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.


Education Partnerships Award Grants Totaling Over $225,000

January 3, 2012

Houston, TX January 3, 2012 The National Education Alliance has partnered with corporations nationwide. By partnering with these companies the National Education Alliance is able to provide employees with very beneficial educational grants. By working together with these groups, the National Education Alliance seeks to establish programs that meet the diverse needs of adult learners of all levels. The National Education Alliance works with each corporation to create a custom educational benefit program that best fits the needs of their employees. In 2010 and 2011, the National Education Alliance has awarded 243 grants to employees of corporate partners totaling $226,914.
Numerous corporations and businesses have chosen to take part in the opportunity to provide their employees with the benefits negotiated by the National Education Alliance. By partnering with the National Education Alliance, employees are eligible to receive:
Tuition discounts from prominent universities, colleges, and education service providers.
Grants and scholarships sponsored by the National Education Alliance and its affiliates.
Access to innovative educational programs that meet the needs of working adults.
Opportunity to participate in approved workforce development programs.
This initiative is part of a broader effort to support the career ladder of employees and elevate the employees voice and contribution in their industry. Online distance learning classes will give the flexibility employees need to complete programs while working full-time, allowing them to advance their careers while earning full-time wages.
“The National Education Alliance is a growing network providing robust learning experiences through multiple venues that allows the student to benefit from a multi-faceted learning experience. We are honored to collaborate with corporations that put focus on the future of their employees,” says Shara Wright, President of the National Education Alliance.

About The National Education Alliance
The National Education Alliance is an advocacy group for adult learners that is committed to providing individuals with the opportunity to pursue their education in the most affordable fashion. By collaborating with institutions of higher learning, employers, professional associations and sponsors, the Alliance seeks to establish programs and negotiate discounts on college tuition to meet the diverse needs of adult learners.

National Education Alliance
Shara Wright, President
800.230.7565 x1400


Singapore A World-class Education Hub With Sky-high Tuition Costs

Singapores education system has been described as “world-leading” and was among those picked out for commendation by British education minister, Michael Gove, last year. Perhaps, the governments efforts in providing each child with schooling opportunities are indeed laudable, but still, parents complain of the rigid and competitive nature of this very system. So maybe, the most nerve-wrecking, mind-boggling issue on every Singaporean parents mind is how can my child be one of the best? Surely, the recent implementation of Teach Less, Learn More does nothing to ease this tension, and to study independently seems not to be the nature of our law-abiding kids, whom our Western counterparts tend to dismiss as lacking the inquisitive spirit and/or innovation. But it seems our parents have found an alternative to induce this spirit through intensive tuition.

H2 Mathematics Tuition and H2 Physics Tuition are two of the most common subjects being sort after by Singapores high school students to be tutored. A Sunday Times poll conducted by the Straits Times found that out of 100 students, 97 students are attending tuition. Singaporean parents are enrolling their children in multiple tuition centers, many willing to pay up to S$3000 a month engaging multiple Top Tutors especially for higher level education, e.g., Junior College and/or higher. With the aim of establishing a robust Science Hub, Singaporean parents see the need for their child to be equipped with the necessary, and hence are willing to pay, regardless the price, for crucial science stream subjects, investing in H2 Mathematics Tuition and H2 Physics Tuition.

There are parents who prefer to engage Top Tutors for private home tuition, which are especially common for high school students dealing with more complex and difficult subjects. The rates for Top Tutors can range from S$35/hr to S$80/hr depending on the popularity and level of the tutor. Group or class tuition is also increasingly available in Singapore. Not only is it a cheaper alternative, they also feel that their child will benefit and learn more from interacting with others while asking questions during tuition a form of inducing an inquisitive spirit. The class size of a typical H2 Physics Tuition or H2 Mathematics Tuition classes are often small for effective teaching and learning.

It may be true that many successful people come from well-off family background, and indeed, their parents may have the capital to equip them with the necessary, but how many outlier cases have we heard, where children from working class families still made their way to the top, for instance, 42nd US President Bill Clinton. Perhaps, who makes it out successful and who does not, depends again largely on the individual.


Practical Guide On Adult Education

There are some learning programs in which matured people can participate. These programs, regardless of your creed in life, are particularly helpful if you have had quite some crisis with education growing up. Take your time to pick a course that you love and enjoy; you will be the better for it.

