The result of the changes of the work-related stress of physicians and nurses with the critical ill patient units / Монголын эм зүй, эм судлал

Background@#The career and work of medical workers are considered to be the occupation of the highly responsible job of the worldwide. @*Goal@#To identify the percentage of the work-related stress, the burnout, and the symptoms of work-related stress of the physicians and nurses who is working at the critical and intensive care units of UB hospitals. @*Materials and methodology@#The survey was done by quantitative methods and cross sectional design. The study data was collected using the validated questionnaire for the work related stress. The results of the study were analyzed by the Microsoft Excel and SPSS 20 program. @*Results@#The response rate was 97.3% The study found that 78.7% of respondents reported having regular stress; and 89.4% of all participants in the survey had a personal burnout, 90.4% had work-related burnout and 94.5% had a high level of client-related burnout.</br> Physical symptoms include the insomnia 76.7%; psychological symptoms - the headaches 65%; behavioral symptoms as like forgetfulness and annoyance 53.3%; cognitive symptoms as like an increase in sick days or absenteeism by 40% for all physicians and nurses.

ҮЙЛЧЛҮҮЛЭГЧДИЙН СЭТГЭЦИЙН ЭРҮҮЛ МЭНДИЙН ТУСЛАМЖИНД ХҮРЭХ ЗАМЫН СУДАЛГАА / Шинэ санаа Шинэ нээлт

@#BACKGROUND. In 1929, Mongolian mental health department established and since then it has been showing qualified professional health care towards population. In code of mental health (7.1.2) it is defined as “mental health care can be carried out by person with professional license that indicated in health law” However, recently people tend to seek help from nonprofessional organizations. Because of psychiatric misconception among population, people usually don’t seek help from professional service that it makes diagnostic delay and people suffer longer from their illness. GOAL. To define diagnoses and pathway of people who seek help first-time from mental health care. MATERIAL AND METHOD. This study was relied upon to NCMH out and inpatient unit. Cross-sectional study method with purposive sampling and questionnaire method wasused in this study. RESULT. In total of 145 patients, 76 males and 69 females, who are aged between 18 to 56 years participated in our study. According to ICD 10, majority of participants (40.7%, n=59) had schizophrenia and schizophrenia spectrum disorders, 21.4%had stress induced disorder, 12.4 % had organic disorder, 11% had affective disorder, and 14.5 % had substance use disorder.According to their help seeking pathway, every patient sought help from professional organization or several nonprofessional organizations and individual person. As we demonstrated the initial help seeking pathway of participants 40% sought help from religious service, 26.2% sought help from psychiatrist, 17.2% sought help from general and 16.6% sought help from other professional doctors. Therefore we demonstrated the amount of participants who sought help from nonprofessional organization and individual person that 60.6% sought help from shaman, 62% sought help from lama. Primary or secondary educated people are tend to seek help from religious service which was statistically significant (p≤0.006).in total of 107 participants sought help from nonprofessional organization and each patient spent about 5,629,122.30±928799 tugrug, but average of total medical fee for per patients in NCMH was 83916±7793 tugrug which costs 7 times lower than nonprofessional organization but improves patients` mental state more, significantly (p≤0.001) Primary or secondary educated patients likely to have diagnostic delay 1 time more than high educated patients, people with nonprofessional initial help seeking likely to have diagnostic delay 2 times more than psychiatric initial help seeking patients and people who imply that religion causes mental illness have diagnostic delay with 2 times more, significantly. (p≤0.001). CONCLUSION. According to study result stress induced disorder and schizophrenia were the majority of total participants. People tend to seek professional help far lately from symptom onset. Psychiatric misconception and inadequate health education among the population are the main reason of diagnostic delay.

