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Endemic prevalence of hepatitis B and C in Mongolia: A nationwide survey amongst Mongolian adults 下载免费PDF全文
B. Dashtseren A. Bungert P. Bat‐Ulzii M. Enkhbat O. Lkhagva‐Ochir G. Jargalsaikhan A. Enkhbat O. Oidovsambuu J. Klemen N. Dashdorj N. Dashdorj Z. Genden D. Yagaanbuyant 《Journal of viral hepatitis》2017,24(9):759-767
In this study, a representative group of Mongolian adults was tested for hepatitis B virus (HBV) and hepatitis C virus (HCV). Screening was conducted at 17 different locations on a randomly sampled group, representing the Mongolian adult population. A total of 1158 adults, 500 (43.1%) men and 659 (56.9%) women were included. The prevalence estimates of HBV and HCV amongst the general Mongolian adult population were found to be 11.1%±1% (SE) and 8.5%±0.7% or 207 418 and 160 228 cases, respectively. For HCV, the majority of cases are concentrated in older age groups with a prevalence of 25.8% amongst those aged 50 years and above, whilst the prevalence of HBV does not vary significantly amongst age groups. For both, HBV and HCV, the data indicate a higher risk of infection and a higher mortality because of the hepatitis amongst men than amongst women. This study represents the first nationwide estimate of the prevalence of HBV in Mongolia and also considered the first for HCV since 2005 and confirm the position of Mongolia as one of the hot‐spots of chronic hepatitis infection in the world with about 19.4% of the adult population being infected with either HBV or HCV. 相似文献
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Rearing rats in social isolation from weaning induces robust behavioral and neurobiological alterations resembling some of the core symptoms of schizophrenia, such as reduction in prepulse inhibition of acoustic startle (PPI) and locomotor hyperactivity in a novel arena. The aim of this study was to investigate whether social isolation rearing induces volumetric remodeling of the limbic system, and to probe for anatomical structure–behavioral interrelations. 相似文献
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Assessing healthcare professional knowledge,attitudes, and practices on hypertension management. Announcing a new World Hypertension League resource 下载免费PDF全文
Norm R. C. Campbell MD Naranjargal Dashdorj MD PhD Uurtsaikh Baatarsuren MD Maral Myanganbayar BSc Myagmartseren Dashtseren MD PhD Tsolmon Unurjargal MD PhD Xin‐Hua Zhang MD PhD Eugenia Velludo Veiga RN PhD Hind Mamoun Beheiry MBBS PhD Sailesh Mohan MD MPH PhD Bader Almustafa MBBS DPHC ABFM SBFM ECHS Mark Niebylski PhD Daniel Lackland DrPH 《Journal of clinical hypertension (Greenwich, Conn.)》2017,19(9):830-832
To assist hypertension control programs and specifically the development of training and education programs on hypertension for healthcare professionals, the World Hypertension League has developed a resource to assess knowledge, attitudes, and practices on hypertension management. The resource assesses: (1) the importance of hypertension as a clinical and public health risk; (2) education in national or international hypertension recommendations; (3) lifestyle causes of hypertension; (4) measurement of blood pressure, screening, and diagnosis of hypertension; (5) lifestyle therapy counseling; (6) cardiovascular risk assessment; (7) antihypertensive drug therapy; and (8) adherence to therapy. In addition, the resource assesses the attitudes and practices of healthcare professionals for task sharing/shifting, use of care algorithms, and use of registries with performance reporting functions. The resource is designed to help support the Global Hearts Alliance to provide standardized and enhanced hypertension control globally. 相似文献
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Fong Tse-Ling Lee Brian T. Chang Mimi Nasanbayar Khishigsuren Tsogtoo Enkhjargal Boldbaatar Delgerbat Dashdorj Esugen D. Clifford Namuun E. Dashdorj Arghun N. Bang Bo-Ram Chida Takeshi Lim Carolina Sugiyama Masaya Mizokami Masashi Dashdorj Naranjargal J. Liu Ping Glenn Jeffrey S. Dashdorj Naranbaatar D. Saito Takeshi 《Digestive diseases and sciences》2021,66(8):2833-2839
Digestive Diseases and Sciences - Mongolia is a highly endemic region for chronic hepatitis B (HBV), hepatitis delta (HDV), and hepatitis C (HCV) infections. Aim of this study was to... 相似文献
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Friedrich Schotte Hyun Sun Cho Ville R. I. Kaila Hironari Kamikubo Naranbaatar Dashdorj Eric R. Henry Timothy J. Graber Robert Henning Michael Wulff Gerhard Hummer Mikio Kataoka Philip A. Anfinrud 《Proceedings of the National Academy of Sciences of the United States of America》2012,109(47):19256-19261
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Maral Myanganbayar Uurtsaikh Baatarsuren Guanmin Chen Norm R. C. Campbell Roberta Bosurgi Geoffrey So Tsolmon Unurjargal Myagmartseren Dashtseren Namkhaidorj Tserengombo Batbold Batsukh Andreas Bungert Naranbaatar Dashdorj Naranjargal Dashdorj 《Journal of clinical hypertension (Greenwich, Conn.)》2019,21(8):1202-1209
Increased blood pressure is a leading risk for death globally, and interventions to enhance hypertension control have become a high priority. An important aspect of clinical interventions is understanding the knowledge, attitudes, and practices (KAP) of differing primary healthcare practitioners. We examined KAP surveys from 803 primary care practitioners in Ulaanbaatar, Mongolia (response rate 80%), using a comprehensive KAP survey developed by the World Hypertension League (WHL). The WHL KAP survey uniquely includes an assessment of key World Health Organization recommended interventions to enhance hypertension control. There were few substantive differences between healthcare professional disciplines. Primary care practitioners mostly had a positive attitude toward hypertension management. However, confidence and practice in performing specific tasks to control hypertension were suboptimal. A low proportion indicated they systematically screened adults for hypertension and many were not aware of the need to or were confident in prescribing more than two antihypertensive medications. It was the practice of a high proportion of doctors to not pharmacologically treat most people with hypertension who were at high cardiovascular risk. There was a reluctance by physicians to task share hypertension diagnosis, drug prescribing and assessing cardiovascular risk to nurses. The minority of health care professions use a hypertension management algorithm, and few have patient registries with performance reporting functions. There were few substantive differences based on the age, gender, and years of clinical practice of the practitioners. The study findings support the need for standardized education and training of primary care practitioners in Ulaanbaatar to enhance hypertension control. 相似文献
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Since its transition to democracy, Mongolia has undergone a series of reforms, both at national level and in the health sector. This paper examines the pace and scope of these reforms, the ways in which they have impacted on sexual and reproductive health services and their implications for the health workforce. Formerly pro-natalist, Mongolia has made significant advances in contraceptive use, women's education and reductions in maternal mortality. However, rising adolescent pregnancy and sexually transmitted infections, and persisting high levels of abortion, remain challenges. The implementation of the National Reproductive Health Programme has targeted skills development, outreach and the provision of resources. Innovative adolescent-friendly health services have engaged urban youth, and the development of family group practices has created incentives to provide primary medical care for marginalised communities, including sexual and reproductive health services. The Health Sector Strategic Masterplan offers a platform for coordinated development in health, but is threatened by a lack of consensus in both government and donor communities, competing health priorities and the politicisation of emerging debates on fertility and abortion. With previous gains in sexual and reproductive health vulnerable to political change, these tensions risk the exacerbation of existing disparities and the development by default of a two-tiered health care system. 相似文献