Major Study Shows Dissatisfaction Following Robotic Prostatectomy

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A major study of patient satisfaction and regret following open prostatectomy and robot-assisted laparoscopic prostatectomy provides some important lessons for surgeons.*
The research, recently published in the European Journal of Urology, shows 19 per cent of patients regretted their treatment choice and patients who had robot-assisted surgery were most likely to be dissatisfied.

The authors suggest the regret is “possibly because of higher expectation of an ‘innovative procedure'”.

Their conclusion is one for all urological surgeons to note. “We suggest that urologists carefully portray the risks and benefits of new technologies during preoperative counselling to minimise regret and maximise satisfaction.”

In recent years, the treatment of prostate cancer has been a rapidly developing field, providing patients with a wide range of different choices.

Brachytherapy and HIFU offer non-surgical options and for those who want surgery, there are open, laparoscopic and nerve-sparring options, depending upon your diagnosis and treatment provider.

At the same time, patients are becoming increasingly proactive, using the internet to research and consider the different options themselves, as well as the traditional consultation with the urologist.

Increased choice is without doubt a positive benefit for patients, but as urology centres – both private and NHS – seek to attract patients, we have a responsibility to carefully counsel them about the advantages and disadvantages of treatments.
There is a distinctive risk when a procedure is perceived to be new and especially “innovative”. The media will always be interested in the next “pioneering operation”, particularly one which involves robots.

A newspaper article will tend to portray the new procedure as an immaculate solution, which corrects all the risk and disadvantages of other procedures.
As surgeons, we have a responsibility to provide patients with a more sober and informative picture, acknowledging limitations as well as benefits.

The patient satisfaction study was based on the responses of 400 men who had undergone retropubic radical prostatectomy (RRP) or robot-assisted laparoscopic radical prostatectomy between 2000 and 2007 in the US.

The report’s authors also examined patients urinary domain scores, hormonal domain scores and found scores were independently linked with regret.

It is still early days for robotic surgery in the UK. In prostate cancer surgery, there are currently six Da Vinci robotic machines in the UK, compared with 350 in America.

There is no current evidence that robotic surgery provides better outcomes for patients, in terms of urinary symptoms, post operative sexual function or post-operative risks and complications.
It seems certain that robotic surgery will increase within the UK during the next decade, with NHS and private centres purchasing the Da Vinci machines.

This will provide even more choice for patients, which is in principle, a positive development.

It is however vital that patients are given accurate and comprehensive information to enable them to make an informed choice, rather than simply being over-sold a new product.

Refinance Student Loans

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Higher education comes with a high price, and most grad students do not have the cash not only to pay for graduate school upfront but also to pay for food, housing, medical expenses, etc., during graduate school. Some grad students may have decent jobs before they start graduate school, but many graduate students have to cut back on working to meet the rigorous demands of their graduate study. Luckily, there are many options to help graduate students pay for grad school, options which include student loans, stipends, and grants. You can use the information in this article to learn more about refinancing your student loans that helped you to pay for graduate school.

Some students choose to refinance student loans to reduce their student debt and monthly loan payments. Students can refinance their loans through various ways, such as consolidation.

Students should consider several things before refinancing student loans. For example, federal and private loans should be refinanced separately. Federal loans have lower interest rates than do private loans because government lenders know that students’ incomes will increase as they continue their educations. Consolidating federal loans with private loans when refinancing will raise interest more so than if the loans were refinanced separately.

Consider Your Credit Score

Students should have good credit scores before they refinance student loans. Bad credit scores will affect interest rates for refinanced loans. Before refinancing, students should review their credit reports and try to fix any problems. After they have fixed any problems with their credit scores, students should request quotes from different lenders to determine which lender would offer the best interest rates for the refinanced loans. Interest rates tend to change around July 1 every year, and though interest rates are currently low, changes in the economy can cause sudden changes in those rates.

