Prostatectomy is a surgical procedure to remove either all of, or part of, the prostate gland, usually to treat benign conditions in the prostate, or to treat localised prostate cancer and other pelvic cancers.
The prostate gland is a part of the male reproductive system. Its main role is to produce the fluid that carries and protects sperm. It is located in the lower abdomen in men only.
There are two main types of prostatectomy, depending on the condition being treated:
Radical – A radical prostatectomy involves removing the entire prostate gland, capsule (or covering), the surrounding lymph nodes and neighbouring tissue. This is usually a treatment for men with localised prostate cancer.
Simple – A simple prostatectomy is when an enlarged prostate is removed by enucleating it from its capsule. The sphincter muscle and surrounding nerves remain intact. It is used to treat benign conditions such as enlargement of the prostate (benign prostatic hyperplasia or BPH).
Robotic prostatectomy is a surgical method for operating on the prostate using small tools that are attached to a robotic system. Rather than the surgeon performing the procedure with their own hands, they control robotic arms with a computer. Robotic prostatectomies are far less invasive than traditional surgery and have many advantages and health benefits.
A robotic prostatectomy is performed by a surgeon who sits at a computer station and directs the movements of the robotic arms via a computer interface.
The robot’s camera and instrument-bearing arms are inserted through several small incisions in the abdomen. The prostate is detached internally, placed in a bag, then removed through one of the incisions.
Robotic prostate surgery has a wealth of advantages over traditional laparoscopic or open surgery. The technology used in robotic surgery enhances precision, control and flexibility of the surgeon’s movements which means the surgery is far less invasive.
• Instruments used in robotic prostatectomy can turn in all directions with 90 degrees of articulation
• The system can operate through much smaller incisions – just 1 or 2 centimetres
• The robotic system allows the surgeon a true 3D view of the operating field. This hand-eye instrument alignment is similar to open surgery only with all-around vision, the ability to zoom-in out and without the invasive side effects of open surgery
• The surgeon is able to sit comfortably at the computer station, meaning they can concentrate fully on the task at hand
These factors contribute to a far less traumatic experience for patients undergoing prostate surgery. Recovery is much quicker and the precise movements of the robotic system mean that the delicate nerves and organs surrounding prostate are spared. Risk of harm to bladder control and erectile function is greatly reduced.
As with any surgery, there are risks associated with a robotic prostatectomy, although each is dramatically reduced by robotic surgery. These include:
• Surgical complications such as blood loss, infection and deep vein thrombosis
• Incontinence – urinary function is controlled by two muscles which are located around the prostate, so surgery may cause incontinence until these muscles regain their strength.
• Erectile dysfunction – operating on cancer of the prostate will always hold the risk of postoperative erectile dysfunction as many of the nerve bundles that control erectile function are affected during surgery. However, robotic surgery, if carried out early, dramatically reduces the risk of erectile dysfunction.
We are experts in the field of prostatectomy. In particular, Dr Mohan Arianayagam specialises in robotic radical prostatectomy. Dr Arianayagam performs robotic radical prostatectomy at both Macquarie University Hospital and Nepean Public Hospital.
He has performed over 250 robotic cases. He is also a proctor for Device Technologies, who supply the Da Vinci Robotic System in Australia. Being a proctor means Dr Arianayagam is qualified to teach other surgeons to use this technique.
At the beginning of any artistic movement is always a catalyst, a hyperbolic, over-realised fever dream of what came after. This is seen everywhere; film, art, music - what would modern psychedelia be like without the groundbreaking influence of the Byrds' 8 Miles High or Brian Wilson's experimental song composition?
Unfortunately these proto-creations often hide in the shadow of their creative children - it's why remembering them is so important. For modern sci-fi this was Métal Hurlant, a dastardly, x-rated trip out that has been cited by Ridley Scott, George Lucas and Katsuhiro Otomo, creator of Akira, as an influence.
Co-creator of the series Jean-Pierrie Dionnet has spoken on the importance of the comic's potential energy, saying in a 2013 interview that he learned of it's importance as early as Métal Hurlant's first issue.
“I learned it when Alain Resnais was my first subscriber, Chris Marker was the second one, Fellini the fifth. I learned it when I would ask George Lucas for a foreword, and he would send me it the next week.”
The comic anthology began in the 70s and stretched through the 80s, finishing in once in 1984 and again in 2004 after a short-lived resurgence. Translating to Howling Metal in English, the series thrived on rule-breaking, boundary pushing and artistic freedom, largely due to the editorial influence of Dionnet.