Sexual violence against child and adolescents in Ulaanbaatar / Монголын Анагаах Ухаан

Introduction Violence is defi ned by the WHO as “the intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or community, which either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment, or deprivation”. Violence can be divided into many types such as physical, psychological, sexual, neglect and economical etc. Violence against women and child is a manifestation of historically unequal power relations between men and women or child due to patriarchy in many countries of the world. Child maltreatment or violence is one of common public health problems in worldwide and psychologically harm in child’s later life. Objective To detect types, percent and some infl uencing factors of violence against child and adolescent among cases, which were involving into forensic psychiatric evaluation procedures. Materials and Methods We are analyzed all archive documents of NCMH, 2000-2014 by retrospective methodology on based ethical approval of NCMH administration (by ordering 2/189 Oct 28, 2015). Results Total 1067 cases of violence against child and adolescent were registered in 2000-2014 years and 84.7 percent of those (n=904) were sexual violence cases. Gender difference was defi ning among sexual violence cases (girls n=885, p<0.000; boys n=19, p<0.000) with statistically signifi cant. Sexual offender can be act his violence in drunken (OR=2.355; p<0.000; CI 95%; 1.601-3.463) or negative relationship between family members (OR=3.723; p<0.000; CI 95%-2.356-5.883) are more infl uenced to sexual violence against child and adolescent. Conclusion Sexual violence is more registered among child and adolescent maltreatment cases. Children and adolescents are more affected into sexual violence likely to have a negative relationship between the family members or offenders have used alcohol.

About fenomen of Suiside of children and youth and of suiside attempts / Монголын Анагаах Ухаан

Each suicide is a personal tragedy that prematurely takes the life of an individual and has a continuingripple effect, dramatically affecting the lives of families, friends and communities.Suicidal behavior maybe seen in all agegroups, but its incidence among young peopleand adolescentshas increased in recentyears. Suicide was the second leading cause of death among 15-29 year olds, globally. WHO AdolescentHealth Report disclose that major depression leads teenage boys and girls aged 10-19 to disability, andtotal 1.2 million teenagers were died due to the three leading causes of adolescent’s death such as roadtraffic accidents, HIV, and suicidal behavior. In Mongolia, up to now, a comprehensive study for definingprevalence, incidence, causes and influencing factors of fatal and non-fatal suicide cases among teenagershas not yet been conducted. Media broadcast shows increase in fatal and non-fatal suicidal behavior latelyin Mongolia’s society which worries the public. According to study results Global School based StudentHealth Survey 2013, 23 % of total 5393 students aged 12-17 were seriously considered attempt suicidalbehavior; 9.6% were did attempt suicidal behavior in the past one year, girls attempts were more than boysas reported. Thus social mental health disturbance require comprehensive study to identifyfatal and nonfatalsuicidal behavior causes and pathways among adolescents. There’s necessity to plan care servicein the near future.

ADHERENCE TO MEDICATION REGIMEN IN PATIENT WITH GRAND MAL SEIZURE: ASSESSED BY MORISKY MEDICATION ADHERENCE SCALES / Шинэ санаа Шинэ нээлт

Grand mal is the main characteristic of epileptic isorder. Other seizures that caused by non-epileptic disorders are called symptomatic epilepsy, epilepsy-like seizure and symptomatic seizure. The primary treatment of seizure patient is anticonvulsive medication. Therefore, adherence to medication regimen is important to reducing seizure incidence and preventing complications. Accreditation processes to study that how influence on the institution and individual development The survey was conducted by descriptive cross-sectional design in outpatient clinic of NCMH. Morisky Medication Adherence Scales are used to assess adherence to medication regimen of seizure patient’s. Folstein rapid test is used to assess dementia. Overall, 70 patients, aged 20-71 years, 36 males and 34 females were participated our survey. 81.4% of total participants were patients with seizure syndrome caused by brain injure; 14.3% were patients suffering from congenital epilepsy and 4.3% of them could not described causes of their disease. 29.9% of all participants assessed as mild and moderate dementia, 34.3% of participants assessed non-adherent to medication regimen by scale 4 item and 77.1% of participants assessed non-adherent to medication regimen by scale 8 item. 29.9% of all participants have dementia, and 34.3%-77.1% of patients are non-adherent to medication regimen. Thus, our study suggests that there is a direct correlation between dementia and an adherence to medication regimen.

