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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.

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Green Education For Green Profession

Energy costs are on the rise and shall continue to rise in the future too. A better understanding of ways to improve indoor air quality, energy conservation, lighting efficiency, water conservation, reuse and recycling is required for a greener and healthier environment. This will help in making the atmosphere eco-friendly and will also make households and businesses energy efficient; thereby helping to save the depleting resources.

In order to create eco-friendly buildings and houses, one must possess green certification for building projects, construction processes, etc. The green building environmental certification program brings together consumers and certified building practitioners who have proper knowledge about green building techniques. The objective of a green certification program is to spread awareness in an eco-friendly manner that supports social and economic sustainability. The basic goal of green certification is to:

Elevate standards of organizations through energy efficient designs.

Enhancing capabilities of professionals and organizations to deliver energy efficient, sustainable building design and development technologies.

Consumer health protection through increased public awareness, green knowledge and access to information about design and building practitioners.

Enabling public and private sector officials to use Green Certification as a prerequisite or screening device during the contract bidding process.

Today, consumers are becoming more aware about the environmental issues affecting their households, businesses and lifestyles. And therefore they are choosing green consultants, interior designers, architects, and builders to incorporate sustainability into their households and businesses to also reduce energy depletion in the civilization and nature.

Green Certification and training aims to lower overhead costs through reusability, energy conservation and recycling. Adopting green is becoming a necessity as corporations and home builders, retailers, health care institutions, and others are going green for a better working environment. The benefits of green certification are countless including reduced energy dependence, fewer power plants, fresh air, clean water, healthier environment, increased sustainability, improved public health, decreased vulnerability to disasters, etc.

Green education and training makes it crucial to understand sustainable strategies, conservation of energy, air, water, soil and other natural resources so as to implement green strategies in an organization. One can pursue certification courses like certified green designer, certified green specialist and certified IAQ specialist. With these specially tailored green educational programs one can have comprehensive and reliable information regarding indoor air quality, energy conservation, lighting efficiency, water conservation, recycling etc. This allows professionals to make a careful selection of healthy and eco-friendly materials, products and strategies for going green.

About The Author:

Author, Tina Chaphe is the founder of the National Association of Green Designers and the National Association of Green Specialists. BecomingGreen.Inc. is the training entity for those two associations and was founded and fueled by the desire to have quality green training in the design community. They have newsletters, news articles, Governmental and Regulatory updates, and blogs from leading researchers that will keep members abreast of breakthroughs in the Green industry.

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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.

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Study Overseas and Merge Education and Vacation

A Europe study abroad program is a great and simple way to merge two of the “cations” in your life: education and vacation. Not only can a period of study in Europe enrich your educational experiences and understandings, it can also allow you to experience new cultures, new places, and new parts of the world you may have never seen before.

But, all of the above might not be enough to convince yourself, or more accurately your parents, that a semester abroad or summer school in Europe is worth all the time, money, and hassle of relocating. But, the fact remains that the Europe study abroad programs are well worth the effort.

The benefits of Europe study abroad programs are many. Here is just a sampling:

An Infusion of Variety: No matter where in Europe you choose to go, excitement will surely welcome you with open arms. Europe is filled with restaurants, museums, galleries, shops, and historic sights you may have only dreamt of visiting. A Europe study abroad program gives you the chance to experience all this. It gives you a chance to have the world, or at least part of it, at your fingertips.

A Catalyst to Your Degree: For many students, a semester or summer school in Europe can serve as a catalyst to your degree. If you are majoring in a foreign language, foreign relations, or international studies, for instance, a study abroad Europe program can give you valuable experience and potential connections. If you are majoring in history, art, or architecture, a study abroad Europe program can give you valuable insight, inspiration, and understanding of the birthplace of many movements and events.

An Improvement to Your Resume: While you might not be thinking of jobs as you study abroad, the job market will be waiting for you when graduation happens. Unfortunately, this is not always a good thing: the market, especially at presently, is highly competitive. Thus, your resume needs something to help it stand out. A study abroad experience can help you do this. Studying abroad tells potential employers that you are not a afraid to adapt to new changes, to take chances, and to travel outside of your comfort zone.

A study abroad Europe program is an all win situation for the student involved. Allowing you to have your cake and eat it too, Europe is a wonderful and exciting place to experience, both inside, and outside the classroom.

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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.