Today instances of sexualised, avant-garde sci-fi are innumerable, and tendrils of Métal Hurlant's presence are felt in more popularised interpretations of the genre such as Star Wars or more recently Ex Machina or Black Mirror.
See some more of the amazing artwork below, and read more about Métal Hurlant on Dazed Digital.
Read: The best music documentaries on YouTube.
While you're here, check out our list of the best music biopics out there.
While our collective love for Star Wars never really died, longtime fans of the franchise are absolutely reeling it in at the moment. With a new movie coming out every December for the next five years, it's the best time to be wishing you were off in a galaxy far, far away since the 80s.
With the series' resurgence, an explosion of new media, merchandise and memes have been flooding the news feeds of the world since we met our new heroes in 2015's The Force Awakens. While this particular act of internet genius isn't focused on Rey, Finn or Kylo Ren, you'll love it all the same.
Steven Lear, known by his Instagram pseudonym @WhyTheLongPlayFace is the artist behind these terrific creations. Mixing the world of music with the universe of Star Wars, he's making a name for himself by photoshopping Han Solo, Lando Calrissian, Princess Leia and even Chewy onto some of the most iconic album covers of all time.
David Bowie's Heroes, Queen's Hot Space, Fleetwood Mac's Rumours and Prince's sultry self-titled album are among the records which have already received the treatment.
The Weeknd is the most recent hip-hop artist to transition into the film industry. The music video for title track of his new album, Starboy, revolves around a dramatic mini-narrative which will be explored further in his upcoming filmic venture, Mania.
Earlier this week, Tyler the Creator also announced that he will be producing a documentary based around his latest album, Cherry Bomb.
MANIA ! a visual piece... COMING SOON pic.twitter.com/fQGrtjwVbm
— The Weeknd (@theweeknd) November 21, 2016
MANIA ! a visual piece... COMING SOON pic.twitter.com/fQGrtjwVbm
— The Weeknd (@theweeknd) November 21, 2016
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Love & Mercy is the forthcoming biopic about the tortured life of Brian Wilson, and judging from the brand new trailer, it's going to be intense.
The 2 and a half minute trailer highlights the manipulation Wilson suffered during his time fronting The Beach Boys, primarily at the hands of his psychiatrist Dr. Eugene Landy (played by Paul Giamatti). It also explores Wilson's relationship with his wife Melinda Ledbetter, played by Elizabeth Banks, as well as struggles through competition with The Beatles, Wilson's legendary creativity in the studio, and his tortuous life dealing with drug habits. John Cusack will be portaying Wilson in his later years, while Paul Dano (the angsty teen from Little Miss Sunshine) plays him during his time with history defining Beach Boys.
Directed by Bill Pohlad, the film is due out June this year and it's shaping up to be an intensely emotional portrayal of one of history's most definitive musicians.
It comes pretty goddamn close and for the purposes of the Wayne’s World 25th anniversary we thought it best to tweak its nips and give this cracker of a movie a shoutout… because let's face it, it’s fucking hilarious; a triumph of comedy, social commentary and popular culture.
Other films that come up close are The Blues Brothers, Almost Famous, Spinal Tap, and School of Rock. Frankly there are too many to name, but it cannot be denied that Wayne’s World is goddamn hilarious and packed with so many juicy groove triggers it's hard not to fall in love over and over again.
Not to mention Wayne’s World presented the joyous moment I discovered my love for Jimi Hendrix. Garth’s Foxy Lady rendition taught me all I needed to know about flirting…a totally amazing excellent discovery.
The concept of Wayne’s World was born of comedic legends Mike Myers and Dana Carvey in 1992 and was an adaptation of a sketch performed under the same name on NBC’s Saturday Night Live. Directed by the brilliant Penelope Spheeris, who is now a renowned documentary filmmaker, Wayne’s World was by far her highest grossing production to date.
The film packed a stellar punch with appearances including Meat Loaf, Alice Cooper, Tia Carrere, Ione Skye and Ed O’Neil, raking in a whopping $121.6 million in it's theatrical run.
The soundtrack of Wayne’s World was drastically propelled forward by the use of Queen’s Bohemian Rhapsody, and the track was sky rocketed to #2 in the Billboard charts in 1992…. 17 years after it's original release. The soundtrack itself made it to #1.
