Central Asian Journal of Medical Sciences https://mongoliajol.info/index.php/CAJMS <p><em>The Central Asian Journal of Medical Sciences (CAJMS)</em> is an official English publication of the Mongolian National University of Medical Sciences. CAJMS aims to advance knowledge in medicine, dentistry, public health, nursing, pharmacy and traditional medicine. CAJMS also aims to promote contact between basic and clinical medicine and dentistry. CAJMS is an international journal and has a special focus on research conducted in Central Asian countries including Afghanistan, China, Kazakhstan, Kyrgyzstan, Mongolia, Russia, Tajikistan, Turkmenistan, and Uzbekistan.<br /><br />However, CAJMS welcomes contributors and readers from all countries. Only articles of high quality which present research that makes significant and original contributions are selected for publication. CAJMS includes Editorials, Review Articles, Original Articles, Brief Communications, Case Reports, and Book Reviews.</p> <p><strong>Abstracting and indexing in <a title="Google Scholar" href="https://scholar.google.com" target="_blank" rel="noopener">Google Scholar</a>, <a title="CAJMS" href="https://app.dimensions.ai/discover/publication?and_facet_source_title=jour.1358335" target="_blank" rel="noopener">Dimensions</a> and <a title="CAJMS" href="https://doaj.org/toc/2414-9772" target="_blank" rel="noopener">DOAJ</a>,</strong></p> Mongolian National University of Medical Sciences en-US Central Asian Journal of Medical Sciences 2413-8681 Knowledge of the Adverse Effects of Smoking and Related Changes in Smoking Status during Pregnancy among Female Smokers https://mongoliajol.info/index.php/CAJMS/article/view/3247 <p>No abstract in English</p> Odonchimeg Purev Manduul Enkhjargal Batgerel Oidov Baigalmaa Luvsandagva Myagmartseren Dashtseren Shota Ogawa Kunihiko Hayashi Yoshito Tsushima Hiromitsu Shinozaki Copyright (c) 2023 Mongolian National University of Medical Sciences https://creativecommons.org/licenses/by-nc/4.0 2023-09-30 2023-09-30 9 3 115 116 10.24079/cajms.2023.09.001 KIMURA’S DISEASE: Presenting as unilateral parotid mass https://mongoliajol.info/index.php/CAJMS/article/view/3252 <p><strong>Objectives:</strong> Kimura’s disease (KD), or eosinophilic lymphogranuloma, is a rare chronic inflammatory condition with unclear etiology. We aim to present our experience with this condition and review the available literature. <strong>Methods:</strong> This report depicts a pathologically proven case of KD in a 44-year-old man with gradually increased swelling in his left parotid region for the past year, which was painless, and pruritus. <strong>Results:</strong> This report depicts a pathologically proven case of KD in a 44-year-old man with gradually increased swelling in his left parotid region for the past year, which was painless, and pruritus. <strong>Conclusion</strong>: This report depicts a pathologically proven case of KD in a 44-year-old man with gradually increased swelling in his left parotid region for the past year, which was painless, and pruritus.</p> Khaliun Erdenebat Gantuya Purevjav Nyamdulam Dagvadorj Enkhjin Enkhjargal Gantsetseg Zolboot Uugantamir Munkhsonguuli Odkhuu Jamts Khaliun Badamkhatan Erdenepurev Enkhbold Enkhzul Zayabat Uranchimeg Bayarmagnai Norovbanzad Dagvabazar Sayamaa Lkhagvadorj Copyright (c) 2023 Mongolian National University of Medical Sciences https://creativecommons.org/licenses/by-nc/4.0 2023-09-30 2023-09-30 9 3 147 152 10.24079/cajms.2023.09.006 Molecular Confirmation of the Causative Agents of Diarrhea and Its Antimicrobial Susceptibility Tests https://mongoliajol.info/index.php/CAJMS/article/view/3248 <p><strong>Objectives:</strong> This study aimed to investigate molecular confirmation of the causative agents of diarrhea and its antimicrobial susceptibility tests in the samples collected from patients who have