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Choosing to Study Abroad

Most students know someone who’s gone oversees to study abroad but most have never considered the option for themselves. There are many advantages to spending a semester in another country, but is this right for you or your child? First and foremost, what is study abroad? The basic premise is to travel to another country and continue normal studies while also learning about the country’s culture, history and language. Students who study abroad must normally have a certain amount of school credit hours to qualify for the opportunity; must be willing to be gone for either a semester, summer or year; and must typically pay their own way unless they’re on scholarship. Before deciding to take this journey, both students and parents are interested in hearing the advantages of this option. So what are they?

One major benefit in most people’s minds is the opportunity to experience a different culture for a short period of time. The student will have the chance to become accustomed to new foods, arts, music, history, political systems and holidays. Another plus is if you decide to travel to a country whose national language you’ve studied, you’ll be able to gain first-hand experience putting that language to use. The best way to become fluent in a language is to put it into practice; what better way to do that than to rehearse it in its natural environment? Having this kind of practice with a foreign language can look very good to a perspective college, grad school and even to future jobs.

The ultimate way to ensure you’re choosing the right plan is to be absolutely comfortable with the overall idea. If you don’t like leaving home for a couple of days, odds are high that adjusting to studying abroad would take some time. It’s critical to weigh your options. Obviously it’s natural to fear becoming homesick, but most students who’ve chosen to study abroad find that they’re so busy participating in amazing new opportunities that the time flies by and home is a faraway thought.

If you’ve weighed your options and decided the journey will benefit you, be sure to check out your options as far as programs go. Most high schools and colleges offer their own programs, but if you choose to go another route or if you’re home schooled then you’ll want to do plenty of Internet research. Terra Education is one option for those wishing to participate in a high school study abroad program. Regardless of which choice you go with, remember that you’re experiencing a once-in-a-lifetime opportunity and you should take full advantage of it. Put yourself out there and gain as much as you can from from the experience. Safe travels!

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Why Play is Valuable for a Child in Early Childhood Education

The Oxford dictionary describes play as: to fulfill, to occupy oneself, to have the ability to perform, to undertake or exercise activities for pleasure.

Not any particular child, but every child in any nation, environment or circumstance needs play. It’s absolutely necessary for children to play, to express themselves social, emotionally and physically. Play allows itself to be an individual creation or to be shared with others, it can be pulled in any direction letting it be turned into anything a child would like, preparing a healthy start to a lifetime of learning. Play is so special that its generosity even includes having fun; in fact that is one of the most important things about it. It has so many benefits that head off in every direction developing all the important ingredients for strong head start in a child life.

It is the adults job to explore the conditions which are best for maximizing the potential benefits of play for children to develop these social skills. One of the ways to do this is to provide and encourage games that are fun, exciting and positive for children. Many social skills are learnt through co-operative activities allowing the child to learn how to confidently form stronger friendships and relationships with siblings and parents.

Activities that involve interacting with others teach children not only about themselves but also about other childrens feeling needs and wants. Since they have learnt to value others’ emotions they develop skills to handle confrontations and conflicts in the future.

It’s also important for a child to develop physical strengths along with the social and emotional. Play has a huge impact in this development for children of varying ages, abilities and interests. Physical play strengthens a child’s fine motor skills as well as gross motor skills. Fine motor skills include such things as eye, mouth, wrist, finger and toe movements, whereas motor skills are the exercise of the larger muscle groups like the arms, legs and torso. This motor play provides critical opportunities for childrens overall strengthening of muscles, nerves and brain stimulation.

Play involves social, emotional, and physical learning. Included in all these types of learning comes cognitive development, an important result of play. Play gives children the opportunity to understand the world, interact with others in social ways and to express and control emotions. Play is a child’s opportunity to practice the skills they are building, and to try out new tasks. This gives them the framework and knowledge to solve more complex problems. All these things are needed for a child to get a healthy start in life. But the most important part of play is having fun. Play and fun are inseparable from each other. Without play, fun doesnt exist and without fun play cant exist.

For more information on early childhood education and the effect of good childcare on a child’s development check out my section on kindergarten and kindercare at our website.

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Importance of Education in Children

Education is an important part of any child’s life. By getting a quality education, we can better ensure that our children will be successful in the future. Today, America is more of a service and technology industry than a physical labor economy. Hence, education is more important than ever before. This is why you should teach your children the value of an education at a young age. You should choose the best preschools in St. Petersburg to send them to. This may seem a bit tedious or unnecessary since your children are so young. If you build a good foundation for your children, they will be able to build off of that in the future. When children learn things at a young age, they are much more apt to abide by these teachings in the future. Therefore, as you begin to research preschools in St. Petersburg feel free to let your children join in on the fun. It can be a great bonding opportunity and learning experience for both you and the child.

