1.Quantitative Ultrasound (QUS) for the Assessment of Bone Health
Aqilah-SN SMZ ; Zulfarina SM ; Nazrun AS ; Sabarul AM ; Isa NM
Medicine and Health 2014;9(1):1-10
Osteoporosis is known as a silent disease because bone density slowly decreases with advancing age and without symptoms. The incidence of osteoporosis is increasing yearly worldwide. Measuring bone mineral density (BMD) using conventional bone densitometry (DXA) is practical in diagnosis of osteoporosis but the cost is high and cannot be implemented in community. However, quantitative ultrasound (QUS) is a modern technique to measure the bone density and also for the diagnosis of osteoporosis. It is comparatively easy, reliable, less costly, and a safe method compared to other techniques. QUS consists of two main parameters which are known as broadband ultrasound attenuation (BUA) and speed of sound(SOS). QUS can also predict fracture risk of BMD. QUS showed significantly
associated with BMD, bone micro architecture and mechanical parameters for In vitro studies and in human studies, QUS were found to be associated with BMD. Hence, QUS is capable to be new technique for bone assessment.
Osteoporosis
;
Bone Density
2.The Impact of a Patient Education Package on Outcomes of Pain Management Following Orthopaedic Surgery in a Tertiary Hospital in Malaysia
Ho SE ; Wan Ahmad L ; Christopher CK Ho ; Tan ZY ; NurSharifah MS ; Choy YC ; Jaafar MZ ; Sabarul AM ; Sharaf I
Medicine and Health 2015;10(1):58-65
Patient’s belief towards pain management may affect pain management outcomes
and quality of life. The main aim of the present study was to determine the impact
of a pre-operative pain education package towards pain belief among patients
undergoing orthopaedic surgery in a tertiary hospital. A one-group pre-test post-test
design study was conducted on orthopaedic surgery patients. Thirty respondents
were recruited and pre-operative pain education was administered individually
before surgery. Pre-operative and post-operative pain belief, management scores
and side effects were measured using the Barrier Questionnaire (BQ-13). The results
reported significant differences between pre-test scores (Mean = 41.87, Standard
Deviation = 11.467) and post-test scores (Mean=34.80, Standard Deviation=13.026)
of pain belief (t = 2.84, p = 0.004). There were also significant differences between
pre-test scores (Mean = 37.10, Standard Deviation = 10.610) and post-test scores
(Mean=30.80, Standard Deviation = 11.424) of pain management (t = 3.856, p
= 0.0005). Respondent’s gender (t = -2.403, p = 0.023) and ethnicity (F = 5.038,
p=0.014) reported significant differences with p value < 0.05, respectively. However,
there were no significant differences between educational level, ethnicity, prior
surgical history with pain belief (p> 0.05). There was positive impact of the pain
education package towards pain belief and painmanagement among respondents
who underwent orthopaedics surgery in a tertiary hospital. Reinforcement of pain
educational program is pivotal in order to achieve optimal post-operative pain
management.
Pain management