Psychosocial problem of people with epilepsy / Монголын Анагаах Ухаан

Many studies have demonstrated psychosocial problem of people with epilepsy that who has depressionand anxiety symptoms, ashamed, worried, guilt or feelings of worthlessness, poor self-esteem and socialside which includes education, employment issues, marriage, pregnancy, quality of life and stigma. Theseare related to the knowledge of the social, duration of epilepsy and seizure types.People with epilepsy are coexisting that seizure relatedissues such as behavioral and psychosocialproblems and comorbid psychiatric disorders that are prone to develop in patients with this disorder.Therefore hidden psychosocial problems stigmatizing and negative attitude are arisen from the social.The reason of that is demanded improve the quality of life for people with epilepsy and also is requiredto solve problem, completely. Not only medicine is treatment of people with epilepsy, but coping withepilepsy may also associate with psychosocial problemsfacing patients with epilepsy.According to this, hospital and social positive factors need to initiate for the people with epilepsywithout seizure and help to live normally. Furthermore, it is necessary to establish national program andrecommendation.

Anxiety and depression in people with epilepsy / Монголын Анагаах Ухаан

BACKGROUND: Epilepsy is a common neurological disease, which need to health care and public health servicetopicality that is a very important for people with epilepsy (PWE). Therefore psychosocial problemssuch as depression, anxiety, and stigma, discrimination from other people, negative public attitude andmisunderstanding significantly influence on their psychosocial well-being and quality of life. PURPOSE: To study an anxiety and depression in people with epilepsy.MATERIALS AND METHODS: 77 patients aged between 20 and 60 were included in our study group. In order to identify psychosocial problems we used the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI) and a tenitem measure of felt stigma (Austin, Dunn et al) for this cross-sectional study.RESULT: There were 77 PWE and slightly more 53.2% male, 46.8% female and, in comparison group. Of theseparticipants 44.2%were married, 75.3% unemployment. The frequencies of anxiety symptoms in PWEwere 31.2% very anxiety, 32.5%anxiety and 36.4% not anxiety, the rates of depressive symptoms inPWE were18.2% very depressed, 19.5% depressed and 62.3% not depressed, respectively. All ofthe 62.3% PWE felt stigma. Considering the age, psychological problem, some of the variables ofthe participants, the age of the people with epilepsy was associated with depression and the stigmascores, negatively (r = -0.2, p = 0.05; r = -0.2, p = 0.05).We observed a positive correlation between BDI and BAI scores in PWE (r = 0.6; p = 0.01).There hasalso the relationship between stigma and anxiety, depression, social-interaction of the attitude scoresin PWE (r = 0.5, p = 0.01; r = 0.5, p = 0.01; r = 0.4, p = 0.01), whereas that the correlation statistic didnot indicate a relationship between the duration of the epilepsy and anxiety, depression, stigma andsocial-interaction’s scoresCONCLUSION: Of the people with epilepsy 31.2% have very anxiety, 33.8% have anxiety and 18.2% have verydepressed, 19.5% have depressed. This reveals that it has positive relationship with social-interactionand attitude. Frequency of epileptic seizures influences the anxiety and depression of the people withepilepsy and thus worsens their stigmatization.

Personal noise exposure of workers at Erdenet Mining Corporation / Шинэ санаа Шинэ нээлт

Noise exposure is one of most common health hazards at workplace. But,there is very limited data of about occupational exposure to noise at workplaces in Mongolia. This study evaluated noise exposure among the workers. In pilot study, noise pressure level was measured for 103 Mechanical factory and office workers forfull work shifts by A-weighting scale. Personal noise dosimeters, Etymothic R-200DW7 were used to measure noise level. Average noise pressure levels ofworkers were 87.56 dBA in mechanical factory, 86.29 dBA in mechanical shop and 90.24 dBA in casting shop. Noise levels in the casting shop were exceeded by 1.29-5.24 dB for Recommended Exposure Level (REL).

Evaluation on implementation of preventive activities of non-communicable diseases / Монголын Анагаах Ухаан

Background: Mongolia is one of the most influenced countries by non-communicable diseases among developing countries. Non-communicable diseases, including cardiovascular diseases, cancers, respiratory diseases, diabetes, and injuries have become the major causes of morbidity and mortality in Mongolia.Goal: To assess impact of preventive intervention activities of non-communicable diseases in framework of the Millennium challenge account (MCA) health projectMethods: We conducted 17 focus group discussions (FGD) from March to April 2013 in primary and secondary health care settings, of which six in urban and eleven in rural areas.We identified themes concerning the current situation of NCD related health services from the perspective of health professionals, and insights into institutional and professional experiences related to management, implementation and coordination of the newly implemented MCA-Mongolia NCD prevention and control project.Results: As a result of the health project, NCD related knowledge and skills of health professionals have improved through progressive training, and development of guidelines and manuals. During the project, availability of equipment supplies has improved. Accordingly, medical equipment and laboratory reagents needed for early detection of NCDs were provided to primary and secondary health care settings, despite some challenges in the implementation of the project. As result of theproject implementation, increased public awareness on NCDs, and attitude change were considered as the biggest changes.Conclusion: The health project was considered as successful to provide knowledge on the best practice in NCD prevention.

Some clinical issue of somatization disorder / Монголын Анагаах Ухаан

Introduction. There is group of mental disorder characterized by several physical symptoms are not fully explained by general medical condition, individuals visit many doctors and undergo numerous physical examinations, diagnostic tests associated with their suffer but no physical cause can be found. A third somatoform pattern is somatization disorder, characterized by numerous and recurrent physical complaints that begin by age 30. The prevalence of this disorder is 1-2% among adult population and it is occurred more female than male. Goal. To study some clinical symptoms among people with somatization disorder. Materials and Methods. This study was conducted with quality research method semi-structure questionnaire among the 30 people, who admitted to state and private hospital and sanatorium in the Chingeltei, Songinokhairkhan, Khan-Uul, Sukhbaatar, Bayanzurkh and Bayangol district in Ulaanbaatar city province for medical care. We did random sampling for unexplained somatic symptom individuals by diagnostic criteria as followings: 1.Multiple, recurrent, clinically significant somatic complaints no physical cause can be found over the last 2 years. 2. There must be a history of a visit at least 3 times for professional medical help due to their constant suffer. 3. Did not accept their medical diagnose and conclusion, even though no evidence of somatic symptoms. Results. There were 20 female and 5 male patients in our study, aged 23-78 years old were involved into our interview, and the average age was 44±0.8. We were clarifying clinical symptoms, such as gastrointestinal, cardiovascular, sexual function and urinary tract for all participants. The most of participants occurred gastrointestinal symptoms, such as nausea, vomit and timpanists. Also, all of the participants experienced heart beat symptom. As four of the 5 males reported loss of libido and majority of the females occurred pollakuria and sensopathy symptoms.Conclusion. Gastrointestinal symptoms (nausea, vomit and timpanists), cardiovascular symptom (heart beat), sexual function and urinary tract (loss of libido and pollakuria) and sensor conversion (sensopathy) occur mostly for somatization disorder.