Major Study Shows Dissatisfaction Following Robotic Prostatectomy

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.

Online Education Degree – A Booming Sector That Bring You To A Brighter Future

Are you kind of person who likes to work with children? Are you loves to giving training and teaching to young people? Are you a good communicator especially with children? If you answered yes to the questions above, then online education degree will help you to gain the skills and enhanced you knowledge in education field. Hence, help you to advance your career working in education fields.

The booming education and health sector offers many jobs that involve working with children and youths. According to the U.S. Bureau of Labor, the education and health sector is going to grow by 30.6 percent between now and 2014-faster than any other industries. Seeing the encouraging growth in education section, earn an online education degree will bring you to a brighter future.

In order start or advance your career in education related fields, you need to look for a related online degrees; there are many prestigious online colleges and universities offer degree in education and teaching. Among the featured online universities which offer various online education degree programs include:

* Capella University Master of Science in Education focus on area in elementary classroom teaching, secondary classroom teaching, advanced instruction in mathematics, advanced instruction in science, teacher leadership, and virtual school teaching.

Master of Science in Education with concentration in Curriculum and Instruction is a specialized master degree offers to those licensed K12 teachers who looking to gain key competencies through theoretical study and collaboration with seasoned practitioners. You will acquire tools and techniques to help your district design instructional models and assessments that focus on increasing student achievement.

Master of Science in Education with concentration in Leadership in Educational Administration, offer to those K12 teachers who are looking for education career advancement in school administration.

* Walden University Online master education degrees offered by Walden University include area in education leadership, Grades K-6 Elementary Reading & Mathematics, Grades 6-8 and K-5 mathematics which provide you with the key skills and knowledge to success in educational field.

* University of Phoenix University of Phoenix’s education master degrees are mainly focus on education leadership and administration, education technology specialized in computer education.

If you are interested in early childhood education, then you should look for online education programs offer by Lehigh Valley College, Sullivan University, Rasmussen College, Hesser College. Since the introduction of concept “Education Start from Age 0”; the childhood education and child care management related careers are in a booming trend. Students who graduate with a childhood education degree usually go to work immediately after graduation due to high demand in this field.

If you are gaga for education, opportunities for meaningful and well-paid work abound. Some other career possibilities include: Child Psychiatrist, Children Youth and Family Counselor, Doula, Pediatric Rehabilitation Counselor, and Play Therapist.

In short, the statistics show that the education section is in the booming trend and educational experts are always in demand. Online education degrees will prepare you with the necessary skills and get you success in this highly demand job marketplace.

Education Tax Refund keep your receipts!

Last year, $400 million in tax benefits went unclaimed by parents of school children for education expenses. This year, parents are being urged to keep their receipts for tax time to alleviate the financial burden that back to school expenses place on many parents. The Australian governments Education Tax Refund (ETR) scheme provides up to 50% back on a range of childrens school expenses for both primary and senior school students.

With a need for new school books, textbooks, uniforms and other equipment, the back-to-school period puts on a strain on many parents purse strings. So make sure you understand how you can claim back up to 50% of your childs education expenses come tax time.

-What can I claim? Under the ETR, parents can claim on education expenses including home and personal laptops, computer related equipment, internet connections, computer repairs, educational computer software, school textbooks, learning related texts, and stationary. For a comprehensive list on what is claimable see .

-What is the maximum amount I can claim? For the 201011 financial year, the maximum amount you can claim is $794 of expenses for primary school children, receiving a maximum refund of $397. For secondary school children you can claim $1,588 in expenses receiving a maximum refund of $794 per child.

-What about school uniforms? Kids school uniforms purchased after July 1 2011 will for the first time be included in the ETR. Parents will be able to claim on uniform costs for the 2011-12 financial year.

-NB: To claim money back on education expenses, parents must keep their receipts in order to calculate your refund and to have them on hand as proof of purchase.

The ETR is the governments way of helping with the costs of educating children, so make sure you make the most of this tax-refund scheme. Youll halve the costs of textbooks, computers and in the future Australian school uniforms, which will relieve the financial burden of educating your children.
Are you keeping your receipts?

Where To Find Free, Printable Bible Study Lessons Online

Today, many Bible study groups are looking for ways to make their sessions more effective. Most of us realize how important it is to make time for our fellowship, yet life can quickly become an obstacle at times. In order to make the most of this devotion time, it is very helpful to become more organized and locate resources to make our time most productive.

Did you know that there are many great online resources? One, reputable source offers a wide selection of free, printable Bible study lessons. Additional materials are available for a very low cost and enable users to quickly prepare and organize study topics for optimal Bible study sessions. This is a wonderful resource if you require some ideas for useful areas of study.

If youre looking for curriculum as an individual wishing to study the Bible, than this offering is a perfect fit for your needs. From adult to teen and even the Sunday school crowd, there are excellent free printable Bible study lessons available if you know where to look.

1. www.creativeBiblestudy.com: This site features free printable Bible study lessons with group discussions, curriculum for personal use, and youth study groups. Perfect for all ages, this online resource provides great ideas for Sunday school crafts and adult or teen free printable Bible study lessons.