Adult education is a kind of program in which the student populace gets to dictate what gives. If they are not ok with a certain part or portion of the agenda they can opt to change it. Sure students in other programs can do similar things, but not quite in the same league.

Countless matured people dont want to go back to school. Its like that because they feel too old for it, and besides they have way too many functions. Well, I think you are not being very responsible if you pass up the chance to improve your chances of a better lot in life.

To candidates who hold a university degree, there are few professions that are inconceivable. Some of them still aspire for bigger jobs and do not mind going further in their studies. Although they may have gotten past the normal age for it, they go on still. Thats the spirit that anyone should have who is really serious about moving up in life.

Any kind of schooling you have to do after you have become an adult is adult education. Don’t ever let anybody tell you different. And if there are people around you who have done it before or are still doing it, so can you. And why not? It only makes you better, doesn’t it?

It could be any degree that you want. Having missed out on education when you were yet young, still doing school might not look like a good option. But, there are so quite a lot of adult education programs around, it would spin you in the head just thinking of it. You dont have to give up on your dreams, thanks to adult education.

It could be any degree that you want. Having missed out on education when you were yet young, still doing school might not look like a good option. But, there are so quite a lot of adult education programs around, it would spin you in the head just thinking of it. You don’t have to give up on your dreams, thanks to adult education.

Whether your education stopped at that time when you were younger, you can pick up from there now that you are older. Several institutions specialize in training matured people with skills and other such interests. So your business is merely to find the institution that offers what you want and enroll provided you can pay the fees.


Study Guides – Are They Helpful

Have you ever purchased a study guide that promises to teach you the the great and amazing study secret that no one has ever heard of? In most cases, this type of hype does not carry any real content or any fulfillment to the many promises they make. Hence, It will be my intention today to try to guide you on how to find out the real study techniques that lead to success in your studies. First of all, let me start out by this premise:

There are no real short cuts or secrets to gaining knowledge, it’s a matter of hard word and patience. Hence the saying: Patience might be sour but its result is sweet. Although there are no (or very few) real study secrets, there do exist certain study techniques that will make your studying a whole lot easier and even more effective. As you yourself might know, there are numerous ways of studying and I can’t compel you to choice a certain way that doesn’t fit you, hence I strongly urge you to do the following:

No matter how you learn the best (by visual experience, kinetic etc) make sure that you do not change horses in midstream concerning the way you learn, ie do not flip flop between different learning approaches. This will inevitable confuse you and may even worsen your study results in the long run. Remember that studying a small amount of information each day on a long time period is several times better than studying an immense amount of information over a short time frame. Contingency is a vital component in your studies, never forget that!

This article was not written in order to spell out all the thousands of different study techniques found under the sun but in the hope of making you realize that one can systemize the way one studies and that this change really can make a difference. Therefore, I urge you once again to sit down and reflect for a moment; how do you learn the best? Be sure to write down your answers and review them with your self and see if you can make any general conclusions, you might be stunned to see that you might have had a bad approach for too long.


The Most Important Tool in a Students Study Arsenal College Textbooks

Studying in college is clearly one of the most vital tools a student has, to achieve their goal of a degree. Textbooks are the most important tool in a student’s study arsenal. Without securing the necessary books, a student risks falling behind and failing to do his best.

Securing books prior to the start of the semester is the best move a student can make. Professors often assign work right from the very first class, and delaying the purchase of books can be a devastating error. Thankfully, several avenues exist for procuring the necessary textbooks. Purchasing textbooks is a solution that works for many students. Being able to use the books for reference even after the conclusion of a class is appealing to many students. If a student opts not to retain the book, buyback programs will help the student recoup some of their costs at the end of the semester.

Other students choose to rent their textbooks. Renting allows a student to have the necessary book for the semester, but doesn’t require the cash outlay that buying a book would. It is also environmentally friendly, as books are returned to the textbook company, rather than possibly ending up in a landfill.

Once the necessary materials are secured, the student is ready to meet their educational goals. A students methods of study will greatly influence the outcome. Students should ask themselves the following questions when setting up their study plan of action: -How do I learn best? -How will I be asked to recall the information? -When do I do my best studying?