Unfortunately pop legend Freddie Mercury would not live to see this banger come to life on the big screen, passing away just one month before it’s release. The studio was reported to have lobbied pretty hard for a Guns N' Roses track to feature, however Myers placed his own involvement in the film on the decision to use Bohemian Rhapsody and thanks to his stubbornness we have possibly the most epic movie opening driving scene ever, one which my mates and I will still replicate more than a decade later.
The scene where Wayne goes large and purchases THE Fender Stratocaster is possibly one of the hottest moments in film, in fact Led Zeppelin actually refused for Stairway to Heaven to be played after the theatrical release of the film… Stairway DENIED!
Wayne’s World has been celebrated as a formative element of contemporary pop culture vernacular, "That’s what she said," "Party on" and “not!” are all catch phrases which can be attributed to it’s killer script and definitely ones which feature heavily in most convos I engage in.
The film is packed with so many blissful one-liners; I reckon you could possibly go through life quoting nothing else.
The film’s loveable, eccentric and achingly familiar characters are all what absolutely makes Wayne’s World, Tia Carrere being quite possibly the most bangin’ thing on two legs…schwing! Providing adolescent men everywhere with the hope that one day they too would meet a chick as cool as Cassandra at the total babe fest that is their equivalent to the Gasworks.
While other music films have killed it in period accuracy, cast and soundtrack, Wayne’s World is a timeless music nerd’s anthem. It’s fresh, witty and deliciously accompanied by some of music’s best-loved tracks, the fact that it is now 25 years old doesn’t even factor in.
Finally we leave you with the best piece of advice you could possibly harvest from Wayne himself and one that I will definite pass on to my sons…
‘If you blow chunks and she comes back, she’s yours... if you spew and she bolts, it was never meant to be.’
We all have moments where we have a song that gets stuck in our head – that goes on and on seemingly on repeat – or a memory that pops up from out of nowhere. There are reasons why certain songs resonate with us, and why the most obscure memories invade our thoughts. Because every song and memory is a personal message, designed just for you, by you, as an indicator that either everything is great and that there is contentment all round – or that there is a need to work out a better way to deal with a problem or thought pattern that may be potentially leading you down the wrong path. They each have a purpose and are in their own way showing you how to unlock the power of the present moment – leading you to evaluate your current situation and to instil a new awareness and understanding into how you operate.
A happy song, a sad song, or a song that may have slightly more telling lyrics all offer insight into how we are feeling. By using it as a guide, you can come to understand what the song that is stuck in your head is trying to tell you, and go on to instigate change in the area that needs it – helping you to come to a new understanding of what you really need to do to reach your full potential – to kick old habits to the curb and to rid yourself of anything negative that you may have been harboring without even realising that you were doing it.
Memories, are also designed to teach us – so that we are able to learn from our achievements and mistakes – to see what works for us, and what doesn’t. If you find that your memories are unpleasant or that you dwell too much on the past with feelings of regret – it’s an indication that you need to fix the here and now so that you do not fall prey to making the same mistakes again, so that in a years time, you can look back and feel a vast improvement. Because regret is a trap, that offers little but negativity – and for all intents and purposes should be used as a motivator – to make sure that certain things do not happen again. Regret is something that you can’t hold on to, because it will eventually come to hold you back. Feeling good about the present moment is where the gold really is. By using the signs that are available to you, you can make the present moment count – by raising awareness and a sense of personal responsiblity, you can make your life richer and more emotionally satisfying.
Memories provide us with help – in the form – of something that may have worked in the past – that can be used again now in the present moment – its a reminder to use the things from your past that have worked before – tried and tested methods and are also a testament to the things that didn’t work out – and can be looked at as such – a reminder to not go down certain paths again.
If you find your thoughts constantly straying to the past, it is important to take a moment and question why your thoughts are going that way – and what they are trying to tell you. Once you have ascertained what it is, you can take the lesson from the memory – and move forward and go on to change your thought patterns towards the present moment and the near future – because without any thoughts of the near future occupying your mind-set, it is literally impossible to move forward – you will find – that the more you think of the future – and the more that you put into action something that moves you one step closer towards achieving your goals – the closer you will become to fulfilling your dreams and desires. And the less you will find yourself looking back on the past with mixed emotions or regret.
If you take a moment to analyse the next song or memory that pops into your head, you will find hat you will be pleasantly surprised at just how enlightening and useful the information can be.
The present moment is the most powerful one that we have – by listening to what that song or memory in your head is trying to tell you – the better your understanding will be of what you need to do to create better memories and emotional happiness – or even better, a happier more content present.
