Mobile health (m-health) has become one of most concerned and developing areas in
healthcare industry. There are large numbers of m-health application available in the market. Yet,
neither theorist nor practitioners has discover or develop a framework in evaluating the impact of nonclinical
m-health application. In healthcare industry, it is very important for an m-health application
to be tested first before release to market, as this could lead to negative impact towards user especially
patients. Money could be wasted and the m-health apps might not derived correct output. To avoid a
failure in using non-clinical m-health application, the impact of using it need to be evaluated.
Nonetheless, to come out with a proposed framework for m-health apps evaluation, the theories and
results of the existing frameworks should be referred to. Thus, this research aimed to discuss on the
previous frameworks that are possible to be used as reference in proposing the intended framework.
The new developed framework is expected to be significant and valuable for all m-health developers
and doctors in the design and use of non-clinical m-health application.
ABSTRACT
Objectives: To evaluate the influence of music in reducing patients’ anxiety during periodontal surgery. Methods:
This is a clinical trial of involving fifteen patients undergoing periodontal surgery. Patients indicated for
periodontal surgery were invited to participate in the study, and randomly assigned to music (n=8) or control
(n=7) groups. Participants’ dental anxiety were determined using the Corah Dental Anxiety Scale (CDAS) before
and after the surgery, while their blood pressure (BP) and heart rate (HR) were recorded at pre-, intra- and
post-procedures. Paired t-test was used to compare the statistical significant difference between pre- and postprocedural anxiety for both groups. Result: The participants of this study consist of 22 patients that underwent
periodontal surgery procedures, with majority of the subjects (53.3%) were males (n=8) and the mean age was
50.8 (SD=13.21). The measurement of blood pressure increased in patients allocated in music group compared
to control group were statistically significant with (p
Patients with rheumatoid arthritis (RA) experience a higher prevalence of periodontitis. This study aimed to examine the variation of periodontitis experienced with different serotypes suffered by RA patients and to examine the relationship between the different medications taken for RA that may influence this relationship. Two hundred and sixty RA and control participants underwent standardized periodontal examinations. Medical, serological and radiological (Sharp/van der Heijde) records were assessed. Functional status was assessed using the administered Health Assessment Questionnaire. Moreover, disease parameters, including disease activity (DAS28-ESR) and anti-citrullinated protein antibodies (ACPA) and rheumatoid factor (RF) seropositivity were evaluated. Periodontitis was higher in RA (71.54%) compared with controls (54.62%). The stage of periodontitis experienced by ACPA-positive participants were higher than APCA-negative participants. The probing pocket depth and recession experienced by RF-positive participants were higher than those who were RF-negative. RA participants on methotrexate had lower clinical attachment loss and lower periodontal probing depth compared with participants on a combination methotrexate and other disease-modifying antirheumatic drugs. Participants taking corticosteroids had lower gingival index scores. The association between seropositivity and the type of medications taken with periodontal health parameters in this group of patients suggests that both seropositivity and medications taken are important modifiers in the relationship between periodontitis and RA.
Osteoarthritis (OA) patients have decreased functional ability and restricted access to healthcare facilities and are on a spectrum of medications. These can impact their oral health. This study aims to investigate the association between periodontal disease and OA disease parameters, specifically the functional disability and the medications taken. This was a cross-sectional study on OA participants recruited from the Hospital Canselor Tuanku Mukhriz. Periodontal health parameters were obtained from an oral examination of the participants. A Health Assessment Questionnaire (HAQ) was administered to ascertain the functional status of the participants. Out of the 130 participants recruited, 71 (54.6%) had periodontitis. There was a correlation between the teeth count with OA severity, where participants with a greater Kellgren-Lawrence score had less teeth (rs = 0.204, p = 0.025). Participants with a greater degree of functional limitation also had less teeth (rs = -0.181, p = 0.039) and a higher clinical attachment loss (rs = 0.239, p = 0.006). There were no associations found between the symptomatic slow-acting drugs in OA and periodontal health parameters. In conclusion, there was a high proportion of periodontitis in patients with OA. Functional disability was associated with measures of periodontal health. It is suggested that clinicians treating OA patients consider the need for a referral for dental care when managing this group of patients.