Monthly Archives: February 2019

Major Study Shows Dissatisfaction Following Robotic Prostatectomy

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.

How Can Midwest Family Resorts Be The Best Spot For Vacation

How Can Midwest Family Resorts Be The Best Spot For Vacation

The primary reason why vacations are important in human life is that, to get rid of stress and anxiety as well as to get rid of diseases caused due to them. If all of the time, a person continues to work, that person has a high chance of being dead 12 years ago his or her original death probable age. Feeling numb and losing the ability to think using the brain are side effects of too much work load and pressure. People stay up nights and work, just to have some more money, but they dont see that the stress is killing them slowly. They start taking drugs and pills for anxiety and stress and gradually he or she becomes addicted to the drug. According to the experts, the overuse of this drug can cause bleeding and ultimately death.

Taking time off from labor and workload might save your life. Our life is solely dependent upon our habits. If we are happy and healthy from inside, then our body will be happy as well as healthy too. Keeping ourselves and our family happy is our duty. Arranging surprise vacations might help you to express your concern towards your family and loved ones.

Bemidji Minnesota resort provides luxury and deluxe rooms and amenities for the visitors and guests. It has lavish as well as comfortable rooms to stay in and enjoy the holiday. It also provides polite and caring staff for your assistance 24 hours as day, 7 days a week. it has swimming as well as other facilities such as gyms ,attractive scenery, splendid weather and many more such mind-blowing attributes which makes it one of the best Minnesota family resorts in that region.

Blackduck MN resort is another one of the marvelous vacation spots chose by the visitors in Minnesota. It has wonderful facilities as well accommodation amenities that will surely impress you very much. Starting from water trampolines and water crafts, there are facilities for playing table tennis, basket ball and many such other games. The whole area is facilitated with free WIFI which has also become a common necessity of people. If you are looking for a perfect Midwest family resort to spend time with your family and loves ones, then this resort is the ideal choice one can have.

Having a peaceful time with your loves ones beside a lake is a dream comes true for almost everyone in this world. It has been guaranteed that guests will never regret their choice if they visit this resort in Minnesota.

Should I Be Worried About My Elderly Parent Falling Should They Get A Medical Alert System

Should I Be Worried About My Elderly Parent Falling Should They Get A Medical Alert System

Usually, its not a case of if your elderly parent will fall but when. Studies have shown that 69% of elderly over the age of 70 will fall. Unfortunately usually if a fall happens with a senior in their home it wont occur in a convenient place for him/her to get help, like beside a telephone. Most falls happen in or around the bathroom or stairway. If the senior is alone when this fall happens, with nobody around to help, the situation could become dire. This is why its critical to plan for such an event, to ensure your loved one is safe.

There are many steps you can take to help prevent your elderly parents from falling. Regular exercise is critical to increase strength and mobility. Exercise is one of the most important steps you can take to actually reduce falls.

Decreasing fall risks in the home like removing small rugs, using non-slip mats in the bathtub, improving lighting and removing any items someone may trip over can help prevent falls. You may also want to install grab bars next to the toilet and the bathtub.

You want to be careful with your loved ones medication to ensure side effects wont help cause a fall. Its important to check drugs that have side effects that can cause drowsiness. These can increase risks of falls inside the home.

Checking your loved ones vision regularly is also critical. Loss of vision can greatly increase the risks of falls.

And finally, purchasing a medical alert system for the home can be a final safety measure that can save their life. If your elderly parents fall inside the home, all they would need to do is press a help button and help would be on the way. A personal emergency response system is what every senior needs.

Elle and Be The Best Wedding Cinematographer

Elle and Be The Best Wedding Cinematographer

Weddings are an auspicious occasion that is the first step of a beautiful relationship that lasts forever. It is one of the happiest occasions of not only the bride and the groom but both the families as this event unites two lovely souls. Be it the bride or the groom, both of them looks their best on this auspicious day. Many beautiful moments are created during a wedding and a wedding is incomplete without good wedding photographers as they have a great role to play in making your wedding memories priceless. A good photographer will capture all the beautiful moments from the best possible angles so that the pictures look natural. You would always want your wedding memories to stay with your forever. And this would only be possible when you hire the services of Elle and Be.

