasing age. Among asymptomatic
individuals exhibiting radiographic abnormalities, 7.2% were confirmed to have tuberculosis via laboratory testing
2.Determination level of antibody against COVID-19 vaccination in workers of FSCH
Oyunbileg B ; Urangoo B ; Otgontsetseg B ; Bolortsetseg J ; Narmandakh G ; Bolor Ch ; Sarantsetseg J
Health Laboratory 2021;14(2):13-16
Introduction:
Health care workers of First Central Hospital of Mongolia have vaccinated with three different vaccines against SARS-CoV-2. We detected SARS-CoV-2 N and S-RBD antibodies after 30-90 days of second dose of vaccination.
Method:
Quantitation of antibodies to the spike protein of SARS-CoV-2 was performed for the detection of adaptive immune response in 291 HCWs vaccinated with Covishield, Sinopharm and Pfizer Biontech. Detection and quantitation of SARS-CoV-2 N and S antibodies were performed by the electrochemiluminesce assay Cobas e411, Roche.
Result:
SARS-CoV-2-S-RBD IgG titer were negative 0%, weak positive 0.4%, positive 17.5%, strong positive 82.1% of 246 HCWs vaccinated with Covishield and were negative 2.8%, weak positive 8.5%, positive 57.1%, strong positive 31.4% of 35 HCWs vaccinated with Sinopharm.
In all HCWs vaccinated with Pfizer Biontech SARS-CoV-2-S-RBD IgG titers were strong positive.
Conclusion
Humoral immunity was produced in HCWs after two doses of Covishield vaccine 100%, Sinopharm 97.0%, Pfizer Biontech 100% respectively. Antibody titer was higher among younger age workers.
3.Evaluation of quality of life and treatment outcome among stroke patients with dysphagia
Mandula ; Ankhbold G ; Bolortsetseg Z ; Baljinnyam A ; Munkhbayarlakh S
Mongolian Medical Sciences 2019;188(2):12-16
Background:
In worldwide, 16.9 million cases of stroke were reported in 2010. It has increased by 68% since 1990. In 2016, there were 5.5 million deaths attributable to cerebrovascular disease worldwide (2.7 million deaths from ischemic stroke and 2.8 million deaths from hemorrhagic stroke). Furthermore, dysphagia is one of the most common complication and occurs 35-78% of patients with stroke. Specifically, dysphagia occurs in 51-100% of the brain stem stroke patients. Moreover, it could be the independent factor to predict mortality. In other words, it directly impacts the quality of life and decreases social activity.
Incidence of cardiovascular disease and stroke have been increasing related to instability of economy,
urbanization, bad lifestyle and stress. As a result of that, dysphagia has increased as well and is becoming one of the pressing issue of health care. It results malnutrition and prolonged the hospital stays. Unfortunately, its diagnosis and treatment are still not clearly defined yet.
Many researchers have investigated patients’ treatment outcome using a single treatment. In other word, researchers have studied the comparison of the separate results of electric stimulation and traditional swallowing therapies. In this study, we studied the results of combination therapy of traditional swallowing and muscle stimulation, and we aimed to identify the benefits of the combined therapeutic approach and to propose the effective, non-invasive methods for patients.
Objective:
We aimed to study treatment outcome and quality of life among stroke patients with dysphagia.
Material and Methods:
The study was conducted on a hospital-based, cross-sectional method. Study participants were obtained from Affiliated Hospital of Inner Mongolian University for the Nationalities between July 2018 and March 2019. All patients were divided into the three treatment groups. 150 dysphagic patients were evaluated by Swallowing Related Quality of Life (SWL-QOL) Scale before and after the treatment.
Results:
In total, 150 participants (mean age=59.70±9.55 years) aged between 34-77 were obtained in this study.
There were no statistically significant differences between the three groups in age (p=0.609).The data showed statistically significant positive treatment effect for all three groups (p=0.0001).The SWAL-QOL score was 39.25±3.50 in A group, 39.10±3.54 in B group, 42.12±4.55 in C group after the treatment. The SWAL-QOL score shows statistically significant difference, after the treatment (p=0.0001).
Conclusions
Rehabilitation treatment combined with neuromuscular electrical simulation appears better outcome than nerve or muscular stimulation combined with rehabilitation among stroke patients with dysphagia.
4. NATURALIZING PLANTED HORSEMINT BIOLOGICAL
DENSMAA B. ; GANTOGTOKH G. ; BOLORTSETSEG KH.
Mongolian Pharmacy and Pharmacology 2015;7(2):61-64
We are still doing research on 30 kind of ephemeral and perennialgramineous, bosk and wooded in our country. Nation`s enterprise in industries importing essential oils from abroad and they are using in product of medicine, food and beauty. Whole world`s most of them still researching and using widely Mentha L (Horsemint) plant in crop production and if we naturalize this Mentha L it will show result good result in plant raw material of nature and important to our economy as well.Key words: Mentha longifolia; Menth arvensis, Biological characterIntroductionEach year resource availability of raw material is proved to be not enough and it shows in research of resource in medical plant range and also what plant shows low resourceof raw material has to provide before the plant germinate or during fl owering stage in every year. Nowadays this plant is destroying and possibility of grow again is decreasing, because of the people who has interest in profi t they are taking away a lot of rhizome roots. The result of 100 scrip in Mongolian medicine shows that we supplied 43.75% of raw material in plants are from our fl ora and 56.25% is from other country. So it shows bad affect to our economy that still using other country`s resource and getting import from them. Then we have naturalize the plants in our weather conditions and try to detect innovative biological active ingredients and do research that has explained by modern science. Mongolian medicine need phytogenic of rareplants from other foreign country, so that`s why we are still doing research on how to naturalize plants in our country.Goal: How to plant Metha L. (Horsemint) in fi eld area that in order to determine the nature this plant and next try to know purpose under the following main objectives. There are:1. To recognize the naturalizing plant division2. To identify the qualifi cation of naturalizing plant division and do research ratio with anatomical result3. Get recognition of the importance in Metha L. (Horsemint)Materials and methodsThings that involved in research (blossom) take middle leaf and in order to prepare slice for anatomy research, cut the middle of leaf, get in foam plastic sponge and cut it, blue, paint it with sapphire, put it on the glass shelf make jelly and in order to prepare slice done with 8-10 frequency. According to traditional method with the help of “Enaval” microscope research leaf’s inside anatomy and textural fi nished (Гзырян,1981; Эзау 1980; В.К.Василевская,А.А.Бутник, 1981; Гамалей, 1984). The plants leaf that involved in research anatomy picturedwith the help of “PA-4”that camera.

Result Analysis
Print
Save
E-mail