2.www.Bible-ebooks.com/angels.htm: This interesting e-book features wonderful and free lessons and reading materials on Angels. Complete with reading assignments, questions, and more to reinforce your learning.

3.www.Bible-ebooks.com/isaiah/table.html: This site features free printable Bible study lessons on the book of Isaiah. The comprehensive course is designed for teachers, study groups, individuals, and others interested in learning more from the Bible.

4.www.keepandshare.com/htm/Bible_study/free_Bible_study_lessons.php: Create a web-based share site for your Bible study group. Load it up with free printable Bible study lessons and so much more. Get everyone in your group involved in teaching and researching with this helpful tool. Each member can easily post information as it is completed. You will now have a complete archive for your group discussions, questions, files, and more by modernizing your communication methods.

5.: Join an online interactive Bible course that is open to everyone and contains structured teachings that will bring you closer to God. Experience free, printable Bible study lessons that contain reading assignments, Bible references, and quizzes to verify your progress along the way. All teachings may be read online or printed for reading away from your computer.

Why Digitalized Education Is Important

Man is the most powerful animal on this earth today he is so powerful that he can destroy this planet 10 times over. And he is the weakest being in the natures creation as well in terms of survival. Yet he dominates this planet with one tool intelligence.

This tool has been carried from individual to individual from generation to generation in the form of education. The meaning of this word has gone through and is going through numerous mutations according to the need of mankind.

Right from the Stone Age when learning to find better food, make better tools and kill better was education through the Industrialization Era when learning to make new machines, device new inventions and finding new and profitable markets to this Neo Liberalism Era when learning to communicate better and lead better, the one goal of education has been to move towards better comfort zones of living.

This digital era has opened up a whole new dimension of possibilities with no bounds to our learning ability. Till the 19th century the memory or the ability to gain access to information determined the intelligence. Now we have access to information as never before and memory has taken a back bench position to creativity. In implication if you have the right creativity then your achievements can become infinite. This has been made possible through computers, the pinnacle of technology.

With the vast storage and momentary retrieval abilities, computers have flattened the platform of access to information, removing the differences in the memory capacity of individuals. The invention of digital computing and recording tools had raised the human intelligence to the next level. With the assistance of artificial intelligence the views on education changed drastically.

Right from the question whether students can use digital calculators in exams to the reliability of online tests, there is only one real concern in the background Is the artificial intelligence dominating the human creativity? The classical education focused more on memory than creativity while as mentioned earlier the digitized education is focused on creativity, so technically this renders the above concern meaningless. The reforms in digital education have a single aim of enhancing human ability immaterial of personal shortcomings.

The success of a teacher in assisting a student rests in kindling his or her learning interest thereby increasing their knowledge. Digitized education tools are visual based so this increases the knowledge curiosity and widens the scope of knowledge. Our futuristic views on education are well defined.

The need to enhance our lives and increase our well being is now totally dependent on the education methods that we use. The world is being digitized in all fonts. This implies that education will be digitized as well. This new wave of change will take us one step ahead.

No Time To Go Back To School Try An Online Education

We are so accustomed to seeing college students go to school and obtaining their education the standard way that it is often a big surprise for most of us why online degrees are now being offered. Regardless of whether wed believed that only non-conformists would turn to such actions, we are wrong.

Did you even realize that online education programs are a hit? Many individuals find this program much better than the regular way to go to school because of its comfort. Because of this incredible convenience, online education is very popular among the young and old.

Besides the expenses saved through the lack of commuting, textbooks, childcare charges, or materials, online courses are the very essence of comfort. When others wouldn’t want to just sit in front of the computer and lose the chance of a classroom conversation, other people prefer to study in comfortable clothing, in the comfort of their own home.

All in all the view regarding the efficacy of the online educational system is subjective. However, the latest studies have actually proven that acquiring an education this way is a great solution for the working person, trying to be successful in all possible areas of his life family, career and finances.

Why else is online education a hit? Just about anyone even mothers can easily benefit from the system. Now, far more stay at home parents are presented the option to pursue their desired degree without needing to give up their time for their children. It enables parents a way to balance work, school, and family.

One of the best results of this system is to be able to multi-task. No time is actually ever lost because you will truly be taking advantage of your entire day. You can be part of your childs life and enjoy his or her progress while furthering your own intellectual progress.

A lot of people have a problem handling their time and resources. No matter whether this has been an option before, now, online education lets them manage both. Most people can work to repay their education costs. Almost nothing should be sacrificed for the price of an excellent education.

You will find that lots of individuals who are attending college and also working are still able to enjoy a whole day’s work. That is because online education will provide you with a way to do both. This method gives them the education needed without tiring them with commute from work to college and vice versa. Furthermore, it enables people to make the most of their time.

Modern Family Review Education & Growth

I always think one of the most appealing things of The United States is that US parents are far more open in education. Instead of just talking to their children unilaterally, they pay more attention to the conversation between they and their children.