Different lenders have different qualifications to refinance student loans. Most lenders do not allow the refinancing of loans that are currently paying for education. Some lenders require minimum balances of varying amounts to qualify for refinancing. Students should research these qualifications before refinancing.

Weigh Interest Rates vs Monthly Payments

Refinancing can either lower interest rates and monthly payments on student loans or redistribute the payments over longer periods. Lowering interest rates prevents long-term payment increases, and lowering monthly payments decreases short-term payments. Redistributing the payments over longer periods of time makes each payment more manageable but increases the overall balance of the loans because of interest.

Kfc Scholarship Money Award Funding For College

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The KFC Scholarship Award is part of the Colonels Scholars program, and is available to many different students around the world. If awarded money from this scholarship, you will have funds which will cover the cost of tuition, books, room/board, and other fees. The maximum amount awarded per year is $5,000 and a scholar who is approved for this scholarship could receive as much as $20,000 over the course of four years towards the completion of a bachelors degree. There are certain criteria which students must meet in order to be eligible for the scholarship.

Anyone who applies for this scholarship must have recently graduated from high school and have earned a GPA of 2.75 or higher. Only students who plan on pursuing a degree in a university or state college will be eligible for this scholarship. All applicants must be legal citizens of the United States as well and demonstrate a real financial need. Those who apply will also have to turn over certain financial documents such as tax returns to prove inability to pay for a college education.

Any student who receives financial assistance through this scholarship must enroll in an accredited financial institution such as a college or university; community colleges do not count and students will not be given funds to attend one. The first step which all students must complete is the initial online application. After the application is submitted, it will be reviewed and the student will be notified if he or she is eligible. If so certain pieces of documentation will be required of semifinalists.

There are many different people who are staffed to support this program, including KFC employees and entire franchises. They are mentors which are hired to help applicants through the process, and support is available online. It is extremely important to fill out all of the information in the initial application to the best of your knowledge, so the process can move along as quickly as possible. If there are any questions or concerns, students will be able to contact staff members by email on the official website of the KFC scholarship. It is an excellent opportunity for students from all over to go to a college or university while not having to worry about going into debt. Each year there are thousands of applicants, however only a handful are selected to receive scholarship money to pay for tuition and other costs associated with a college education.

The Classical Home Schooling Option

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Home schooling is an attractive option to consider for many parents. The program offers many advantages over learning in traditional schools. Home schooling also provides more one on one teaching time where the teacher can focus on the student as opposed to handling numerous students at the same time. This will allow children to obtain quality instruction.

Students of home schooling also benefit from having a very comfortable and familiar environment for a classroom. Home-schooled students no longer have to adapt to new surroundings, which can also sometimes affect a child’s ability to learn. This system can also provide a way for parents to be closer with their children and can also help parents have a more active role in educating their children in the manner that they want.

Home schooling can effectively be used by employing a variety of methods available. There are classical home schooling methods that follow traditional education in conventional educational institutions. Classical home schooling comprises of primary, secondary and tertiary phases which is most accepted in most educational institutions today. Other educational philosophies can also be adopted through the home schooling method.

But the main difference that home schooling can provide is that it can allow a more varied approach into teaching and learning. You can choose from a variety of accepted techniques available that you can use to effectively help your child learn and absorb new knowledge. There are unit studies that make use of a central theme, implemented in context on all the subjects that are tackled.

Home schooling can also follow a student-paced learning approach which depends on a student’s learning speed. This approach helps students understand fully or master a concept before proceeding to the next subject or topic. Another approach is the “unschooling” method that encourages students to depend not on direct instruction but learning through an exploration of interests. This enables a child to learn by doing. This approach aims to provide learning opportunities through games and real life circumstances and problems which will enable a child to learn without coercion.

Home schooling is a credible alternative to traditional education. It can provide parents with a choice on how to effectively educate their children. As home schooling is fast getting the approval of more and more people, it becomes a very attractive option made available for you and your children. With your children’s future in mind, having different options can be a good thing. And home schooling is an option that you must consider in trying to provide the best education for your child.

