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Introduction@#Mostly fever change influences for heart and vital vessel and it is important for future treatment to compare difference of diagnosis and treatment feature of heart-disease in fever change. @*Goal@#To compare difference of pain, feature, treatment and diagnosis when reduced fever change in heart@*Materials and Methods@#The study was conducted using methods of ‘Comparing manuscript sources studies’, ’Analyses and syntheses’ for determining numbers and described with ‘Hermeneutics’ methodology. The study was based on approved methodology and ethical review in December 2018@*Result@#Fever could be directly matter of death because it should be needed to pay attention for method of treatment, to make research for general medicine of fever, to make research other organs & heart, to take medicine within ice sweet, to reduce fever and to treat through cautery, oily cream and ointment.@*Conclusion@#</br>1. Most diagnostic and pain of fever influence for heart and it depends on process of fever accordance with our research collection. </br>2. It is possible to consider similarly pain, diagnosis and treatment of heart pneumonia and heart fever based on classification of general heart disease of science of medicine.
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Introduction@#There is a sutra named “Detail explanatory of Ma la ya'i mystery and the giver everything wanted” (Ma la ya'i dka' 'grel 'dod pa 'jo ba) written by Mi'i nyi ma mthong ba don ldan, a Tibetan, which is considered as one of the undisputed ancient articles of Indian and Tibetan Medicines and to which Mongolian medical researchers in Mongolia and in Inner Mongolia, China haven't paid attention yet, so it is still not included in the scope of medical research work until now. </br>The sutra has an advantage that the place where the spring comes out is written in detail. Therefore, we now should thoroughly analyze the source place and features of the springs in order to convey a clear orderly understanding to future scholars by summarizing the research aligning it with traditional medical theory, and schematically mapping. @*Goal@#To make clearer the scholars' views of the four mountains included in the book “Rsta b’ai rgyud” and its theoretical and other concepts, as well as to analyze and conclude the interrelationships and features of springs in Ma la ya'i mountain. @*Materials and Methods@#In this research, I have studied the theory of Four mountains included in the book “Rsta b’ai rgyud” using the analyzing methods for original and source documents and summarized by the method of analysis and synthesis, as well as chosen the literature named “Detail explanation of Ma la ya'i mystery and the giver everything wanted” by sampling method and shown making sketch for the interrelations and features of springs by Hermeneutic method. @*Results@#As descried by a person named Gyutog yontan mgonpo (Gyutog yontan mgonpo) in terms of Foreign, Domestic and Secret Medicine Palaces, and according to the relevant sutras and mantras that said about them, the springs have the ability to heal diseases with the participation of earth directions, flora and fauna around the mountain and other factors. The sketch was clearly shown for the springs. @*Conclusion@#I believe that the debates about the Medicine Palace are highly dependent on the chronology in which the researchers lived and their own traditional ways. Currently, the five explanatory manuscripts written through XII - XX centuries about Medicine Palaces and Springs in Ma la ya'i Mountain have been found, among which, specially, the section written about the springs in the sutra named “Detail explanatory of Ma la ya'i mystery and the giver everything wanted” is a big thick book that was made at the level of "Great Explanation" in terms of its content. Therefore, I consider that this literature has become a new cognitive valuables added to the modern research resource because the knowledge of springs was presented greatly in depth and detail in this paper work.
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Introduction@#It is necessary and right to study and analyze all aspects of drug materials now when number of mineral based drugs are reducing. Especially it is very important for further researches to properly establish names and number of raw materials for traditional drugs based on ancient scripts.@*Goal@#To carry out comparative study on mineral based drugs numbers and their differences mentioned in Mongolian and Tibetan manuscripts about drug identification methods using ‘Four basics of medicine’ book and its interpretations as a source.@*Materials and Methods@#The study was conducted using methods of ‘Comparing manuscript sources studies’, ‘Analyses and syntheses’ for determining numbers and described with ‘Hermeneutics’ methodology. The study was based on approved methodology and ethical review in December 2018. @*Results@#As it was compiled from manuscripts number of drugs mentioned in Four basic roots of medicine was 57, Ancestors’ important teachings – 68, Blue binderya – 77, Golden descript – 87, Clear crystal beads about medicine – 134, White crystal mirror – 121, Beauty eyes décor – 96. It is seen that books written about mineral based drugs became more comprehensive compared with previous manuscripts and authors were trying to reflect their on drug identification methods and ideas.@*Conclusion@#</br>1. The same time it evidences that traditional medicine was enriched year by year with innovation and searches of every generation scientists. </br>2. In “The four basics of medicine” manuscript theoretical book they described 57 mineral based traditional drugs but in other studies that number increased to 121 which means in manuscripts like “Basics of magic” and “Basics of future” drugs used that time were described more comprehensive.
