Monthly Archives: May 2018

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.

Numerous online scholarship programs for genius kids

Different scholarship programs are designed to encourage talented students achieving good scores in their academics as well as extra curricular activities. They support children and motivate them to be an all rounder. Their aim is to make children realize about their hidden potentials in life. Many times it happens that genius kids who achieve excellent academic scores are not able to pursue their higher education due to lack of monetary support. While some are forced to choose low fee subjects and don’t get admission in their choice college. This can literally kill their talent.

To provide quality education to children is the sole responsibility of the parents. They should plan their genius kid’s education by investing in different education policies or schemes in advance. It is important to save some funds for their future education needs. With the increase in cost of living and basic needs, many parents are not able to create a balance between their expenses and savings. They are unable to save in this age of rising inflation and tumbling economies. It becomes really difficult to handle all the regular expenses and save a good amount every month. They should realize that with the increase in fee hike everywhere higher education is also becoming costlier. No matter how intelligent their kid is if they don’t have enough funds for his education he might even have to give up studies early in life.

One of the best ways is to make children aware of your financial situation and the importance of scholarship in studies. If your child is a genius kid with all round brilliant scores, these scholarship programs will offer him chance to fulfill his career dreams. They can definitely reduce the economic stress added on student’s life to a large extent. There are plenty of online scholarship tests and aptitude tests that offer a chance to nurture the kid’s talent. Students who want financial aid should research well about all the scholarship contests being held in a year for his age group. He should understand their guidelines and eligibility criteria well. It is important to apply for numerous programs since it will increase the chances of the child getting qualified for at least one of them. Children should apply and prepare well to achieve them. There are many NGOs, non-profit organizations and companies that conduct online talent hunt contests for genius kids across the globe. Parents should help their children in preparing well by providing support and motivating them in life.

Get more information on: scholarship for kids & child parenting tips

Effective Parenting Tips Guide To Smart Parenting

The best parenting is smart parenting and you can learn more skills everywhere You can find a lot on the internet and also from reading parenting books Some websites focus on parenting and raising successful children. Of all the styles and guides given, not all are as effective as you want them to. Not many of them really work. Let me give you some of the smart parenting skills and tips that will really give you the tools to raise good children.

Aways strive to be the greatest encourager for your kids. Hearten the kids to choose the positive path. Don’t frighten them with your authority. The child can turn negative to your parenthood and you will maybe loose the respect you have achieved. The gain you get in prasing your children for all the good they have done is unbeatable. Encouragement and praising is not the same. When they have done good, give them a reward or a gift for their efforts. If this will make them to pursue better, it’s definitely worth the effort. Favour the good things they do. If you don’t like the behavior from your child, then talk to them seriously without trying to intimidate them. Shouts and screams must be removed from child to parent discussions. That would not help at all but will for sure worsen the situation.

If the child is at need and ask for help, your open arms and willingness to help will improve your relation. This can significantly make your relation better. By the time they need help, you will be the first person in the world that they will be calling. If anything is wrong you will be the first to know. And it will mean a lot to your child to know that you will be the first person to help out.

You don’t have to buy a lot of toys or other stuff to make them know that you care and love them. The quality time with the children is outmost needed and should be prioritized The more quality time you can provide to the children, the better and they will surely feel that you love them. Try to learn the fun things your child likes and play a lot with them. To have more fun and get really nice quality time, read a book with them. Your relationship with the child will grow even deeper if you put in good quality time. That’s all I have for now. It’s my expectation that this tips will help you built a good relationship with your child and you can find more at Smart Parenting Book site.

Benefits Of Studying With A Study Partner

One of the biggest challenges for a student are understanding and finishing up the projects and homework. But not every person thinks in the same way and therefore some people understand concepts easily while others have to work harder. However if students discuss and ask questions together understanding difficult concepts become somewhat easy. Collaborative work yields better results. Thats the benefit of studying with study partner.
When you are studying with a partner there are actually two minds tackling the same problem. Each person looks at the problem from a different perspective and with discussion can share thoughts and ideas which makes solving the problem easier. Another benefit of study partner is that you can learn more that you didn’t already know from your partner. If your partner has been studying a specific subject for longer period or has better exposure to the subject then he/she might know more than you. This study partner then can give you his/her knowledge and helps you learn more
Studying with a partner not only helps you learn more but it can make the whole process more fun and entertaining. When you have been focusing on a problem for a long time your mind gets tired and you want to get away from it. But with a study partner, you can take breaks or talk about some other topic besides studies to keep your self entertained. This helps you keep your mind and body going since you are not overwhelmed with the stress. If the your study partner is also your friend then there are so many things you can talk and chat about with them. As a result of this the studying experience become much more fun and entertaining.
But the key issue is always where to find study partner. Unfortunately there is no right or wrong way to find a good study partner, you just have to find somebody that is interesting and matches your personality. The most obvious way of finding a study partner is your classmates from school or college. These are the people that are studying the same subject and you will be seeing the most often through out the school. Simply talk in class and see else is looking for a study partner and buddy up.
However to find a study partner you aren’t only confined to your classmates, you can also post a request for study partner on online classifieds or social networks and could partner up with someone from same school or neighborhood.
Regardless of where you find your study partner you will definitely reap the benefits of having one by learning more and having fun.