symptoms of diarrhea. There is a relative lack of diagnostic studies on the causative agents of diarrhea in Mongolia, especially on the causative agents of bacterial diarrhea and their antibiotic susceptibility. <strong>Methods:</strong> A rectal swab and stool sample were taken from 187 patients admitted to the NCCD Mongolia with a diagnosis of diarrhea and infection between June 2018 and April 2020 using a hospital-based instantaneous survey model, and bacteriology, molecular biology, and antibiotic susceptibility testing were performed at the laboratory of Bacteriology and Immunology, Institute of Veterinary Medicine. <strong>Results:</strong> Of the 187 samples, N=127 (67.9%), p&lt;0.01) were confirmed by simple and multiplex PCR, and <em>Salmonella spp., Shigella spp., E.Coli, and S.aureus</em> were detected in n=20 (15.7%), n=16 (12.6%), n=20 (15.7%), and n=7 samples (5.5%), respectively. Multiplex PCR 3 samples did not detect the 16s rRNA gene of <em>Campylobacteraceae</em> and <em>C.jejuni</em> or cdt <em>C gene</em> of <em>C.coli</em>, all of which were negative. Therefore, multiplex PCR was performed for foursamples to detect pathogenic bacteria, and samples were <em>E. coli</em> positive but not <em>campylobacter, salmonella, and shigella</em>. <strong>Conclusion:</strong> 126 (67.4%) children aged 1-5 years were the most affected by foodborne infection, and most of the diarrhea causative agents detected were <em>Salmonella spp, Shigella spp, E.Coli, </em>and <em>S.aureus.</em>&nbsp;</p> Enerel Enkhbayar Narangerel Baatar Avarzed Amgalanbaatar Oyungerel Ravjir Copyright (c) 2023 Mongolian National University of Medical Sciences https://creativecommons.org/licenses/by-nc/4.0 2023-09-30 2023-09-30 9 3 117 124 10.24079/cajms.2023.09.002 Assessment of Laser in Situ Keratomileusis Flap Predictability by Laser and Moria Microkeratome https://mongoliajol.info/index.php/CAJMS/article/view/3249 <p><strong>Objective:</strong> In the present study, we compared LASIK flap thickness predictability created by a FS laser versus a Moria microkeratome in Mongolian patients. <strong>Methods:</strong> A total of ninety-six candidates for the LASIK procedure were stratified into two groups: FS laser-assisted and MK flap creation. Flap thickness was determined at five points. The side-cut angle was measured in three directions at the margin interface. LASIK flap assessment was performed one month postoperatively by Spectralis anterior segment optical coherence tomography. <strong>Results:</strong> Ninety-five participants (190 eyes) were recruited; 190 eyes were stratified to the FS group and 78 eyes to the MK group. The FS group had relatively even flap configurations, and the MK group had meniscus-shaped flaps. Regarding CR-sphere and cylinder, there was significant difference between 2 groups. The mean cylinder was -1.216 ± 0.924 in FS group while it was -0.730 ± 0.738 in MK group. Similarly, the mean sphere was -3.635 ± 2.031 in FS-LASIK group and -2.984 ± 1.502 in MK-LASIK group. The side-cut architecture varied among the two groups. OCT-C and OCT1Temporal values were significantly different between two groups. <strong>Conclusion</strong>: Improving the predictability of LASIK flap thickness and morphology is significantly important.</p> Tsetsegjargal Baasanjav Uranchimeg Davaatseren Davaalkham Dambadarjaa Baasankhuu Jamyanjav Uranchimeg Davaatseren Copyright (c) 2023 Mongolian National University of Medical Sciences https://creativecommons.org/licenses/by-nc/4.0 2023-09-30 2023-09-30 9 3 125 130 10.24079/cajms.2023.09.003 Evaluation of Knowledge and Attitudes toward Euthanasia between Physicians and Caregivers https://mongoliajol.info/index.php/CAJMS/article/view/3251 <p><strong>Objective:</strong> This study aimed to estimate the knowledge of the legal regulation of euthanasia and painless death among terminally ill patients, their