“Walk30X5”: the development and feasibility evaluation of a physiotherapy walking programme for people with mild to moderate musculoskeletal conditions

Physiotherapy ◽  
2017 ◽  
Vol 103 ◽  
pp. e23-e24
Author(s):  
C.J. Minns Lowe ◽  
K. Milton ◽  
P. Kelly ◽  
C. Foster ◽  
K. Barker
Physiotherapy ◽  
2020 ◽  
Vol 107 ◽  
pp. 275-285
Author(s):  
Catherine J. Minns Lowe ◽  
Paul Kelly ◽  
Karen Milton ◽  
Charlie Foster ◽  
Karen Barker

2019 ◽  
Author(s):  
Tayana Soukup ◽  
Ged Murtagh ◽  
Ben W Lamb ◽  
James Green ◽  
Nick Sevdalis

Background Multidisciplinary teams (MDTs) are a standard cancer care policy in many countries worldwide. Despite an increase in research in a recent decade on MDTs and their care planning meetings, the implementation of MDT-driven decision-making (fidelity) remains unstudied. We report a feasibility evaluation of a novel method for assessing cancer MDT decision-making fidelity. We used an observational protocol to assess (1) the degree to which MDTs adhere to the stages of group decision-making as per the ‘Orientation-Discussion-Decision-Implementation’ framework, and (2) the degree of multidisciplinarity underpinning individual case reviews in the meetings. MethodsThis is a prospective observational study. Breast, colorectal and gynaecological cancer MDTs in the Greater London and Derbyshire (United Kingdom) areas were video recorded over 12-weekly meetings encompassing 822 case reviews. Data were coded and analysed using frequency counts.Results Eight interaction formats during case reviews were identified. case reviews were not always multi-disciplinary: only 8% of overall reviews involved all five clinical disciplines present, and 38% included four of five. The majority of case reviews (i.e. 54%) took place between two (25%) or three (29%) disciplines only. Surgeons (83%) and oncologists (8%) most consistently engaged in all stages of decision-making. While all patients put forward for MDT review were actually reviewed, a small percentage of them (4%) either bypassed the orientation (case presentation) and went straight into discussing the patient, or they did not articulate the final decision to the entire team (8%). Conclusions Assessing fidelity of MDT decision-making at the point of their weekly meetings is feasible. We found that despite being a set policy, case reviews are not entirely MDT-driven. We discuss implications in relation to the current eco-political climate, and the quality and safety of care. Our findings are in line with the current national initiatives in the UK on streamlining MDT meetings, and could help decide how to re-organise them to be most efficient.


2018 ◽  
pp. 66-68
Author(s):  
V. B. Tikhonov

Modern radio-electronic systems (RES) of weapons and military equipment (WME) are more functionally and structurally sophisticated that results in high requirements for their effective operation organisation. Insufficient level of technical knowledge among RES WME operational and maintenance personnel often results in increase of operability restoration period of these items in case of failures. This, in its turn, results in decrease of the readiness level of the RES WME pieces. In order to reduce duration of the RES WME restoring repair in case of failures, methods and tools of the auto-mated informational support of the operational and maintenance personnel activities related to the WME operation and restoring repair are developed. This article is devoted to development of a model of the automated informational support of the personnel activities in order to find rational options of the RES WME maintenance and repair organisation. The study results related to feasibility evaluation and development of the automated technical operation system model for the radio-electronic equipment incorporated in the AD WME are provided.


2021 ◽  
pp. 155335062110069
Author(s):  
Panayiotis D. Megaloikonomos ◽  
Olga D. Savvidou ◽  
Asimina Vlachaki ◽  
Vasilios G. Igoumenou ◽  
Konstantinos Vlasis ◽  
...  

Greece, one of the oldest civilizations of the world, fundamentally contributed to the establishment and evolution of medicine and surgery. Undoubtedly, the foundations of the orthopaedic science are dated back to antiquity. The journey of the orthopaedic art was inaugurated with the poems of Homer and incarcerated through the practices of Hippocrates and Galen. Their deep knowledge of the musculoskeletal conditions and their treatment was generously bequeathed to humanity. This heritage acted as the catalyst for the establishment of orthopaedics in the modern Greek era. In this article, we tried to illustrate the evolution of the orthopaedic art in Greece from antiquity to modern times, reviewing the available evidence from scientific articles, books, historical manuscripts, old newspapers, and biographies. We summarize the most important events, and we identify the pioneers that shaped this new surgical branch, creating the modern Greek orthopaedic discipline.


Sign in / Sign up

Export Citation Format

Share Document