Оchir, Chimedsuren
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Оchir, Chimedsuren
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Оchir Chimedsuren
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Оchir Chimedsuren
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Item type:Publication, Benefits of Fiscal Policies on Sugar-Sweetened Beverages(Mongolian National University of Medical Sciences, 2017-11-25); ;Irène Hu; ;Khorolmaa BoldObjectives: Overweight, obesity, and their associated chronic diseases have become prevalent in many developing countries in Asia, defining them as major public health issues. One of the main contributors to overweight and obesity is the consumption of sugar-sweetened beverages (SSB). In this article, we reviewed the latest literature examining the benefits of a SSB tax. Methods: A systematic literature review was conducted on: (i) policy documents and government reports to examine the current applications of SSB taxation; and (ii) published studies on price elasticity of demand (PED) of SSBs to examine the health and economic benefits of SSB taxation. Results: Articles included in our review have used or estimated negative PED, ranging from -0.63 to -1.3, and have shown an associated decrease in BMI and prevalence of overweight and obesity. Conclusion: Most studies so far have focused on the health and economic impacts of SSB taxation among high- and upper-middle income countries. Further research is needed to understand the impact of SSB taxation on lower-middle and low-income countries, which are facing comparable, if not more serious, obesity and overweight threats. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Assessment of Blood Lead Levels and Associated Risk Factors Among Children in Ulaanbaatar, Mongolia(Mongolian National University of Medical Sciences, 2016-11-25) ;Meredith L. Praamsma; ; ;Elnura HalmambetovaObjectives: The objectives of this study were to determine BLLs with a LeadCare II analyzer in children living in Ulaanbaatar, Mongolia and to identify potential risk factors influencing their BLLs with a lifestyle and residential environment questionnaire. Methods: A total of 153 children aged 6-8 years old were tested in 2014. Results: The geometric mean BLL was 5.3 µg/dL (95% CI: 4.9 – 5.7 µg/dL) and 69.3% of the children had blood lead levels ≥5 μg/dL (the United States Centers for Disease Control and Prevention’s current reference level). Factors that were significant (p<0.05) predictors of BLL in a multiple linear regression model were sex, age, father’s education level, and father’s job type. The BLL from this study in 2014 shows a 60% decrease since a prior 2005 study, likely due to the ban on leaded gasoline in the country. Conclusion: Academic performance was significantly influenced by BLL, indicating that actions still need to be taken to reduce lead exposure in Ulaanbaatar. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Assessment of blood lead levels and associated risk factors among children In Ulaanbaatar, Mongolia(Elsevier BV, 2016-08-20) ;Purevdorj Baljinnyam Olkhanud ;Meredith L. Praamsma; ; Elnura HalmambetovaWelcome to Annals of Global Health,Annals of Global Health is a peer-reviewed, fully open access, online journal dedicated to publishing high quality articles dedicated to all aspects of global health. The journal's mission is to advance global health, promote research, and foster the prevention and treatment of disease worldwide. Its goals are to improve the health and well-being of all people, advance health equity, and promote wise stewardship of the earth's environment. The latest journal impact factor is 3.64.Annals of Global Health is supported by the Program for Global Public Health and the Common Good at Boston College. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health. Authors of articles accepted for publication in Annals of Global Health will be asked to pay an Article Publication Charge (APC) to cover publication costs. This charge can normally be sourced from your funder or institution. We are committed to supporting authors from all countries to publish their work in Annals of Global Health regardless of national income level, and to achieve this goal, we waive the Article Publication Charge for manuscripts where all authors are from low-income or lower-middle-income countries (as defined by the World Bank). From time to time, Annals of Global Health publishes Special Collections, a series of articles organized around a common theme in global health. Recent Special Collections have included “Strengthening Women’s Leadership in Global Health”, “Decolonizing Global Health Education”, and “Capacity Building for Global Health Leadership Training”. Global health workers interested in developing a Special Collection are strongly encouraged to contact the Managing Editor in advance to discuss the project. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Association Between Consumption of Sugar-sweetened Beverages and Childhood Obesity and Overweight(Mongolian National University of Medical Sciences, 2016-11-25); ;Khorolmaa Bold ;Altantuya Batmunkh; Objectives: This paper aims to study how consumption of beverages relates to the body weight of children and adolescents in Mongolia. Methods: A cross sectional survey was conducted between 2015 and 2016. A group of 353 relatively healthy children and adolescents aged 6-16 were selected from ger districts of Ulaanbaatar, Mongolia. Descriptive statistics were used to summarize the data. Chi-squared analysis was conducted to evaluate the association of categorical variables with body mass index (BMI) z-score subgroups. T-test or two-way ANOVA was performed to compare means. Beverage consumption was presented as means with standard deviation (SD) among sex and age groups. Results: The data from 347 children and adolescents were analyzed. Boys represented 50.1% (n =174) and the mean age ± SD was 10.0 ±2.9 years. Tea was the main beverage type in all age and sex groups compared to other types of beverages. Girls aged between 10 and 13 years old had the highest consumption of sugar-sweetened beverages (SSB). And there was a markedly high consumption of SSB among overweight and obese children. Conclusion: Significantly higher consumption of SSB was seen among overweight and obese children. Detailed household and school-based observational and interventional studies should be performed using these findings to help policy makers to make evidence-based decisions about SSB. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Bevacizumab Monotherapy or Combined with Laser versus Laser Monotherapy in Mongolian Patients with Diabetic Macular Edema(Mongolian National University of Medical Sciences, 2016-06-25) ;Anaraa Toishubai; ;Baasankhuu Jamyanjav ;Sun Taek LimObjectives: To evaluate the efficacy and safety of bevacizumab monotherapy and bevacizumab therapy combined with laser therapy versus laser monotherapy in Mongolian patients with visual impairment due to diabetic macular edema (DME). Methods: One hundred twelve eligible patients, aged ^18 years, with type 1 or 2 diabetes mellitus and best corrected visual acuity (BCVA) in the study eye of 35 to 69 Early Treatment Diabetic Retinopathy Study letters at 4 m (Snellen equivalent: >6/60 or <6/12), and with visual impairment due to center-involved DME were included in the study. Patients were randomized into three treatment groups: (1) intravitreal bevacizumab monotherapy (n = 42), (2) intravitreal bevacizumab combined with laser therapy (n = 35), and (3) laser monotherapy (n = 35). Bevacizumab injections were given for three initial monthly doses and then pro re nata thereafter based on BCVA stability and DME progression. The primary efficacy endpoints were the mean change in BCVA and central retinal subfield thickness from baseline to month 12. Results: Bevacizumab monotherapy and bevacizumab + laser were superior to laser monotherapy in improving the mean change in BCVA letter score from baseline to month 12 (+8.3 and +11.3 vs +1.1 letters; both p ><0.0001). At month 12, a greater proportion of patients gained >10 and >15 letters and had a BCVA letter score >73 (Snellen equivalent: >6/12) with bevacizumab monotherapy (23.8% and 7.1% and 4.8%, respectively) and bevacizumab + laser (57.1% and 28.6% and 14.3%, respectively) versus laser monotherapy (0% and 0% and 0%, respectively). The mean central retinal subfield thickness was significantly reduced from baseline to month 12 with bevacizumab (-124.4 pm) and bevacizumab + laser (-129.0 pm) versus laser (-62.0 pm; both p = 0.002). Conjunctival hemorrhage was the most common ocular event. No endophthalmitis cases occurred. Conclusion: Bevacizumab monotherapy or bevacizumab + laser showed superior BCVA improvements over macular laser treatment alone in Mongolian patients with visual impairment due to DME.