They specialise in wedding cinematography and their years of experience in this field have helped them to make a name for themselves. From clicking the perfect wedding pictures to creating videos, they are your best choice as they are sure to create master pieces so that you relive these lovely moments whenever you want to. They not only click pictures and make videos but they also customise these videos to make them more romantic so that you fall in love with your spouse all over again each time you see these wedding videos of yours. In short, Elle and Be create magic that no other wedding photographer do. They capture all the priceless moments so that you enjoy these for a lifetime.

Their professional attitude and creative wedding photography ideas have helped to win the confidence of many esteemed clients for Toronto event photography. They also specialise in South Asian Wedding Photography Toronto and so if you want them to create magic with their cameras log on to ellebefilms.com for further details. >

What You Should Know About This Year

What You Should Know About This Year

How to Complete a Modern Bathroom Remodel

Today, everything is transforming to be quicker and better, and with such progress, most people are interested in making their homes the ultimate relaxing spot rather than wasting time moving around to different places. Such moves have made people more interested in making their homes great with remodels and one of this is through bathroom remodeling. Since the restroom is one of those regions of the house that are broadly used, you are going to pick up once you improve this locale enormously. In this article, you are going to learn of a simple ways to transform your bathroom into a retreat. You can click to read more on the best strategy to make your bathroom great with modern remodeling.

With modern bathrooms redesigning, one overwhelming standard guideline while facilitating the entire process is coordinating both style and capacity. Well, in the current industry setting, most manufacturers and suppliers are concentrating on making their customers happy, and they are creating and delivering good materials to the market. This way, when you want to remodel your bathroom, you will get excellent products that will transform your bathroom into a retreat. Considering many people’s bustling calendars, who wouldn’t have any desire to have a spa in their restroom, where they will have some enormous loosening up minutes. To appreciate only this, mortgage holders don’t have to consume gas and spend a ton for wellness club participation as ways to improve your bathroom can incorporate this feature. Spa items extraordinarily fabricated for the home establishment and use flourish the market. Depending on your necessities, you can install this at your home’s bathroom.

Warmth is vital in expanding solace, and today you will locate a boundless cluster of new ideas and frameworks that enable the family to appreciate boosted warmth and consequently, comfort. Nobody wants to appreciate a warm shower just to venture out and begin encountering the cool environment and ground. This can be perfectly solved if you make your bathroom more modern by using radiant floor heating. In light of innovation, today, you can do completely whatever you want. With these headways, slants in present-day washroom redesigning have progressed to incorporating innovation to appreciate amusement at its best. You can have a restroom where you can watch a motion picture or tune in to your most loved music. They do this by installing unique gadgets that facilitate this entertainment. Waterproofed and made progressively beautiful with great technology, probably the most widely recognized innovations that might be incorporated into your undertaking include things like sound frameworks, media players, and LCD TVs that accompany remote controls. This link will help you discover more in tips to transform your bathroom.

Top Christmas Gifts For Parents

Top Christmas Gifts For Parents

Selecting proper Christmas gifts for parents should show your care for them. No matter how much time you spend with them once a year, their health is always what you care most. Portable monitoring and treatment medical devices are top Christmas gifts for parents.

Accompanied by the advancement of quality of life, there have been a series of health problems. By selecting portable medical equipment like a blood pressure monitor, or a hearing aid, on one hand you express your concern to your parents or grandparents with such Christmas gifts, on the other it help strengthen their health awareness. Isn’t it fantastic?

Take blood pressure monitor for example. Hypertension is a common problem among old people so it is a good option to choose a blood pressure monitor as Christmas gifts for parents, and they rank top among top selling Christmas gifts. In this way, your parents can know about the blood pressure anytime and anywhere with great convenience, instead of going far away to hospitals regularly.

There are four basic types of blood pressure monitors: aneroid, digital, finger, pediatric, and wrist blood pressure monitor. You could choose one of them according to the needs. One point to keep in mind is to choose the right size of cuff for comfort and accurate reading of blood pressure. No matter which one to choose, it is wise to choose easy-to-use blood pressure monitors that are lightweight, portable and easy to operate and read as the best Christmas gifts.