(not to be confused with songs that we love at the moment – because song choice is a celebration of life – a confirmation and recognition of all the wonderful things that make you who you are, and if you are really happy – it will reflect in your choice of music)
In the modern culinary world, there have been endless attempts to modify and improve on the humble pizza. From gourmet toppings to tampering with crusts to using different cheeses, the quest for the ultimate pizza is the topic of much debate. But it is the cheese that is the most contentious of these three elements.
So, what is the best cheese for pizza? It is a question that people have been asking for ages, and have been unable to answer with any kind of finality. Yet, surprisingly, science seem to have an answer.
The best cheese for pizza making?
Back in 2014, an international team of scientists set out to try and discern what the best cheese for pizza making is. The abstract of the paper said that the aim of the study was to “quantify the pizza baking properties and performance of different types of cheese”.
This was done by analysing each cheese type’s elasticity, oiliness, moisture, water activity, galactose and baking temperature – all factors that influence the way cheese melts.
Of course, everyone’s preference for the perfect cheese is a little different. But here at Manoosh we like our cheese melty and gooey, without too many blisters, and the study agreed.
“Pizza browning and blistering sounds like a totally trivial question,” study co-author Dr. Bryony James, a professor of chemical and materials engineering at the University of Auckland. “But it’s actually dictated by a combination of composition and mechanical properties of the cheese itself.”
A slew of different cheeses were analysed for the study including mozzarella, cheddar, Colby, Edam, Emmental, Gruyere, and provolone – all fairly common pizza toppings.
The results were published in The Journal of Food Science, in an article called ‘Quantification of Pizza Baking Properties of Different Cheeses, and Their Correlation with Cheese Functionality’.
What did they find?
Well, Colby, and Edam cheeses had “small elasticity” meaning that they didn’t easily form blisters when baking. However, this meant they cheeses were less gooey (which is a huge drawback for most pizza lovers!).
Gruyere, Emmental, and provolone produced a large amount of free oil which prevented moisture from easily evaporating and resulted in less browning. Mozzarella, on the other hand, had high elasticity, the most moisture and least free oil when it bakes. However, this meant a few blisters appeared on top.
Overall, mozzarella was crowned the best cheese for pizza making – the bubbliest, gooiest, meltiest of the lot. “Mozzarella has a lot of elasticity,” Dr. James explains in a video accompanying the study. “If you look at it under a microscope, you see it has these channels of fat surrounded by protein.”
This wasn’t overly surprising – mozzarella has been the staple for pizza-making since its inception many many years ago. So what new information did the study present? Well, the authors offered this conclusion: “Different cheeses can be employed on ‘gourmet’ style pizzas in combination with Mozzarella.”
Basically they are saying that while the other cheese also offered up positive properties for, alone they couldn’t stack up. However, when combined with mozzarella, they could bring out the best in each other. Say, some Gruyère and provolone with mozzarella for a smoother mouthfeel. Or Colby with mozzarella for a more uniform melt.
In the end, it’s still open for experimentation. But just remember mozzarella is the king of pizza cheeses, so be sure to include a generous sprinkling.
Here are Manoosh we use only the freshest, tastiest ingredients on our pizzas, including the best mozzarella we can get ours hands on.
If all this talk of delicious, gooey cheese is making you hungry drop by Manoosh or order from us online for some of the the best pizza in Sydney. We guarantee you won’t be disappointed.
The purpose of Acoustic Doors is to provide sound insulation to protect your employees, visitors and other general members of the public from potential noise pollution.
Acoustic doors and soundproof doors are used in a variety of organisations, including commercial, industrial and public companies. These include:
Acoustic doors can be purchased to suit a range of door types and sizes, depending on the needs of your construction project. For example, your acoustic doors can be designed as:
All door types can be manufactured and installed with the required accessories and hardware, including frames, hinges, acoustic seals, handles and closing/locking mechanisms, as well as additional needs like peep holes or viewing windows.
To easily understand how soundproof doors work, it’s best to first examine how the transmission of sound itself works.
Sound is a vibration that spreads as an audible mechanical wave through a medium such as water or air. Sound waves vibrate at different frequencies and are measures in cycles per second – or ‘hertz’.
Humans can hear sound waves with frequencies between about 20 Hz and 20 kHz – sound that is above 20 kHz is ultrasound and below 20 Hz is infrasound.