Disorganized College Students Put Tuition At Risk

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Next to buying a home, college tuition is the largest expense most families will face. But your investment in college tuition could be at risk. Despite four years of hard work in high school and success in gaining admission to college, your child may be underperforming. And it might have nothing to do with academic skills.

In a recent national survey conducted by research firm Greenfield Online, 47 percent of college students said their high school did not prepare them with the organizational skills required to do well in college. What’s more, 87 percent of students say better time management and organization skills would help them get better grades.

Ironically, for a generation of students raised on computer technology, the survey also found almost half of college students still manage their tasks and schedules by hand writing on a personal calendar. Another 23 percent rely on memory to keep track of their many deadlines and assignments.

“Getting into college is only half the battle. Doing well in college prep courses in high school is not enough,” said David T. Conley, Ph.D., professor of education at the University of Oregon, and author of “College Knowledge: What It Really Takes for Students to Succeed and What We Can Do to Get Them Ready.” “Students need both academic skills and organizational skills to manage the many competing interests that college life offers.”

Every year college students, especially freshmen, face the distraction of greater freedom and the challenge of more course work. As students become increasingly time challenged, their organizational skills are susceptible to compromise.

Fortunately, the ability to organize your college course demands and manage your time can be quickly gained. In fact, you can use technology to actually do the organizing for you.

The software was developed by the makers of the popular FileMaker Pro database software, which is already used in top U.S. colleges including MIT, Stanford University, Syracuse University, Rutgers University, Wheaton College and UCLA.

“High-tech” generation still using paper and pen could jeopardize good grades and tuition investment.

How a Fat Camp can Provide Education and Support

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Losing weight and gaining a healthy body is one of the most important things you could probably do, but you know it’s hard. You may have tried several options and still have not been able to achieve the results you want. The fact of the matter is that what works for some people just might not work for you. One option you may not have considered is to attend a Utah fat camp. Before you reject the idea, push aside your preconceived notions about attending fat camp. You need to consider the pros and the cons of the idea before you really you make a decision. Going to a camp in order to lose weight is a commitment, and that might be good for you, but it might not be. You just need to learn what these camps could provide for you.

Support

One of the best motivators to lose weight is knowing that you have support. Losing weight is just as emotional as it is physical-if you don’t have a good support group standing by your side, the process will be that much harder. A fat camp can provide support for you in this endeavor in a way that no other place can. Not only will you have counselors and teachers, you will also be surrounded by others who have the same goals that you do. Working toward the same ends as another person can create a great bond, and gives you common ground. Nothing works better to help you through the emotional struggle.

Education

Aside from support, another important factor that can greatly contribute to your ability to lose weight is knowledge. At a Utah fat camp, trainers and counselors can teach you how to lose weight as well as how to maintain these healthy habits when you leave. Without a good education, all the progress you could make will be lost. If you find that you need a better understanding on how to move forward, you might look into joining a camp nearby to help you.

National Institute of Health and Fitness fosters an encouraging, time-tested, educationally-driven blueprint to sustained weight loss and optimal health. Dr. Marc and Vicki Sorenson welcome you to the National Institute of Health and Fitness (NIHF)-located at the Zermatt and Homestead Resorts in Midway, Utah. Our Utah Fitness Resort Offers Many Options For Weight Loss As One Of The Premier Utah Weight Loss resorts.For more information about Utah fat camp, contact us today! ()

Student Pilot’s Guide To Aviation Headsets

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My brother recently decided to become a pilot. Becoming a pilot is a costly venture and since I work in the industry as a buyer, he contacted me for some advice on student pilot materials and headsets. The supplies were easily referred as there are four main publishers of student pilot material and Jeppesen seems to be the most popular. However, it was difficult to direct him to the best aviation headset to purchase.