Heritability of patients with bipolar disorders / Монголын Анагаах Ухаан

INTRODUCTION:It has been suggested that most of the patients with bipolar disorders (BD) have either parent sidewhich is mentally ill. Furthermore, 25-27% of the children have been affected by BD if either parentside has BD, or 50-75% is affected if theboth sides of parents have BD, respectively. Heritability ofBD in monozygotic twins is 40-70%, and it is 20% in dizygotic twins. Therefore we aimed to studyhereditary issues of patients with bipolar disorders.PURPOSE:To assess hereditary issues of patients with bipolar disorders.MATERIALS AND METHODS:The study sample comprises 31 male, 81 female patients referred to the inpatient settings of theNational Center for Mental Health. The participiants were examined by psychiatric interviewsincluding objective and subjective anamnesis to assess hereditary history of bipolar disorders.Pearson’s x2 test was used for the analysis between categorical variables, whereas simple logisticregression was used for the regression analysis.RESULTS:We covered 31 male (24.8%), 81 female (75.2%) participants between 14-62 years old, mean age:42.05±0.97. Among the participants, 60 (53.6%) of them were with the hereditary history of mentaldisorders whose father (11.6%), mother (25%), a sibling (21.7%),close relatives (38.3%), and a child(3.3%) were mentally ill. 46.7% of the relatives were diagnosed with mood disorders and 36.7% ofthem were diagnosed with schizophrenia and its spectrum disorders. Furthermore, there was anassociation between mental illness of a sibling and bipolar disorders. Also, the number of patientswith BD whose mother was diagnosed with BD (13%) is more prevalent than the patients with BDwhose mother or father or other relatives were diagnosed with any mental disorders (x2 test, P value= 0.012).CONCLUSION:Heritability of BD might be associated with autosomal dominant inheritance with incompletephenotype, and mostly relevant if the patient’s sibling is diagnosed with mental disorders. Keywords:bipolar disorders, depression,mania, heredity, risk factors.

STIGMA AND DISCRIMINATION AGAINST PATIENTS WITH ALCOHOLIC DEPENDENCE / Шинэ санаа Шинэ нээлт

Stigmatization and discrimination against mental patients and their family members due to typical community misunderstanding about mental diseases are commonly occurred among population. Particularly, discrimination against alcoholic patients and stigmatization against theirfamily members are most common among Mongolian people, because prevalence of alcohol dependence problems is increased 2 times more in last decades. Our aim was to define current situation of stigmatization and discrimination against alcoholic patients. This survey has been conducted among total 90 inpatients with alcoholic problem, are have staying in National Center for Mental Health and Narcology Center. We conducted the study by descriptive and crossectional design.Totally 90 alcohol patients, aged 19-61 years were participated in our survey. 67 (74.4%) of them were male and 23(25.5%) were female and average age was 40.1±1.1. Level of job’s discriminationwas growingrelated to increasing the level of alcohol consumption (p<0.0016)and level of family’s stigma was growing related to increasing the level of alcohol dependence (p<0.0001). Most of patients (n=29), who are divorced from their couples were answering that main reason of their divorcing was alcohol problem and bad interfamily relationship.Furthermore, stigmatization and discrimination increasing due to increasing level of alcohol consumption (p<0.0001).Most of participants (60%; n=54) are answered, that stigma and discrimination against them were occurring from their family.

A COMPARATIVE STUDY OF ALCOHOL-DEPENDENT PASIENTS PERSONALITY AND ANXIETY LEVEL / Шинэ санаа Шинэ нээлт

Russian physiologist I.P.Pavlov theorized that there are four fundamental personality types, choleric, sanguine, phlegmatic and melancholic. These four temperaments have been currently recognized as the basis of disease prevention, diagnosis and treatment in the medical field. The melancholic temperament has known as the most popular temperament according to current studies This study was conducted by descriptive- cross sectional design. We used a guestionnaire, contained Eysenck and by Spielberg-Hanin tests. In total, 83 inpatient males of the addictological clinic of NCMH. All ethics considered. In our study, were participated alcoholic patients, aged 24 -61 years, with II and III stages ofalcoholism. By the Eysenck Personality test, most of total of patients (43%) were melancholic, with statistical significant (р=0. 04). But it no statistical correlation for stage of alcoholism (p=0.31). The anxiety level was significantly higher in melancholic patients by Spielberg-Hanin test and Zung test. This result maintained statistically that there is a direct relevance betweenmelancholic temperament and anxiety. The most of alcohol-dependent patients had melancholic temperament. Although, there is no correlation to stages of alcoholism. The anxiety level evaluated by Spielberg and Zung’s test. Testsdetermined relatively higher anxiety in melancholic patients compared to other temperaments.