Shop Online To Get Wide Collection In Clothes For Kids And Men

Internet has made huge impact in everyones life. This latest technology allows people to shop online for almost everything they require. Shopping is necessity of all of us and many of them hate to go out for shopping. So, online shopping is the best mode which has gained huge popularity in todays time. For many people, it has become an integral part of their lives. There are many online shopping stores that offer great benefits to the people which attract them to shop online as compared to retail stores.

When you shop online, you will get to know about the great advantages of using online shopping store. Firstly, you can shop from anywhere, no matter whether you are at home or at your workplace. You do not even have to leave your chair or office desk and just with the help of internet, you can shop whatever you want.

If you are interested in shopping for kids wear then online shopping for kids is the best option for you. Shopping for kids in traditional stores becomes quite difficult as you have to bring your kids along with you. On the other hand, in online shopping, you can shop from the comfort of your home. There are number of online stores which offer variety of clothes for boys and girls. Besides this, you can save time instead of visiting malls to shop for kids.

You can buy exclusive collection for kids wear from famous online shopping store that is Majorbrands. This online store has variety of colorful clothes for kids and when you visit the kids section, you will find great discount which is up to seventy percent. You just need to make sure that you select the clothes according to the age group and size that will fit the child. Also, there are many other benefits which you will get once you shop from here.

If you are looking for shirts for men then you will get great collection in shirts of different colors, styles and sizes. You will get all the latest variety which is even displayed on the website. Not only this, there are variety in clothes for women as well. Also, you can buy fashion products sunglasses, watches, accessories, cosmetics, footwear and handbags.

On your visit to the website, you will come across many high class brands such as Mango, Bebe, Replay, Quicksilver, Nine West, Just For Kids, Inglot, M- Square, Opium, Qup Accessories, Queue Up, Park Avenue, B: Kind, Provogue, Polar and Giordano.

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.

Make Sure You Buy Good Quality Childrens Jodhpurs Online

Perhaps you are thinking of treating your little ones to horse riding lessons this year and have started to shop around for childrens jodhpurs?. But where do you start to look? Unless you are lucky enough to live near a horse riding clothing store you are going to have to look online. Do not worry as shopping for childrens jodphurs online is easy and there are more than a few specialist stores you can visit. Below is some sound advice on how to select online stores to buy your childrens jodhpurs from, and what you should look out for when browsing through the ranges of childrens jodphurs available.
Top of the list in advice when shopping online is to make sure the retailer offers secure payment processing for your debit or credit card. It is always good advice to also check to see whether the online retailer offers telephone support so you can get any extra advice and information on childrens jodhpurs. Having someone to speak to straight away is also good just in case you are not satisfied with any of the goods that you receive. Safe online shopping with great customer service will enhance your online purchasing experience and give you confidence.
Keep in mind that you also do not want to pay too much for your childrens jodphurs until you know that they are going to stick at their riding lessons. Like the High Street you need to shop around and choose a store where you can buy childrens jodhpurs at a reasonable price. Most of the good online stores will also tempt you in by holding regular sales and promotions. So regularly check back with websites to see if they have any cut price childrens jodhpurs. The great thing about shopping online is that you can take your time and enjoy the experience. So shopping for your childrens jodhpurs should be no different.
As you browse products remember that childrens jodphurs should provide as much comfort as possible. All riding jodhpurs need to be able to made from comfortable durable materials that can withstand wear and tear. Most childrens jodhpurs will have added protection in areas where your child makes contact with the saddle and horse by having full seats and knee pads. Do not forget that whatever childrens jodphurs you but also need to be able to withstand regular bouts in your washing machine too. Childrens jodhpurs also need to be fun, so make sure you shop around for some colourful ones.
You will delighted to find that some childrens jodphurs come in really fabulous two tone colours too. To see some great styles why not check out those on the Old Dairy Saddlery website? This website is good as you can shop safely with your credit and debit card for childrens jodhpurs and all your other horse riding garments. The Old Dairy Saddlery also offers top notch customer service so you really are in the most safest of hands.

India Education has to stay in Government Hands

The budgetary allocation for india education, should be revised every five years, Right now, the money allocated for education is far too inadequate. We need to set apart at least 10 per cent of the GDP to meet the educational requirements of india. Inviting private players will turn the education sector into an educational bazaar. They are interested only in making money and lure students with false promises.

People who impart education should be able to identify with the students and display an active interest in their future. If the corporate houses are really interested in making a contribution to the india education sector, they should provide money to the government or institute scholarships or fellowships for the students. The point is if the government really has the will, then it can find the money.