In order to direct him to the most cost effective headset I needed to determine a couple of factors. The first is price. The most popular student headsets are made by David Clark, and the most popular headset for students is the H10-13.4, the cheapest price I found was about $299.95. Another popular brand would have to be AvComm. AvComm offers a PNR Headset AC-200PNR that is in the $100.00 price range. Finally, Aviation Supplies and Academics offers a headset called the Airclassic HS-1 that is in the same price range the AvComm PNR. Therefore, the cheaper headsets are made by AvComm and ASA.

However, cost is not the only aspect to look at when purchasing an aviation headset. What about reliability? David Clark and AvComm both offer 5 year manufacturer warranties, while the ASA HS-1 has a lifetime guarantee. Headsets often go defective as cords can acquire shorts, they can be sat on, or even crushed in a flight bag. Therefore, a lifetime warranty is definitely tempting. This aspect goes hand and hand with cost as I am sure that you will feel better replacing a $100.00 headset rather than a more expensive model. My flight department use to operate with 12 Bose Aviation X headsets, although the headsets worked great and were comfortable, they were always being broken by the replacement of a 9 volt battery that controls the electronic noise reduction. After paying for 10 or more $500.00 repairs to these headsets, our flight department decided to downgrade to a Telex commercial headset. The same thought that goes into purchasing headsets for commercial or corporate use will benefit student pilots as well. Less investment = less lost.

Finally, the last topic would be in regards to comfort. According to reviews all the people that purchase David Clark headsets are satisfied with the comfort while ASA and AvComm have mixed reviews. A chief pilot at my organization talked to me about the HS-1 Headset. He states, the headset works great and still works to this day, but the headband was quite uncomfortable for long trips. However, there is a solution to comfort issue on either the ASA or the Avcomm Headsets. Gel and foam ear seals along with replacement headbands can offer additional comfort to these units ultimately making them comparable to the David Clark Model. Total investment in upgrades would be in the 150-175 range.

Given this information, what headset are you going to buy?

HIPAA Online Training Courses

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There are three different types of HIPAA Online Training Courses where each of the courses should prepare you for the various HIPAA certifications. These courses are tailored according to the HITECH ARRA Act of 2009 and will aim at training its trainees on the significance of maintaining the confidentiality and the integrity of protected health information. These courses will also address the significance of electronic protected health information and implementation role in cutting down costs on print. Therefore, these types of online training courses include the following: HIPAA Privacy Training This training takes two days and a total of 10-12 hours to complete course. The course will comprehensively elaborate on the laws and implementation specifications under the Administrative simplification act and more so, offer insight to its trainees on how they can build a strong foundation and a dependable framework on HIPAA privacy compliance for their organizations. Therefore, the training should sensitize the members of the HIPAA privacy compliance team, organizations and healthcare and health insurance executives among other groups on the significance of being compliant in regards to their entities’ compliance. HIPAA Security Training This training is normally conducted by the HIPAA Security certified instructors and consultants assuring anyone interested in it should be fully equipped on keeping up with the HIPAA compliance standards. These training should take two days and will take a maximum of 10-12 hours. Otherwise, training consists of updates of the HITECH ARRA Act of 2009 and the audit requirements according to Department of Health and Human Services Office of eHealth standards and services. Therefore, this training should fully equip you on how to make sure that your organization is fully compliant to the HIPAA Security standards and policies. HIPAA Compliance Training This training takes four days and a total of 20-24 hours to complete the course. Otherwise, it should offer a deeper insight on how to make sure that your policies, rules and standards are as per the HIPAA compliance requirements and can adhere to the implementation specifications stipulated in the Administrative Simplification Act and HITECH ARRA Act of 2009. After the training you should be aware of the need to have a complete overhaul on your privacy and security policies or the only need to do minor adjustments.