Some students find outlines to be the best study tool. Others prefer flashcards. Some find discussing the subject during a study session with other students to be most beneficial.

Studying for an essay test is very different than studying for a multiple choice exam. Knowing what type of exam is being given will aid the student in choosing their study methods. If the exam is essay form, outlining answers to some possible questions will provide a handy framework. Outlining class notes and careful review of the text is often vital to preparing for any exam.

All night cram sessions can work, but most students do best with a more moderate study schedule. Larks and night owls each need to find a study schedule that works with their biological clock. Steady sleep schedules will go a long way toward college success.

Academic success is an important goal, and the right materials, study skills, and rest, will aid any student in their quest.


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.


Study English Language in Auckland

There are many cities around the world where you can study the English language. When making your decision about where to study, there are several things to consider such as ease of transport, accommodation, teaching staff, courses and the ability to mix with a wide range of other international students. Studying at an English college in Auckland, New Zealand makes sense for several reasons. Auckland is not an expensive place to live, so many international students choose it as their base.

Students who decide to study English in another country want to challenge themselves in a safe environment and Auckland is certainly a good place to do that. You will be away from home, but surrounded by friendly and helpful people and many other international students. You will be around English speakers every day, which is a great environment for practising and making progress in your studies.

In Auckland, you can study English at a central city location with modern facilities. People from many nationalities come to Auckland to study English, so you will meet a wide range of other students in a friendly atmosphere. Studying in Auckland also means that your free time can be spent relaxing at beautiful beaches or in lush green parks. There are plenty of wide open spaces in Auckland.

If you prefer the hustle and bustle of city life, Auckland has movie theatres, plenty of shopping, weekend markets as well as lively bars and restaurants. You will find it easy to make friends in this multicultural city. The city is well served by many forms of public transport and there is a wide range of accommodation within easy reach. Auckland has a warm coastal climate and the beaches are well known for their access to a choice of water sports as well as the opportunity to take boating trips to see dolphins and whales off shore.

When you take time off from studying English in Auckland you wont be far from the best museums, art galleries and tourist activities such as the magnificent Sky Tower. You can even get adventurous and do a bungy jump from the Auckland Harbour Bridge. Its very easy to travel from the central city out to the surrounding countryside, which includes beaches, forests and mountains.

Students who study English in Auckland say they love the opportunity to study in a central city location where everything is close by and the facilities are world class. Being in a comfortable and safe environment makes it easy to settle in and succeed in your studies.


How a Fat Camp can Provide Education and Support

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.


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.


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! ()


Independent Study Why The Growing Trend In Independent Study Courses

Independent study courses have become more and more popular these days. What has caused this? That’s the main objective in this article. Specifically, we will discuss the benefits of independent study courses, and what has caused them to grow in popularity over the years.

Independent study courses are a way for you to earn high school or college credits, by completing assignments and course requirements independent from the classroom setting. The reason these have become more and more popular is they are accommodating all types of people in situations.

Consider the following options that are available to a wide range of students. High school students can take independent study courses in order to graduate early, or to catch up if they are behind. Also, high school students can take independent study courses which can give them dual credit, earning them both high school and college credit.

College students can take additional courses that their current college doesn’t offer, by signing up for an independent study course. Also, college students who work full time can utilize their time more appropriately by taking one or more independent study courses.

In fact, anyone who simply wishes to further their education, and get credit for it, or would like to continue working on a degree at their own pace, can take independent study courses. Since independent study courses are great options for almost any academic situation, you can see why their popularity has grown.

Independent study courses work like this. Once you complete the course, you are a warded the proper credits, which are transferable to almost all the educational institutes across the nation. You can register for the course online, receive the course assignments, complete them and submit them and pass your final exam, under the supervision of a certified Proctor, and you will earn your credits.

Once you have satisfactorily met all the requirements, and completed your final exam, a transcript and course completion notice will be sent to the designated educational Institute.

Given the fact that you can work at your own pace, that you have more choice over what you can study, and also because it is often a more financially feasible option, independent study courses are excellent alternatives to traditional classes.

In conclusion, I have given you some compelling reasons why independent studies have become a growing trend. Are they right for you? Take the information in this article, and use it to help you decide if it would be wise for you to pursue independent study courses.