Gallbladder diseases are very common in developed countries. Complicated gallstone disease represents the most frequent of biliary disorders for which surgery is regularly advocated. As regards, cholecystectomy repres...Gallbladder diseases are very common in developed countries. Complicated gallstone disease represents the most frequent of biliary disorders for which surgery is regularly advocated. As regards, cholecystectomy represents a common abdominal surgical intervention; it can be performed as either an elective intervention or emergency surgery, in the case of gangrene, perforation, peritonitis or sepsis. Nowadays, the laparoscopic approach is preferred over open laparotomy. Globally, numerous cholecystectomies are performed daily; however, little evidence exists regarding assessment of post-surgical quality of life (QOL) following these interventions. To assess post-cholecystectomy QOL, in fact, documentation of high quality care has been subject to extended discussions, and the use of patientreported outcome satisfaction for quality improvement has been advocated for several years. However, there has been little research published regarding QOL out-comes following cholecystectomy; in addition, much of the current literature lacks systematic data on patientcentered outcomes. Then, although several tools have been used to measure QOL after cholecystectomy, diffi culty remains in selecting meaningful parameters in order to obtain reproducible data to reflect postoperative QOL. The aim of this study was to review the impact of surgery for gallbladder diseases on QOL. This review includes Medline searches of current literature on QOL following cholecystectomy. Most studies demonstrated that symptomatic patients profi ted more from surgery than patients receiving an elective intervention. Thus, the gain in QOL depends on the general conditions before surgery, and patients without symptoms profi t less or may even have a reduction in QOL.展开更多
This paper focuses on health promotion and community development programmes conducted within Pacific nation locations. A literature review was carried out that identified differences in understanding of the practice o...This paper focuses on health promotion and community development programmes conducted within Pacific nation locations. A literature review was carried out that identified differences in understanding of the practice of health promotion and community development in Pacific Island communities when compared with the rest of the developed world： Snakes and ladders is a metaphor for process and progress of such programmes whereby health and community gains are made only to collapse and fall back, close to or at, the starting point Reasons for this are discussed, particularly through comparison with health promotion and community development programmes in other non-Pacific countries, and with success factors identified in such programmes. This link between methodological approaches of international funding agencies and the success or otherwise of programmes, is identified. Suggestions are made as to approaches to be used when working within Pacific lsland nations. These approaches involve empowerment of the local community to lead, manage, and evaluate the effectiveness of these health promotion and community development programmes.展开更多
文摘Gallbladder diseases are very common in developed countries. Complicated gallstone disease represents the most frequent of biliary disorders for which surgery is regularly advocated. As regards, cholecystectomy represents a common abdominal surgical intervention; it can be performed as either an elective intervention or emergency surgery, in the case of gangrene, perforation, peritonitis or sepsis. Nowadays, the laparoscopic approach is preferred over open laparotomy. Globally, numerous cholecystectomies are performed daily; however, little evidence exists regarding assessment of post-surgical quality of life (QOL) following these interventions. To assess post-cholecystectomy QOL, in fact, documentation of high quality care has been subject to extended discussions, and the use of patientreported outcome satisfaction for quality improvement has been advocated for several years. However, there has been little research published regarding QOL out-comes following cholecystectomy; in addition, much of the current literature lacks systematic data on patientcentered outcomes. Then, although several tools have been used to measure QOL after cholecystectomy, diffi culty remains in selecting meaningful parameters in order to obtain reproducible data to reflect postoperative QOL. The aim of this study was to review the impact of surgery for gallbladder diseases on QOL. This review includes Medline searches of current literature on QOL following cholecystectomy. Most studies demonstrated that symptomatic patients profi ted more from surgery than patients receiving an elective intervention. Thus, the gain in QOL depends on the general conditions before surgery, and patients without symptoms profi t less or may even have a reduction in QOL.
文摘This paper focuses on health promotion and community development programmes conducted within Pacific nation locations. A literature review was carried out that identified differences in understanding of the practice of health promotion and community development in Pacific Island communities when compared with the rest of the developed world： Snakes and ladders is a metaphor for process and progress of such programmes whereby health and community gains are made only to collapse and fall back, close to or at, the starting point Reasons for this are discussed, particularly through comparison with health promotion and community development programmes in other non-Pacific countries, and with success factors identified in such programmes. This link between methodological approaches of international funding agencies and the success or otherwise of programmes, is identified. Suggestions are made as to approaches to be used when working within Pacific lsland nations. These approaches involve empowerment of the local community to lead, manage, and evaluate the effectiveness of these health promotion and community development programmes.