caregivers, and attending physicians. <strong>Methods</strong>: The study was conducted using an analytical survey design and evaluated by a questionnaire of the target sample group. <strong>Results</strong>: According to the patient’s age group, those under 49 were most likely to support euthanasia at 93.1%, and those over 50 were 73.3%. Furthermore, 87.5% of those who said they had financial problems, 91.7% of those who said they had long queues at the hospital, difficulty in getting medical care, 66.7% of those who said they were bedridden or had a lot of pain, and 100% of those who said they would have mental depression or other problems were in favor of euthanasia. In the physicians, 96.6% of the doctors who participated in the study said they knew about euthanasia, 100% of those who believed that euthanasia was ethical and knew the types of euthanasia, and 95% of those who thought that there were ethical differences in the types of euthanasia, supported euthanasia. <strong>Conclusion</strong>:Our study demonstrated that caregivers generally support the legalization of euthanasia. 70.8% of those who said that euthanasia could be performed by medical indications, 79.2% of those who said that it could be performed at the request of the patient, 54.2% of those who said that it could be performed at the request of the family of a patient without legal capacity, and 35.4% of those who said that it could be performed at the request of a treating physician tended to support euthanasia.</p> Sukhbaatar Chuluunsukh Minjuur Tserenbat Enkhbat Bayarmaa Tseren Tuvshinjargal Tseren Tuvshinjargal Copyright (c) 2023 Mongolian National University of Medical Sciences https://creativecommons.org/licenses/by-nc/4.0 2023-09-30 2023-09-30 9 3 131 139 10.24079/cajms.2023.09.004 The Effect of Panzeria Alaschanica Kupr. on Carrageenan-Induced Acute Inflammation in Rats https://mongoliajol.info/index.php/CAJMS/article/view/3250 <p><strong>Objectives:</strong> In the present study, we aimed to investigate the effect of Panzeria alaschanica Kupr. (P. alaschanica) on carrageenan-induced acute inflammation in rats. <strong>Method:</strong> Carrageenan-induced rat paw edema was used to evaluate the anti-inflammatory activity. P. alaschanica extract (32, 64, and 160 mg/kg/ BW) or vehicle was given orally 60 minutes before the subplantar injection of carrageenan. Ibuprofen (100 mg/kg) was used as a standard drug. The carrageenan-injected paw was measured 30, 60, 120, 180, and 240 minutes after the carrageenan injection. The levels of serum tumor necrosis factor (TNF)-α, interleukin (IL)-ELISA measured 1β, and IL-6. <strong>Results:</strong> The P. alaschanica at all given doses significantly (p˂0.01) inhibited carrageenan-induced rat paw edema. Moreover, it significantly reduced TNF-α, IL-1β, and IL-6 serum levels at different doses (p˂0.01). The anti-inflammatory effect of P. alaschanica was comparable to ibuprofen. <strong>Conclusion</strong>: P. alaschanica has an anti-inflammatory impact on carrageenan-induced paw edema in rats. The mechanism of action may partly be via reducing the levels of pro-inflammatory cytokines such as TNF-α, IL-1β, and IL-6.</p> Hu Bi Si Ha La Tu Khaliunaa Tumurbaatar Chimedragchaa Chimedtseren Tsend-Ayush Damba Tsogt Bukhbayar Tsend-Ayush Damba Copyright (c) 2023 Mongolian National University of Medical Sciences https://creativecommons.org/licenses/by-nc/4.0 2023-09-30 2023-09-30 9 3 140 146 10.24079/cajms.2023.09.005 Performance Management in Healthcare: From Key Performance Indicators to Balanced Scorecard https://mongoliajol.info/index.php/CAJMS/article/view/3253 <p>No abstract in English</p> Lkhagvasuren Baasandorj Altantuya Sukhbaatar Copyright (c) 2024 Mongolian National University of Medical Sciences https://creativecommons.org/licenses/by-nc/4.0 2023-09-30 2023-09-30 9 3 153 154 10.24079/cajms.2023.09.007