You will want to look for schools that offer a flexible learning curriculum when you are researching preschools in St. Petersburg. Basically, if your child has any special needs, the preschools in St. Petersburg should be willing to accommodate his or her needs. This includes anything from a physical disability to a learning disability. You can make sure preschools in St. Petersburg are willing to accommodate for you, simply by looking online at their website, or by calling the school and asking for additional information on the matter. You can find out a lot of information about preschools in St. Petersburg by looking online. This is not only easy, but it is also extremely convenient. You can find nearly all of the information that you need to know about preschools in St. Petersburg by never leaving the comfort of your own home. However, this is not the only way that you can research. If you do not have the Internet available, feel free to call the preschool directly and schedule an appointment to meet with a representative.

Another thing that you should look for in preschools in St. Petersburg is the curriculum. It should be a nationally recognized, quality curriculum. It should address the social and developmental needs of children. The teachers should also be trained in the curriculum. You will want to be sure that it does not limit your child and that it allows them to use their full potential. Since children do not all learn at the same pace or level, there should also be qualified staff to help your preschool children. Another thing to consider is the safety of the school. You should make sure that you feel comfortable in leaving your child with the staff. It is always wise to meet the staff before agreeing to let your child become a student at any preschool.

preschools St. Petersburg

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SAP C_TCRM20_60 study guide

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C_TCRM20_60 Exam SAP Certified Application Associate – CRM Fundamentals with SAP CRM 2007 (CRM 6.0) Exam Number/Code : C_TCRM20_60 SAP Certified Application Associate – CRM Fundamentals with SAP CRM 2007 (CRM 6.0) Questions and Answers : 120 Q&As Update Time: 2011-03-04

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We are all well aware that a major problem in the IT industry is that there is a lack of quality study materials. Our C_TCRM20_60 Exam Preparation Material provides you everything you will need to take a certification examination. Like C_TCRM20_60 actual certification exams, our C_TCRM20_60 Practice Tests are in multiple-choice (MCQs) Our SAP C_TCRM20_60 Exam will provide you with exam questions with verified answers that reflect the actual exam. These questions and answers provide you with the experience of taking the actual test. High quality and Value for the C_TCRM20_60 Exam:100% Guarantee to Pass Your C_TCRM20_60 exam and get your C_TCRM20_60 Certification.

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Learn how to make education fun with an online learning game

There are plenty of websites on the internet for children who want to play kids pc games. However, many of the games kids can play are not age-appropriate and have little or no benefit to the childs development. Some can even be violent and harmful to children, teaching them wrong and misguided messages. The best kids games on the internet manage to include educational benefits and this is particularly important in games for young children. Preschool games especially can easily incorporate education and psychological benefits while providing a fun experience. It is easy for a learning game to be a fun game!

Flash technology has aided this process greatly and many kids flash games are bright and fun. The best kids flash games help with language, numeracy and motor-neurone skills amongst many other benefits. Adventure games for kids can often take them to far and distant worlds, while providing excellent benefits, and not just for their imagination!

A good learning game will be primarily entertaining and actively engage the child. Some internet games for kids and learning games for kids miss out this important aspect, feeling more like homework. The best kids games wont seem like that at all, they will just be enjoyable and fun. Kids flash games are a great way to do this, they are easy to build and can easily be made appealing.

Many childs games include aspects which help to teach them the consequences of their actions, which is a very valuable lesson at any age. They can also teach some of the fundamental principles of life and many of the best kids games involve scenarios applicable to real life. For example a game where the child has to dial 999 to call an ambulance not only helps their mouse control and number recognition, but also teaches them what to do in a an emergency. Adventure games for kids often include many of these aspects, taking children on a learning adventure, as well as a fun one.

A truly engaging learning game can be a great tool, and parents should definitely consider kids pc games when entertaining their children.

Online Preschool games have often been harder to find than games for young children of school age, with many sites targeting the four-plus market. However, preschool games are becoming more and more popular. So if you want to keep your children amused while at the same time knowing they are benefiting in a positive way, educational internet games for kids can combine both learning and fun.