Christmas is a great opportunity for family and friends to get together to talk, and to show the love to each other. It is not the Christmas gift that really count but the meaning behind it. For parents who have devoted and will continue to devote their whole life to children, they just expect health and peace for the whole family. Likewise, as children, what we want is parents are both healthy and happy. In this case, it is wise to choose medical equipment as the best Christmas gifts for parents. Most importantly, such gifts are of much practical use.

Need A Quick Study Break Let Online Games Help You Out

Need A Quick Study Break Let Online Games Help You Out

If your brain is already getting muddled up by all the Xs and Ys of your Algebra assignment, or when the language of Shakespeare is starting to make you nod, then you definitely need a break. Its nice to put your mind off from study and let it have fun once in a while. For that, one of your best options are online games. These games are fun and great diversions from the stress of studying. Not only that you have a great variety of games to choose from, such as strategy games, adventure games and the numerous sport games online. If you also need games that provide mental stimulation, you can also play board games and puzzle games online; now you have a reason should your parents catch you playing on your study time.

But aside from the variety of games that you can play, one of the advantages of online games is that they are readily accessible. If you have internet connection, you can go directly to the URL of the gaming site that you know and play right away. If you dont know any gaming sites, just do a quick search for free online sports games or any game that you like through your favored search engine and you can find a gaming site in seconds. You also dont need to do anything else but click on the game that you want, wait for it to load and then you can play right away. This ease of access makes it perfect if you want a quick break from the boredom of your lessons.

Another advantage of these games is that they are quick to play and finish. Depending on the game, you can clear the game in a matter of minutesjust right for a quick study break. No need to be concerned about having to play long hours and getting to transform your break into a full form of study truancy. This way, you can easily pull yourself away from the game and return to your studying. For example, when you play sport free games, you can be done with just a few matches.

And so, should you need a quick study break, try online games, like board online games, to give yourself some much-needed rest. Just be sure to play your games only as a break. Though these games are short, they can be quite addictive too. So you should better watch it.

What are Children and Family Reporters

What are Children and Family Reporters

Children and Family Reporters are officers of the Child and Family Court Advisory and Support Service (Cafcass). They work with families who have trouble deciding on arrangements for the care of the children. Their main interest is to protect the welfare of the children and they provide the family courts with advice on this subject. However, Children and Family Reporters are independent of the court. In addition, although they are trained in social work and have experience working with families and children, they are independent of social services, health and education authorities and all other similar authorities.

The family courts encourage families to decide for themselves the best and most suitable arrangements for the care of the children within the family. This can be done informally or through the use of family mediation which family lawyers can organise. If the families are unable to come to a practical and realistic agreement, they can apply to the family courts to make the decision instead. The family courts are able to make orders that determine how the children will be cared for, and before the family courts make those orders they may enlist the help of a Children and Family Reporter. The role of the Children and Family Reporter is to work with both parties to the dispute and attempt to reach an agreement without the involvement of the court.

If the parties are still unable to reach an agreement with the Children and Family Reporters help, there are a number of things that the Children and Family Reporter can recommend to the court. They can recommend that the court delay the proceedings so they continue to work with the family in order to reach an agreement, or so that they can write a full welfare report for the court.

A welfare report is a report that contains the Child and Family Reporters recommendation on what is best for the children. In order to write this report they will need to speak to the children in question and both parties involved. They are also able to speak to other people who can provide information on the situation, such as doctors, social workers and relatives. The process of writing a full welfare report can take up to ten weeks. For more information on this contact family lawyers.

The family court will carefully consider the opinion of the Children and Family Reporter and their full welfare report when making their decision.

Meeting Florida Singles Through Online Dating Sites

Meeting Florida Singles Through Online Dating Sites

Single in Florida and looking for a date? Florida online dating sites can help make your search fast and easy! Meeting like minded Florida singles has never been easier due to the explosive growth that online dating has experienced. Internet dating makes meeting singles in your city fun and exciting. Whether you are searching for singles in big cities like Tampa, Orlando, Jacksonville, Miami or smaller cities like Daytona Beach, Sarasota, Clearwater, Ocala, Pensacola or even Gainesville, online personals dating sites are helping thousands of Florida single women and men in these cities meet.