What is School Admission Exercise for International Students (AEIS), Singapore

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Schools Admission Exercise for International Students (AEIS) is by Ministry of Education (MOE), Singapore, MOE conducts a centralized test around Sep./Oct. annually for new international students who wish to join the mainstream public primary and secondary schools in January of the following year.International students who do not have a place in a local school and who wish to seek admission into Primary 2-5 and Secondary 1-3 are eligible to take part, but they have to pass the AEIS examinations for admission into government school. AEIS, by Ministry of Education (MOE) Singapore, examination is conducted only once a year.

English is the medium of instruction in the test, thus student applicant are strongly encouraged to prepare themselves in advance of the Schools Admission Exercise for International Students (AEIS) tests. Student applicants should be well versed with the English and Maths syllabi of the level preceding the one they are applying for. An applicant who applies for Secondary 3 should have enough knowledge with Secondary 2 content. An applicant who wishes to seek admission to Primary 3 and is assigned the P2/P3 test should be familiar with Primary 1 and Primary 2 content. An applicant who wishes to seek admission to Primary 2 and is assigned the P2/P3 test should be familiar with Primary 1 content.

glad to help in your preparation.

International students who passed in the Schools Admission Exercise for International Students (AEIS) Tests are advice to prepare themselves in advance for a new school environment where English is the main language of classroom instruction, and should familiarize themselves with the relevant curriculum for their level.
Preparatory course is offered for foreign students seeking admission to government schools. It prepares students to take the Schools Admission Exercise for International Students (AEIS), which involves a centralized test on English and Mathematics. In addition (where necessary), students are also prepared for the Qualifying test (QT) and Principle Academic Certified Test (PACT) should they miss the AEIS test. The key subjects taught are Mathematics, Science and English. The contents taught are based on the syllabus as outlined by the Singapore Ministry of Education.
Students who fail the AEIS examination may choose to take the Qualifying Test (QT) the following year between January to June. The QT is conducted once a month by the MOE.

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The Citywide School Bus Strike In Nyc Could The Limousine Service Provide The Answer

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As discussion continue into the potential citywide school bus strike throughout NYC, parents are already beginning to consider their options when it comes to getting their child from A B should the worst case scenario unfold. With a dispute concerning new yellow bus contracts for special education pupils at the root of the matter, as many 152,000 local school children could find themselves without viable transport in the event of a strike. So where should families be looking for relevant alternatives?

An NYC Limo: Providing an Affordable and Reliable Service to Families

As strange as it may seem, the New York limousine service may well fit the bill for concerned families. Rather than being the overtly luxurious or expensive mode of transportation that it once was, limousine travel has evolved into something that is as practical as it is affordable. Clearly expenditure and value for money are key concerns for parent in the current economic climate, but this can not come at the expense of a childs punctuality when it comes to attending school. Limousine travel addresses both of these concerns head on, and provides parents with a unique opportunity to improve their childs experience at school.

Starting with cost, hiring a limousine is not the budget busting expenditure that you may think. As limousine services have expanded into new and diverse fields, so too the average cost has been reduced to entice consumers and reflect the presence of new revenue streams. In addition to this, the diverse nature of limousine vehicles ensures that larger cars can be hired to courier large groups of children, so that the total cost can subsequently be shared between different families, parents and guardians.

Getting Your Children to School on Time Every Single Day

In terms of practicality, there are few vehicles that offer the same level of benefits as a New York Limousine. To begin with, they can be booked and paid for advance by parents, so that children can rest assured that their vehicle will be with them well ahead of time to courier them to school. Similarly, the courteousness and professionalism of NYC limo drivers guarantees that not only will your children be cared for and treated well during their time in the vehicle, but that they are also in the presence of an experienced driver will an excellent knowledge of the local roads and area.

So regardless of the preconceived notions and old fashioned attitudes that cloud the NYC limousine industry, its evolution ensures that it is now a viable option for families who are seeking an alternative mode of transportation in the event of a school bus strike. So forget everything that you think you know about limousine travel in NYC, and consider how professional service providers could ease your worries in times of difficulty.