It isn’t just for fun to watch US TV shows. Sometimes it is like a kind of experience. Placing myself into the episodes, and feeling some of their education and inspiration that I have never had. Maybe it could make up some of the deficiency in my childhood. But just maybe…

Like other situation comedies, Modern Family can not escape from common family routine such as trivial home matters, couples conflicts, children growing problems and discords between daughter and stepmother. And although there are fights and conflicts, but every one in the big family loves each other, that the final ending of every episode is always happy.

Even if the editors keep creating topics, making up scenarios, we can always see through these pieces of facts the American educational culture and daily life. And I am always touched by the episodes and can’t help thinking how it could be if my parents had treated me like these…

Little Manny ridiculed by his classmates at school. His old stepfather knew that himself was not good at persuasion, so he called his son Mitchell to see meteor showers with him and Manny and try to persuade Manny by the way. Although teased by Manny, Mitchell sat down and told Manny that he had also been ridiculed by others as a child. Sometimes it is very strange that we hated to be isolated at childhood, but almost over one night, suddenly every one wanted to be different. Mitchell did not pretend to be profound, but said the homely words. This really deserves further thought.

I remember in one episode of Friends, Phoebe said that he doesn’t believe Darwin’s evolution theory. As a paleontologist, Ross felt that he had to persuade Phoebe. But Phoebe said, however, I know the theory of evolution makes sense, but why do I have to believe? Even if there is so much evidence and so many people who believe in it, but is it certainly right? Then Ross scratched his head, didn’t speak any longer, and packed up and left. I think this conveys determination of anti-authority and not blindly following the majority. Althouth this power is quite small and no body support it, but I still stick to my opinion.

Tips On How To Study Effectively

Most people are having a hard time to study effectively. No matter how hard you try, there are just some things that can distract you. Distractions are everywhere and it is up to you to stay away from it.

This article provides three tips on how to study effectively:

1. Consider place and time – When you wish to study effectively, consider the place and the time. It is always best to study at the same time and place. You devote yourself to studying only with one common place you are most comfortable with. This will actually help you focus and concentrate as you can associate the time and place every time you study. You can actually make it a habit as soon as you get to sit down on your chair at the usual place and time.

2. Water helps – Most of the time, people always believe that coffee is the best drink to take while you are studying. They always want to drink this because they think coffee can actually keep them awake. It is true that coffee helps in keeping you awake, but coffee also gives negative effects. This can actually slow down your memory and decreases your attention span. It also increases your anxiety. Water is always best recommended while studying. Drink plenty of water during your study session, especially when you feel sluggish.

3. Take breaks – It is best recommended that you take breaks in between your studying time. It is very important that you take a break before you feel tired and begin to lose your concentration completely. Regular breaks can actually help you sustain and maintain your concentration and focus. You do not feel tired that easily. The breaks may depend on the person’s capacity in focusing. If you think you need longer breaks, then it is best that you do it.

Studying effectively is not impossible. You can always focus if you just consider these three tips.

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Looking at Specialized Master’s Degree Programs in Education

No one knows learning better than a teacher. But what if youve got your teaching degree and even a job teaching? Is that enough? Like their counterparts in almost any field, teachers know that the higher the levels of education, the better are the opportunities for advancement, job security and a higher salary. But when are you supposed to do all that? Specialized online masters degree programs in education can really give your career a boost, without forcing you to drive back to the old college campus for two more years.

The biggest question may be just which area of education do you wish to specialize in. There are a wealth of booming careers in education for which demand will continue to grow over the next 10 to 20 years and the best of them definitely require a masters degree.
Special Education Teachers: Its true; there are positions out there that will let you work without a masters, but the better positions command salaries of up to $75,000 annually, that with a masters. Check the listings from Walden, Capella and Grand Canyon Universities that will let you get your masters degree online while still working at your current job.

Education Administration: A masters in educational administration, management or even a Ph.D. in Administrator Leadership for Teaching and Learning is a terrific way to advance what you already love doing. Administrative positions can command up to $95,000 per year and you can study online. The programs weve looked at most closely are those from Capella, Walden, Keiser, and Strayer Universities. Each of them allows you to work toward your goals online while still maintaining your current career.

Primary or secondary school principals: Nearly all of the degrees above can qualify you to work as a school principal where youll be earning somewhere between $70,000 and $100,000 annually. A Masters in Educational Leadership could be exactly the right move if thats where your studies lead you.

Instructional and Curriculum Coordinators: Advancing education and lesson achievement has never been more important to todays schools and its all in the hands of the coordinators who lay out the vision. Coordinators can earn anywhere from $60,000 to $90,000 annually and there are a number of very good online only programs offered by Capella, Walden, Keiser, and Grand Canyon Universities
A Masters in Education can mean a $9,000 to $15,000 difference in your starting salary and many states require continuing education to qualify for salary increases. Of course, this can vary a lot from state to state. But educators with a masters degree also enjoy a considerably higher level of job security to go along with the higher salary. Studying online for your masters in education can make all the difference to your career and you can do it while youre still working and without giving up your current schedule.