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BackgroundLeft ventricular hypertrophy (LVH) is associated with a substantially increased risk of cardiac morbidity and mortality [1-4], so its detection is of major importance, especially for individuals with hypertension or other cardiovascular risk factors. There are many criteria for the diagnosis of left ventricular hypertrophy based on the electrocardiogram but specificity and sensitivity are different depending on age, sex, obesity and ethnicity.GoalThe present study was conducted to determine the sensitivity and specificity of Romhilt-Estes point score criteria of ECG for the assessment of left ventricular hypertrophy by comparing it with the gold standard of echocardiography.Materials and Methods154 clinically diagnosed patients with primary arterial hypertension were included in this study. ECG of the patients was recorded and Romhilt-Estes score criteria calculated. This was followed by echocardiography and left ventricular mass and left ventricular mass index was calculated.ResultsIt was found that Romhilt-Estes score criteria had a sensitivity of 34.9% and specificity of 96.7%. The positive predictive value was 97.73 %whereas negative predictive value was 27.27 %.ConclusionsSensitivity of the criterion Romhilt-Estes score criteria was relatively poor for the diagnosis of left ventricular hypertrophy in patients with arterial hypertension. But specificity of Romhilt-Estes score criteria was high.
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Introduction: The World Health Organization describes poor adherence as the most important cause of uncontrolled blood pressure and estimates that 50–70% of people do not take their antihypertensive medication as prescribed.Goal was to measure non-adherence to antihypertensive therapy in a representative sample of the hypertensive Mongolian population and to define the factors associated with non-adherence in the studied population.Materials and Methods:This descriptive study was a questionnaire-based cross sectional analysis. A simple random sample of 735 hypertensive patients, aged 35-64 years was selected. The questionnaire included sociodemographic characteristics and awareness about hypertension and anti-hypertensive treatment, and factors that encouraged or discouraged the patient’s drug taking behavior. Adherence was assessed using the Morisky Medication Adherence Scale (MMAS), with a 4-item questionnaire. Blood pressure was measured twice by the physicians using aneroid sphygmomanometers and stethoscopes. Results and Discussion: The study sample consisted of 265 men (36.1%) and 470 women (63.9%). The mean age of participants was 53.8 ± 8.7 years. The non adherence to medical treatment found in the our study was 68.3% of hypertensive patients. We found younger age (35-44), low family income, not having a regular doctor towards hypertension control, behaviour not taking drug regularly, monotherapy and lack of patient’s knowledge to be the significantly factors influencing on non-adherence to anti-hypertensive medication among Mongolian hypertensive population. The non adherence to antihypertensive treatment found in the current study was higher than that of 25.9%-55.8% found in the study done in Malaysia, Pakistan and Egypt and lower than what a study in the Bangladesh , India and Brazil (74.2%-90.0%)population.Conclusion: The level of adherence to treatment among the participants in this study seriously needs to be improved through well designed health promotion and education strategies in order to prevent poor treatment outcomes.
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Background According to the report of World Congress of Cardiology in 2007, 1.5 billion people had hypertension and 45% of hypertensive people were unaware of their condition. In our country, some study had provided estimation of risk factors and prevalence of hypertension, but main characteristics presenting the early detection and control of hypertension have not been studied well and information does not exist.The quality of the control, registration and early detection of hypertension will be improved by studying this topic and complications and mortality due to the hypertension could be decreased.GoalThe aim of our study is to evaluate the current situation of the early detection, registration and control of hypertension, and to describe future strategyObjectives:1. To describe the hypertension awareness and risk factors associated with early detection of hypertension2. To evaluate the current situation of registration system of hypertension and to find out the strategies for renewing registration system3. To investigate the rates of the treatment and control of hypertension, and to survey factors associated with the control of hypertensionMaterials and MethodIt was population based, cross sectional, prospective study. Participants of the study were selected by randomized method.In the study, 1103 individuals, 133 physicians and 2 family hospitals located in Bayanzurkh, Songinokhairkhan districts, were surveyed. The study based on questionnaire and BP measurement which aimed to reveal:• Hypertension awareness (%)• Treatment (%)• Control (%)Software program name: Arterial hypertension registration and control Objectives of the program: to evaluate registration of arterial hypertension, to detect earlier, to determine control level of hypertension Users: family hospitals, family doctorsType of morbidity registration: population basedStatistical analysis was performed with SPSS-17 software program. Single- and multi-factorial analysis was explored by using simple and logistic regression and significance.ResultsIn the study, in total, 1103 people aged of ≥18 years living in Bayanzurkh and Songinokharkhan districts of Ulaanbaatar, have been involved. 37% of all participants were male and 63% were female and mean age of all participants was 40.6±16.1. According to our study, 305 individuals of 431 hypertensive participants (70.8%) were aware of their hypertension. This result was different in gender: 58.0% in male, 79.0% in female. Our research team created software program that can integrate all hypertension data to one database. We are planning to determine unawereness; aware and treated; treated and controlled; and uncontrolled levels by using this software and to introduce the program created by us to all primary level physicians in order to use routinely.Conclusions:1. Among hypertensive individuals, awareness of hypertension was 70.8%. Factors such as young age (<35), single people and not measuring BP for the last one year influence negatively on early detection of hypertension (p<0.05).2. Current method of hypertension registration is not proper at the time. Therefore, we concluded that renewing of the arterial hypertension registration database and conversion it into electronic type is convenient to control arterial hypertension and to provide integration.3. Treatment level of arterial hypertension was 39.9%, controlled arterial hypertension among all hypertensive population - 10.2% and among treated population – 25.2%.