GENDER SPECIFIC ANALYSIS IN SUICIDE STUDY / Шинэ санаа Шинэ нээлт

Suicide is one of the leading causes of death worldwide and is an important socio-economic, public and mental health problem. An estimated 804000 suicide deaths occurred worldwide in 2012, representing an annual global suicide rate of 11.4 per 100000 populations (15.0 for malesand 8.0 for females). Gender is more significant variable for suicide study and many scientists noticed gender specific issues in suicide studies. Our goal was to identify the gender specific issues in suicide.This study is based on records provided by the local Health Centers of 21 provinces, particularly psychiatric-addiction care units; all local prosecution offices rural areas and 8 central organizations, which are registered suicide cases. We conducted the study by descriptive andretrospective design.Total of 6537 cases were registered at national level and 75.4% of the total cases were male. A sex ratio of male and female was 3:1. As noted, reported suicide cases were noticeably higher amongst males than females, this was most prominent in the 18-39 years age group. Most caseswere committed themselves by strangling and no difference for both sexes.The gender specific issues in suicide study are more significant variables.

WAYS OF SOCIALLY DANGEROUS NATURE ACTS COMMITTED BY PATIENTSIN COMPULSORY MEDICAL TREATMENT / Шинэ санаа Шинэ нээлт

The Criminal Code of Mongolia, article 22.2 defines that a person who was imputable at the time of committing a crime but lost the ability to realize the socially dangerous nature of his/her act or omission or to control it due to chronic mental illness, temporary mental derangement, mental deficiency or another serious illness during the consideration of the case in court shall not be subject to criminal liability. A court shall apply to such a person compulsory measures of medical character and decide the matter of imposing punishment after his/her recovery.The Mental Health Law of Mongolia, article 3.1.13 also defines that socially endangered actions of persons with mental disorders means actions of persons who lost self control due to mental disorders by causing self harm, endangering safety of others and community. Therefore obvious need to study the causes of socially dangerous nature acts of patients to whom the court applied compulsory measures of medical character has been assessed.1. Study the diagnosis and mental states when the acts were committed.2. Study the ways of socially dangerous nature acts of mental health patients3. Duration of compulsory medical treatmentsStudy of medical history of those patients discharged from compulsory medical treatment shows that their mental illnesses were started from very young ages and continued in lengthy period of time. Patients with organic mental disorders (39.4%), schizophrenia, schizoid personalitydisorders and delusions (36.4%) were committed socially dangerous acts. Ways of socially dangerous acts were homicide, inflictions of bodily injuries to others including family members and hooliganism.30.3% of patients were in compulsory medical treatment for 10-12 months and 50% of them were with organic mental disorders. 18.2% of patients were in compulsory medical treatment for 25 months and over. 66.6% of them were diagnosed with schizophrenia, schizoid personalitydisorder and delusion.

ADHERENCE TO MEDICATION REGIMEN IN PATIENT WITH GRAND MAL SEIZURE: ASSESSED BY MORISKY MEDICATION ADHERENCE SCALES / Шинэ санаа Шинэ нээлт

