CEPHALOMETRIC LINEAR MEASUREMENT AMONG MONGOLIAN 6 YEARS OLD CHILDREN / Шинэ санаа Шинэ нээлт

@#BACKGROUND Recent studies show malocclusion rate among Mongolian population is increasing year by year. Malocclusion has a strong relationship with dental caries and its complications. Cephalometric measurement norms are one of the important tools that are used for diagnosis and treatment of malocclusions. Nowadays there are no cephalometric linear measurement norms among Mongolian population according to age and sex. Background of this study was to determine cephalometric linear measurement norms among Mongolian children. METHODS Total 161 children of 6 years old were participated in this study and 79 (36 male and 43 female) children with normal occlusion were selected to determine cephalometric linear measurement norms. Winceph 11.0 program is was used for measurements. RESULTS From all participants’ children with normal occlusion occupied 49% (79 children). Result of measurement results shows no significant statistical differences between males and females. CONCLUSION These cephalometric linear measurements norms will be standard norms for Mongolian children and it is very important tool for orthodontic practice.

INCLUSION OF LONG TERM-CHRONIC MENTAL HEALTH PATIENTS FROM INPATIENT CARE AT NCMH IN CBR PROGRAMS / Шинэ санаа Шинэ нээлт

Health expenditure towards mental health is only 2% of all other health expenditure allocated to public health. Currently almost 64% of all that fraction xpendituregoesto hospital based care. It means that there is lack of resources or limitation for development of community basedmental health services in this country, where hospital based mental health system is still remain in place. Long term chronic patients occupied most hospital beds are usually homeless, have no caregivers, no family protection or have a families that could not support their mentally ill members. Traditionally National Center for Mental Health has been offering community based rehabilitation scheme in form of developing labor skills but its coverage and accessibility remains short. In other words it is open for those who admitted to an inpatient service only.For last years the center has been forged partnership with international NGO namely AIFO in cooperation to gradually expand its works toward development of community based rehabilitation programs for people with mental health problems. Study basis is a current need for an expansion and coverage of mental health care and services and priority development of community based services over inpatient care.To asses a current situation of long term chronic patients admitted to inpatient service, their inclusion to CBR programs, expansion possibility of mental health servicesTotal 450 cases of history were registered in an inpatient care in 2013. 170 cases of them were belong to long term patients (1 and over years) with 94 male (55.3% )and 76 female (44.7%) patients. From perspective of age: adult (30-49 years old) consists of main percentage (66.4%)of long term patients. 64 (57.1%)of that age group patients have diagnosis of schizophrenia. Age group of 10-19 years old consists of 0.6% with mental retardation diagnosis. Research shows that long term patients mostly have affective disorders, organic psychosis, mental retardation and schizophrenia. Schizophrenic patients consist of most percentage (52.9%) of long termpatients. Inpatient stay duration spans from 1 to 36 years for long term patients and 17 patients of them have been on permanent basis at the center. These inpatient care users usually have been re-admitting after from 2 weeks to 1 month of duration breaks and they all suffer fromschizophrenia.Currently 170 patients out 450 or 1 in 3 admitted to inpatient service department at NCMH are chronic patients. 80.6% of those frequent users consist of labor intensive 20-49 year olds. Need to develop and conduct community based rehabilitation programs at primary, secondaryand tertiary level of public health services, include chronic patients and also need to set up a nursery for chronic mental health patients.

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.

Analysis of the Predicted Size for Permanent Canine and Premolars / Монголын Анагаах Ухаан

Introduction: Among those prediction methods for estimating size of unerupted canine and premolars, Moyers and Tanaka-Johnston methods are most widely used, though the method-using radiograph is more accurate. Significant differences in tooth size exist among different ethnic groups. Therefore, an accurate prediction method for American white maybe less accurate for Mongolians. Objective: The purposes of the study were to develop new regression equations for predicting the size of the unerupted permanent canine and premolars in Mongolian children. Methods: Eighty-four males and eighty-three females in total 167 sets of dental cast of the permanent dentition aged 14.20.96 years were included in this study. The criteria of subjects selecting were following: all permanent teeth erupted (third molars may not be present), Angle I class fi rst molar relationship, no fi lling and no caries, no history of orthodontic treatment. The mesio-distal crown diameters were measured with a caliper to an accuracy of 0.05 mm. The data were processed with SPSS16.0 software package. Independent t-test and regression analysis were used for statistical analysis. Results: The development new linear regression equations with predictor sum 21|12 for predicting the size of the canine-premolar segment was based on the normative standard of mesio-distal crown diameters of permanent teeth in Mongolian children. The following new regression equations were developed for unerupted canines and premolars in Mongolian children Y=9.07+0.57*x in maxillary, Y=8.43+0.55*x in mandible arch. Discussion: This study confi rmed that the use of Moyers and Tanaka-Johnston prediction methods for mixed dentition analysis among Mongolian children were unsuitable. Both methods underestimated the size of caninepremolar segments. Conclusions: The following new regression equations were developed for interrupted canine and premolars in Mongolian children: y=9.11+0.57*x in maxillary and y=8.43+0.55*x in mandible arch.