Osteoarthritis (OA) imposes a significant burden to the person, the health system and the community. Models of Care (MoCs) drive translation of evidence into policy and practice and provide a platform for health system reform. The Victorian MoC for OA of the hip and knee was developed following a best-practice framework, informed by best-evidence and iterative cross-sector consultation, including direct consumer consultation. Governance and external expert advisory committees consisting of local OA care champions facilitated the development and consultation processes. The MoC outlines key components of care, care that is not recommended, and suggests phased implementation strategies. This paper describes the MoC development process and lessons learned.
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http://dx.doi.org/10.12927/hcpol.2018.25686 | DOI Listing |
J Clin Med
December 2024
Clinical Department No. 10, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Controlling pain after major orthopedic surgery may be challenging, and it is related to delayed recovery, the development of chronic pain, and analgesic dependence. It is well known that effective postoperative pain control can reduce hospital stays by ensuring a more rapid rehabilitation,thereby decreasing the overall costs. Despite the development of analgesics, the use of opioids and their derivates remains the cornerstone of treatment for patients with acute moderate-to-severe pain in association with general or regional anesthesia.
View Article and Find Full Text PDFBioengineering (Basel)
December 2024
Division of Biomechatronics, Fraunhofer Institute for Manufacturing Engineering and Automation IPA, D-95447 Bayreuth, Germany.
Previous studies on gender differences in running biomechanics have predominantly been limited to joint angles and have not investigated a potential influence of footwear condition. This study shall contribute to closing this gap. Lower body biomechanics of 37 recreational runners (19 f, 18 m) were analysed for eight footwear and two running speed conditions.
View Article and Find Full Text PDFChildren (Basel)
December 2024
Department of Physical Activity and Sport, Faculty of Sport Sciences, CEIR Campus Mare Nostrum (CMN), University of Murcia, 30720 Murcia, Spain.
Background: Low back pain is one of the most common musculoskeletal complaints in team sports. A screening test can help understand why injuries occur and predict who is at risk for non-contact low back pain. The objectives of the research were (1) to create models using logistic regression analysis of limited lower-extremity ranges of motion to prospectively identify potential factors for in-season non-contact non-contact low back pain and (2) to determine a training threshold (cut-off) for the identified factors in inline hockey players.
View Article and Find Full Text PDFAntibiotics (Basel)
December 2024
Department of Orthopedics, Trauma and Plastic Surgery, University Hospital Leipzig, 04317 Leipzig, Germany.
: The objective of this study was to compare infection rates, pathogen species detection and antimicrobial susceptibility testing in patients with total hip arthroplasty (THA) and total knee arthroplasty (TKA) following post-traumatic osteoarthritis (PTOA) and primary osteoarthritis (POA). : Patients undergoing both THA and TKA were significantly more likely to have a PJI after PTOA than after POA (THA: 2.5% vs.
View Article and Find Full Text PDFAntibiotics (Basel)
December 2024
Department of Microbiology, Faculty of Medicine, Wroclaw Medical University, Tytusa Chalubinskiego 4, 50-376 Wroclaw, Poland.
Periprosthetic joint infections (PJIs) are a dangerous complication of joint replacement surgeries which have become much more common in recent years (mostly hip and knee replacement surgeries). Such a condition can lead to many health issues and often requires reoperation. Staphylococci is a bacterial group most common in terms of the pathogens causing PJIs.
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