Grand mal is the main characteristic of epileptic isorder. Other seizures that caused by non-epileptic disorders are called symptomatic epilepsy, epilepsy-like seizure and symptomatic seizure. The primary treatment of seizure patient is anticonvulsive medication. Therefore, adherence to medication regimen is important to reducing seizure incidence and preventing complications.Accreditation processes to study that how influence on the institution and individual developmentThe survey was conducted by descriptive cross-sectional design in outpatient clinic of NCMH. Morisky Medication Adherence Scales are used to assess adherence to medication regimen of seizure patient’s. Folstein rapid test is used to assess dementia. Overall, 70 patients, aged 20-71 years, 36 males and 34 females were participated our survey. 81.4% of total participants were patients with seizure syndrome caused by brain injure; 14.3% were patients suffering from congenital epilepsy and 4.3% of them could not described causes of their disease. 29.9% of all participants assessed as mild and moderate dementia, 34.3% of participants assessed non-adherent to medication regimen by scale 4 item and 77.1% ofparticipants assessed non-adherent to medication regimen by scale 8 item.29.9% of all participants have dementia, and 34.3%-77.1% of patients are non-adherent to medication regimen. Thus, our study suggests that there is a direct correlation between dementia and an adherence to medication regimen.

Defining correlation between bullying and depression of high-school students / Шинэ санаа Шинэ нээлт

Bullying or peers violation is one of adolescent`s truly urgent issue but it is not public discussion topic. We conducted a study in 3 different schools which began from 6th of October, 2014 to 13th of October, 2014. There are total 167 subjects aged between 13-18 were from classes of junior and senior- high at: Orchlon school, School of 1 and School of 13. We used 53- item Questionnaire consisted of 4 sections for our study. We concluded 98(58.7%) participants from School of 1, 26(15.6%) participants from School of 13 and 43(25.7%) participants from Orchlon school who were aged between 13-17 (M=14.7±0.1) which comprise of 84 (50.3%)male and 83 (49.7%) female in our study We assessed correlation of depression and bullying by linear regression. The result of it shows 1 more score of depression measuring scale-CES-D can rise score of Aggression scale 1 by 0.33 point and also it can rise score of Aggression scale 2 by 0.84 point. There is a positive correlation between bullying and depression which confirms high risk of bullying is associated with majordepression in significantly. (p value 0.000) The findings of the study reveals that high levels of bullying associated with high levels of depression.

SEASONALITY AND SUICIDE / Шинэ санаа Шинэ нээлт

Seasonality in suicide is one of those topics in epidemiology that we believe to know much about but understand fairly little in actuality. Since the 19th century many scholars have reported uniformly higher suicide frequencies in spring and summer than in autumn and winter. There had been very few studies on seasonality of Mongolian suicide. In this research, we wanted tofind the seasonal pattern and the relationship between behavioral characteristic and seasonal variation of suicide.This study is based on records provided by the local Health Centers of 21 provinces, particularly psychiatric-addiction care units; all local prosecution offices rural areasand 8 central organizations, which are registered suicide cases. We conducted the study by descriptive and retrospective design. Seasonal spring and early summer peak of suicide emerged in total suicide population. All concerned suicidecases were much more registered in spring time, and fatalsuicidalbehaviorcases registered fewer in autumn. National average percentage of fatal and non-fatalsuicidal behaviorcases was approximately in either seasons, but much more registered in spring time (x2=2.81; p≤0.000). Also most of fatal suicidal behavior cases were notedduring less human alertness hours in work days (x2=19.732a; p≤0.020).Seasonal variations of fatal suicidal behavioral haracteristic might play very important roles in suicide study.

ASSESSMENT OF ORAL HYGIENE OF DEPRESSIVE DISORDER PEOPLE / Шинэ санаа Шинэ нээлт

The oral hygiene is not relatively good cause of smoking, ignoring oral hygiene, not having enough self-care skills and independent living in case mental illness. Their grinding the teeth, serotonin decreases when the people are depressed and then it makes the carbohydrates increases, loses the sense of taste. Therefore they use a lot of sweet, the salivary output decreases, increase in the number of lactobacili and then it makes the cause ofabnormal disease detections including tooth decay, trigeminus neural pain in temporomandibular joint /TMJ/, oral yeast infection, oral bad breath, burning sensation of the tongue, chronic facial pain. Also the oral can disease detects from drug causes like using the anti-depression drugs for at least 6 months.Using analytical research permanent design, I got 55 patients to take part in the survey who are staying in 5th flat , National Clinic of Mental Health from 22nd of September 2014 until 26th of September. When I do the research for history of their patients: among the diagnosis of 16 people disorder depressed, the 13 patients agreed to have a preventive examination voluntary, one of them declined to do it. I use many methods of researching like questionnaire methods interview method, prevention oforal cavity and clinical examinations, respectively Study shows that curriculum contents of School of Nursing, Mongolian National University of Medical Sciences have comparatively less contents of understanding about healthy person, assessment on human, giving advice healthy human, path anatomy, physiology, communication skills.The most of the survey participant patients have holes in their teeth, gum inflammation, and tongue stress disorder. It shows that it decreased to pay attention on their oral hygiene associated with symptoms and it effects directly related to the decrease in salivary output.Depressed People are so bad at paying attention to their oral hygiene habits.