Florida dating offers some of the most fun filled things to do for singles on their first date or planning that special weekend romantic getaway. Registering with one or several dating sites is the first step in your search. Once you have completed your profile you can now begin your search for local singles in your area or even do an expanded search into other Florida cities. Tampa and Daytona Beach dating offers singles so many things to do with its many nightclubs, parks, restaurants or even a romantic walk on the hundreds of miles of beautiful beaches. Some of the most beautiful and romantic beaches anywhere can be found in Sarasota and Clearwater. You and your date can enjoy fun filled amusement parks such as Disney, Cypress Gardens, Silver Springs, or choose from 100s of fine restaurants, theaters that are found in and around Orlando and Jacksonville you can be assured that you and your date will have an exciting time in these cities.

Florida single men and women searching for things to do with their date in Miami have a laundry list of exciting things to do, ranging from the nightclubs to the beautiful beaches, Miami singles are sure to have a great time. Just through a simple online search, you can find thousands of things to do in virtually all cities throughout Florida.

As you can imagine, there a lot of online dating sites when you search the internet, and of course, more of them tend to pop up as online dating grows in popularity. Because of this, it now becomes increasingly important to find an internet dating website that offers you reviews and comparisons of the leading Florida sites that have reputation and are more well branded prior to registering with any of them. Doing this, will give you the general idea of what their subscriptions cost are, their search tools, matchmaking techniques along other unique features that will be available to you once you have joined. The leading Florida online dating sites will most likely have more single women and men in their database. Most sites are free to join and review your matches. Therefore, maybe joining several different ones will help you find that special someone. Once you have determined which dating sites is the best for you, be sure to always read their terms and conditions prior to joining.

Development, Relief And Education For Alien Minors Act Election Offers Citizenship For Service Or Schooling

Development, Relief And Education For Alien Minors Act Election Offers Citizenship For Service Or Schooling

With an election that came down almost entirely on party lines, the U.S. House of Representatives approved the Development, Relief and Education for Alien Minors Act. The Development, Relief and Education Act, creates a way for young adults who came into the country as kids a way to become citizens. The DREAM Act, isn’t assured yet, however. The Senate has promised a filibuster. Payday cash advances might even be within the future for those invovled with the DREAM Act. Article resource – DREAM Act vote offers citizenship for service or schooling by Money Blog Newz.
The DREAM Act may be the best ‘path to citizenship’ there is
The Development, Relief and Education for Alien Minors Act is a bill intended specifically to target children that are brought to the United States as illegal immigrants before they’re 16 years old. A six year “temporary” status would be given to young adults who go through the Development, Relief and Education for Alien Minors Act to apply for citizenship. During that time, they would be required to go to college on their own dime or serve within the United States military.
The impact of the DREAM Act
There’s a lot of debate over the Development, Relief and Education for Alien Minors Act. Some are calling this an “amnesty” bill that would give 2 million illegal immigrants a right to be within the country legally. Others take issue with the belief that these immigrants would be able to pay in-state tuition for school. Proponents of the bill, however, point out that the bill targets only young adults who were not given an option in coming to the country. The six-year “trial period” would provide them nothing other than a lawful right to be within the country; no PELL grants, no welfare, just a chance to “prove themselves.”.
Vote status of Development, Relief and Education for Alien Minors Act
A 216-198 vote got the Development, Relief and Education for Alien Minors Act passed within the House of Representatives. This doesn’t mean it will ever become a law though. The Senate might filibuster the passage of the Development, Relief and Education for Alien Minors Act, preventing it from passing. The Homeland Security Secretary and Education Secretary have both come out in support of the DREAM Act. The federal deficit may reduce by $1.4 billion if the DREAM Act does pass due to the increased economic activity and reduced enforcement costs, claims the Congressional Budget office. The DREAM Act will go into law if it’s able to pass the U.S. Senate. Obama said he would sign it too.