The salaries of professors in colleges should be fixed at reasonable levels. The government will actually be saving money by rationalising salary structures and this money can then be spent on providing quality education to students. The government is also not filling up existing vacancies in universities and colleges. The money thus saved can be diverted for educational purposes as well. The disparities in salary levels become more glaring among guest lecturers. Even after the recommendation of the University Grants Commissions pay review committee that guest lecturers be paid a salary of Rs 25,000 per month or Rs 1,000 per lecture, they are at present offered just Rs 200 to 300 for every lecture. Even the various teachers associations are not talking about the poor salaries doled out to the guest teachers.

Another important point is that india education should percolate down to the grass-roots if it has to have the desired effect. The government, instead of helping the poor to get educated, is withdrawing financial support for the education of the downtrodden. Nearly 30 years ago even people living in rural areas could access good education because the fees were very low. The government also displayed a relatively more positive attitude towards imparting education..

Today, people are going to big cities to pursue higher education after paying exorbitant fees. Even then, very few enroll for higher education in india. Schools and institutions of higher education in india should be allotted sufficient amount of money to take care of the requirements of the student community in rural areas. Education must not remain in urban areas alone, It has to reach the village level.

The Family Activities For Goa Holidays

Goa is a charming and youthful locale with so many delightful beaches, water sports and parties that people hardly look further to discover that there is a side to Goa packages which is perfect for familys monsoon holiday packages, weekend getaways and short side trips. But, Goa is perfect for these kinds of holidays. But, if you get online and check out the number of interesting and unique activities available in Goa packages, you will love to explore Goa with your family.

Explore the natural bliss

Though, for the most people, the natural bliss of Goa is associated with the unspoiled beaches of Goa. But, check out the lush green landscape of this state and treasures it offers and you will discover the exotic natural trails, waterfalls, wildlife sanctuaries nearby. The natural scenery of the region is so perfect that even a drive through can be filled with panoramic sights you wouldnt want to take your eyes off.

Check out the architecture

Goa, once upon a time, was a Portuguese colony and it received its freedom much after the rest of India. Even today, it carries its markers of the colonial era with the effortless elegance as the historic temples. So, you must visit the basilicas, churches, temples and you will be fascinated. This architecture is a part of several Goa tours and travel packages itineraries. But, add the archaeological museums and Goa is a perfect for a refreshing short break. In fact since this indoor sightseeing is so cool, you can enjoy it in monsoon holiday packages just as easily along with the waterfalls and natural scenery.

Indulge in local culture

You dont have to restrict the taste of Goa culture to seafood. Goa witnesses fascinating blend of Portuguese and Hindu culture. The fun part is you can take a fun little nap in mid-day and call it a cultural influence as the Goan people do enjoy a good siesta like the colonial predecessors. But, this enriching fusion experience includes great events, fun late night flea market haggles, exquisite costumes and great cuisine with special emphasis on rice and seafood. But, it is their spicy curries that will make you fall in love with its rich flavour.

In addition, you can enjoy several other activities like Goa shopping, bike trips of Goan beach villages, Goa Christmas celebration and some relatively new and fun water sports like crocodile watching, staying in floating tents, ship wreck dives, dolphin watching, etc. So, make most of your Goa package and explore the real charm of this travel destination with your family.

Special Day Kids Clothes The Very Best Of Italian Childrens Wear

Featuring an extensive collection of formal & dressy, as well as casual clothing for little girls, Special Day is an Italian childrens fashion label that specializes in clothes with classic styles and designs. Special Day kids clothes are all about the basics, and feature no-fuss designs that put functionality and quality first. Whereas other childrens wear labelsparticularly those that cater to little girlstend to jump on fashion trend bandwagons, Special Day kids clothes stick to timeless styles that still look amazingly fashionable to this day.

Clothes Special Day kids are made for parents and children that prefer sticking to simple, yet fashionable, childrens wear. Special Day features clothes for toddlers, children, and even infants. No matter how old your little one is, Special Day is guaranteed to have something for her. The brand is especially popular amongst those living in Europe and Australia; these parents have grown to like the label for manufacturing clothes that use only the best fabrics on their products, which are all meticulously made under the strictest standards.

Choosing childrens clothes can be a daunting task, and choosing a label that offers plenty of choices is a must. Special Day kids clothes come in a wide variety of styles and colours, and are sure to please parents and children with different tastes. Special Day favours simplicity over popular trends that come and go like the wind. You want to choose clothes that will look good not just this year, but during the next few ones that follow as well.

With a combination of excellent manufacturing technique and high-quality materials, Special Day childrens clothes are perfect for kids who like to run and play. The labels clothes are an investment you wont regret, and youll find that they will last for years, even when theyve been worn extensively. If you dont want to waste your money on clothes that rip, stretch or fade, take a look at what Special Day has to offer.

For fashionable collections that boast of Italian character and high-quality design, Special Day is the brand to choose. Made from the finest materials and garments, Special Day kids clothes provide children with that total look. Not only are the brands products stylish, they are also highly wearableperfect for the active ways of children.