DIAGNOSTIC TREATMENT SITUATION OF BIPOLAR DISORDER / Шинэ санаа Шинэ нээлт

WHO informed that across world an average of 565 young people aged 10 to 29 die every day through interpersonal violence. Some studies mentioned that anxiety was most frequently occurred as one of the psychological onsequences among victims of child abuse. Recent research on effects of adverse early life experiences on central nervous system as stress systems (hypothalamus-pituitary-adrenal axis-HPA) has provided a greater understanding of the link between childhood abuse and susceptibility to anxiety disorder. Therefore, this research was done to study anxiety among abused adolescents, some physical parameters and level of cortisol in saliva.Total number of participants were 149 children aged between 11-16 years (number cases were 53, matched control subjects were 96). The Spence Children’s Anxiety Scale (SCAS; Spence, 1997) is a 38-item self-report uestionnaire that assesses multiple symptoms of childhood anxiety isorders based on current diagnostic criteria. All participants were measured the cortisol in the saliva by Cortisol ELISA kit, Sigma, USA. Average age of all subjects in the study was 13.52±1.57 and 102 of all subjects were female and 47 were male. All anxiety symptoms of case group was statistically significance higher (p<0.01) than control group. The average amount of salivary cortisol of case group was (21.3±8.1 ng/ml) statistically significantly lower (p<0.01) than average amount of control group (31.56±16.9 ng/ml). Anxiety was more frequently occurred among abused children and blunted cortisol responses might indicate a level of impaired HPA functioning that could constitute a vulnerability to psychopathology with exposure to anxiety.

A COMPARATIVE STUDY OF ANXIETY SYMPTOMS AND SALIVARY CORTISOL IN ABUSED ADOLESCENTS / Шинэ санаа Шинэ нээлт

WHO informed that across world an average of 565 young eople aged 10 to 29 die every day through interpersonal violence. Some studies mentioned that anxiety was most frequently occurred as one of the psychological onsequences among victims of child abuse. Recent research on effects of adverse early life experiences on central nervous system as stress systems (hypothalamus-pituitary-adrenal axis-HPA) has provided a greater understanding of the link between childhood abuse and susceptibility to anxiety disorder. Therefore, this research was done to study nxiety among abused adolescents, some physical parameters and level of cortisol in saliva.Total number of participants were 149 children aged between 11-16 years (number cases were 53, matched control subjects were 96). The Spence Children’s Anxiety Scale (SCAS; Spence, 1997) is a 38-item self-report uestionnaire that assesses multiple symptoms of childhood anxiety disorders based on current diagnostic criteria. All participants were measured the cortisol in the saliva by Cortisol ELISA kit, Sigma, USA. Average age of all subjects in the study was 13.52±1.57 and 102 of all subjects were female and 47 were male. All anxiety symptoms of case group was statistically significance higher (p<0.01) than control group. The average amount of salivary cortisol of case group was (21.3±8.1 ng/ml) statistically significantly lower (p<0.01) than average amount of control group (31.56±16.9 ng/ml). Anxiety was more frequently occurred among abused children and blunted cortisol responses might indicate a level of impaired HPA functioning that could constitute a vulnerability to psychopathology with exposure to anxiety.

