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    Risk Factors of Arterial Hypertension Among Mongolian Nurses
    (Mongolian National University of Medical Sciences, 2015-09-25) ; ;
    Altantsetseg Togoo
    ;
    ;
    Objectives: This study aims to survey the prevalence and risk factors of hypertension (HTN) among nurses. Methods: Data was collected from 528 nurses of 23 hospitals in Ulaanbaatar (UB) and local hospitals in other regions. We randomly selected day-shift only nurses (264) and shift nurses (264), collected blood samples, administered a health survey questionnaire, and processed data with SPSS 19.0 statistic software. Results: Overall, 8% of participants who work for shift and 7.2% of day working nurses are smokers (p<0.0001). 3.2% of shift working nurses and 3.8% day working nurses use overuse alcohol (p<0.0001). The day working nurses and the shift working nurses and compared their BMI to measured normal (42.1% and 36.4%) overweight (39.7% and 43.9%), obesity (18.2% and 19.7%) (p<0.02), central obesity normal (39.4% and 34.5%), and central obesity≥ 80 (60.6% and 65.5%), body fat percentages are normal (29.2% and 16.1%) and increase (70.8% and 73.9%), visceral obesity are normal (65.9% and 63.3%) and increase (34.1% and 36.7%). Nurses (day-work and shift-work) who have arterial HTN are detected by normal (72.3% and 59.1%), prodromal period (14.4% and 16.7%), 1st stage (12.1% and 19.7%), 2nd stage (1.2% and 4.5%) (p><0.002). central obesity normal (39.4% and 34.5%), and central obesity≥ 80 (60.6% and 65.5%), body fat percentages are normal (29.2% and 16.1%) and increase (70.8% and 73.9%), visceral obesity are normal (65.9% and 63.3%) and increase (34.1% and 36.7%). Nurses (day-work and shift-work) who have arterial HTN are detected by normal (72.3% and 59.1%), prodromal period (14.4% and 16.7%), 1st stage (12.1% and 19.7%), 2nd stage (1.2% and 4.5%) (p<0.002). Working time of nurses detected that shift working nurses’ arterial hypertension amount is higher than day time working nurses. Conclusion: 24.2% of shift working nurses have HTN is showed that higher than day time working nurses. Hypertension is directly related to overweight, obesity, visceral obesity and high blood glucose level. (p<0.0001). ><0.0001).
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    Association of Serum Iron Parameters with Activity of Liver Enzymes in Mongolian Patients with Chronic Hepatitis "C"
    (Mongolian National University of Medical Sciences, 2017-06-25) ; ;
    Objectives: The purpose of this study was to investigate the relationship between serum iron parameters with the activity of liver enzymes among patients with HCV in Mongolia. Methods: Twenty patients with HCV, who were registered at the National Center for Communicable Diseases, Mongolia, participated in our study. Serum iron and serum ferritin levels were determined using immunoassay. Hepcidin levels were analyzed using ELISA. Results: Liver enzymes, aspartate aminotransferase (ASAT) and alanine transaminase (ALAT), were 65.79 ± 0.52u/l and 51.22 ± 0.54 u/l, respectively. Serum iron levels were high (>180μg/dl) in 20% of patients, while serum ferritin levels were high in (>300ng/ml) in 25% of patients. Serum ferritin levels were strongly correlated with elevated ASAT (r = 0.62, p = 0.005) and ALAT (r = 0.53, p = 0.02). Additionally, serum iron was strongly correlated with ASAT (r = 0.61, p = 0.002) and ALAT (r = 0.53, p = 0.02). No correlation was identified between ASAT or ALAT and hepcidin. Conclusion: ALAT and ASAT levels were directly associated with increased levels of serum iron, but not serum ferritin. Serum hepcidin levels may affect ASAT levels.
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    SARS-CoV-2 seroprevalence in Mongolia: Results from a national population survey
    (Elsevier BV, 2021-12) ; ;
    Le, Linh-Vi
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    ;
    BACKGROUND: With the global spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in early 2020, Mongolia implemented rapid emergency measures and did not report local transmission until November 2020. We conducted a national seroprevalence survey to monitor the burden of SARS-CoV-2 in Mongolia in the months surrounding the first local transmission. METHODS: During October-December 2020, participants were randomly selected using age stratification and invited for interviews and blood samples at local primary health centres. We screened for total SARS-CoV-2 antibodies, followed by two-step quantitative SARS-CoV-2 IgG serology tests for positive samples. Weighted and test-adjusted seroprevalences were estimated. We used chi-square, Fisher's exact and other tests to identify variables associated with seropositivity. FINDINGS: A total of 5000 subjects were enrolled. We detected SARS-CoV-2 IgG antibodies in 72 samples. Crude seroprevalence of SARS-CoV-2 antibodies was 1·44% (95%CI,1·21-1·67). Population weighted and test-adjusted seroprevalences were 1·36% (95%CI,1·11-1·63) and 1·45% (95%CI,1·11-1·63), respectively. Age, sex, geographical, and occupational factors were not associated with seropositivity (p>0·05). Symptoms and signs within past 3 months and seropositivity were not associated at the time of the survey (p>0·05). INTERPRETATION: SARS-CoV-2 seroprevalence in Mongolia was low in the first year of the pandemic potentially due to strong public health measures, including border restrictions, educational facilities closure, earlier adoption of mask-wearing and others. Our findings suggest large-scale community transmission could not have occurred up to November 2020 in Mongolia. Additional serosurveys are needed to monitor the local pandemic dynamic and estimate how far from herd immunity Mongolia will be following-up with vaccination programme in 2021 and 2022. FUNDING: World Health Organisation, WHO UNITY Studies initiative, with funding by the COVID-19 Solidarity Response Fund and the German Federal Ministry of Health (BMG) COVID-19 Research and development. TRANSLATION: Cyrillic and Traditional Mongolian translation of abstract is available on appendix section.
    Scopus© Citations 14
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    Medical education in Mongolia: Challenges and opportunities
    (Informa UK Limited, 2024-09) ;
    Erkhembayar, Ryenchindorj
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    ; ;
    In the early twentieth century, Mongolia saw the establishment of Western medicine and educational system, supplementing its pre-existing history of eastern medicine. As a lower-middle-income country with vast landmass and low population density, Mongolia's medical education landscape has evolved significantly. The inception of the Mongolian National University of Medical Sciences in 1942 marked a pivotal moment, initiating the modern era of medical sciences and specialized training programs in the country. Initially shaped by Soviet Union-styled medical curriculum, the system has undergone substantial reform since the constitutional shift to a market economy in the 1990s. This transformation aligned the curriculum with international standards and modern educational approach, focusing on producing skilled medical professionals. Presently, over 10 public and private institutions of higher education in Mongolia provide comprehensive undergraduate, graduate and post-graduate training for medical training. These institutions vary in student enrollment, teaching staff, learning environments, and program models, contributing to the diverse landscape of medical education in the country.
    Scopus© Citations 6