DETECTING FOR WORK BURNOUT SYNDROME AMONG WORKERS OF NCMH, USING MBI SCALE / Шинэ санаа Шинэ нээлт

Mental health team includes a psychiatrist, a psychiatric nurse, psychologist and social workers. Mental health workers are more stressful than other sector’s workers. Mental workers are working with mental patients, who have chronic,severe and poor prognosis disorders for long time, and may have Work Burnout Syndrome (WBS). Worldwide, many researches are used Maslach Burnout Inventory (MBI) for assessing WBS. Our goal was to detect risk factors of WBS among mental health workers. We conducted the survey among workers mental (doctors, nurses and assistant nurses) and study design was a descriptive cross-sectional. We are used a questionnaire, is including MBI. Our subjects were 103 workers, who were 27 (26,2%) doctors, 32 (31,1%) nursesand 44 (42,75) nurse- assistant. They were 15 (14,6%) male and 88 (85,4%) female and average age was 38.21 (SD = 8.92). The worker’s average professional working year was 13.09 (SD = 9.76). Most of subjects (n=63 61.2%) were shift-workers and they (n=99 96.1%) have high workload. We determined 3 groups by level of MBS among mental workers, such as the group with EE’s high scale (n = 27; 27%), thegroup with DP’s high scale (n = 23; 22.8%) and the group with PA’s high scale (n = 50; 50.5%).MBS was high among NMHC’s workers. However their work time is low, but theyhave risk factors for MBI such as high workloads, shift work, number of patients. Workers of emergency department had termination burnout syndrome more than other acute departments. This was associated with working condition.

The result of the assessing delusion symptoms in alcohol related psychosis / Монголын Анагаах Ухаан

Background. Acute alcohol delusions of persecution usually show up delusions of persecution, which is begun auditory hallucination, illusion, fair, anxiety in night time. The patient may conduct to attempt suicide or social harmful activities from the fair and the anxiety. Therefore, we studied types of delusion in alcohol related psychosis and risks of social harmful activities due to delusion. Aim. To identify types of delusion in alcohol related psychosis, risks of social harmful activities due to delusion.Materials and Methods. The study was conducted on the 110 cases of suicide (100 cases among males and 10 cases among females). In the study used special questionnaire with 45 chapters and 431 questions. The current mental condition was identified by the objective and subjective history of patients with Michigan scale questionnaire.Results. We were compared forms of alcohol related psychosis to delusion symptoms, there were occurred 29.6% of 64 patients with delusions of persecution during withdrawal state with delirium without convulsions (F10.40) and 34.4% of 64 patients with delusions of persecution during predominantly delusional psychotic disorder (F10.52). Those patients in 37 case (or 33.6%) were with suicidal thinking and 20 patients (or 18.2%) made suicidal attempts. 23.4% of 64 patients with delusions of persecution, 24.07% of 54 patients with hallucinatory delirium made suicidal attempts.Conclusions. Delusion symptoms in alcohol related psychosis are belonged to clinical form and were showed up many types.

Study result of the anxiety among abused child and adolescents / Монголын Анагаах Ухаан

Background. The abuse experiences can change the normal development of the child with the consequences being visible after many years even throughout the whole life. The relation between childhood abuse and the psychiatric disorder in adulthood is reported in a great number of epidemiological studies and researches based on the clinical population surveillance. Numerous studies have significantly expressed the relation between childhood abuse and anxiety, the development of anxiety disorders. Limited research has shown a possible association between exposures to child abuse the risk of developing physical parameter changes as an adult.Goal. To study anxiety and some physical parameters among abused adolescentsMaterials and Method. There were selected46 abused children and 48 non abused children aged between 11-16 years old. The Spence Children’s Anxiety Scale (SCAS; Spence, 1997) is a38-item selfreport questionnaire that assesses multiple symptoms of childhood anxiety disorders based on current diagnosticcriteria. The height, weight, heart rate, breath rate and blood pressure of all participants in the study were measured according to standardized methodology.Results. Average age of all subjects in the study was13.51±1.61 and 60% of them were female and 41% male. All anxiety symptoms of case group was statistically significance higher (p<0.01) than the control group. Significantly more abused children (147.09±10.16) showed stunting compared to 4 sm of non-abused (151.53±10.26).Conclusion. In the present study, abused children were 2.8 times as likely as children with no maltreatment. Also significant stunting was found among abused children identified does differ from the growth of children who are not abused.

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.