The “loudness” of sound is by no means an absolute term, there are many other factors which impact how loud we perceive a sound. However, volume is a measure of the vibrations in the medium through which the sound is travelling (air, usually). The stronger the vibrations, the higher the volume. A soundproof door works by simply reducing the sound which can pass through it. How this is achieved though, isn’t quite so simple.
Any kind of door works as a sound barrier in some respect. However, sound waves will still manage to make their way past a standard door unless further preventative measures are taken. These measures include sound insulation and sound absorption.
Sound insulation refers to the process of putting up an acoustic barrier. The greater the mass of the insulation material per unit area of a door, the more soundproof it will be. This is why materials like concrete are such great insulation. However, concrete isn’t very practical for use in acoustic doors. Rather, a double-leaf partition – two sections separated by an air gap filled with a sound absorber – is far more feasible.
Another problem with a material like concrete is its reflective qualities. This is where sound absorption comes into play. Sound absorption describes the ability of materials to restrict the reflection of sound. The higher the absorption, the less reflection.
If you decide to go ahead with an acoustic door set for your building or venue, there are several things you will need to determine. These will help you decide what type of door to select. As a general guide, you should consider:
Building site waste like bricks, concrete, sand and soil all have secondary value after their primary use. Many of these materials can be recycled in a variety of different ways like as road base, new concrete products, rubblisation and in gardens.
The main hurdle many people come across in recycling these materials is lack of access to the necessary vehicles – such as a truck or a ute – as they usually are very bulky. Labour is another big factor. People often simply don’t have the time or resources to get rid of large quantities of heavy waste.
That’s where we come in. Sydney Rubbish Services have over a decade of experience in recycling bulky junk like brick, soil and concrete. We have all the tools to get the job done, and a team of professionals who will get it done right. Here’s a look at why you need a rubbish removal service.
Bricks and concrete have huge recycling value but are all too often discarded for worthless junk. Both materials are extremely heavy per cubic metre (roughly 1900kg and 2400kg respectively) and take up heaps of room, so discarding of them is tricky business.
Despite their prevalence, skips bins are rarely the best option for brick and concrete removal, especially if large quantities are involved. Skip bins take up a lot of space, which can be a huge concern in dense areas like the inner west, CBD and lower north shore of Sydney. They also have a relatively small capacity, which is troublesome when you’re dealing with bulky materials like these.
Skip bin hire and pickup is expensive and they fill up quickly, meaning the removal cost can get out of hand quickly. It is much cheaper to have a rubbish removal service on hand to quickly take your junk away. Our trucks can also take a much bigger load than any skip bin could meaning we can take more away in a single trip. The bigger the load for us, the lower the cost for you!
Sand and soil also pose a few issues when thinking about removal, particularly if they are contaminated.
Sand and soil can become tainted by a number of natural or man-made elements, such as pesticides, asbestos, oil, fuel, dirty water and chemical waste like acid sulphate and petroleum hydrocarbon.
Contaminated soil removal can be very tricky (and quite dangerous) if you don’t know what you’re doing. It is always best to get a professional in to do the job.
This process must also be speedy. Contaminated sand or soil is a hazard and can have a lot of negative impacts on the surrounding environment both natural and built.
Types of soil we remove:
• Sandy: Sandy soil is dry and gritty, with large particles. It is lighter than other soil types because it doesn’t hold water well.
• Silty: Silty soil has smaller particles and is smooth to touch. The smaller particles retain water better than sandy soil types and therefore it can be quite a bit heavier to remove.
• Clay: Clay soil has even smaller particles which stores water much more efficiently, therefore it can be quite a lot heavier than other soil types.
• Peaty: Peaty soil is dark brown or black in colour and tends to hold water quite well, creating a dense material. Though in warm conditions it can become very dry (this can be a fire hazard – yet another reason why dry, unused peat should be removed right away).
Sydney Rubbish Services specialise in waste assessment and sustainable rubbish disposal where we separate and categorise waste on building sites, assessing where best to dispose of it. Hiring a service who is eco-conscious is the best thing you can do to contribute to minimising unnecessary waste – you can count on us.
Skips bins are rarely the best answers for removing building site waste. Skips make it extremely hard to separate materials sustainably when everything is thrown into one place and taken to a landfill. This can have dire repercussions for landfill and the environment.
Skip bins take up a lot of room too, and in construction sites where space is limited this can pose many problems with efficiency and management of waste. Much of the waste that comes from building sites are far too bulky to skips anyway, and it is far more expensive to clean out a skip than to remove the rubbish with a rubbish removal service.
Dangerous items like plasterboard (which contain harmful carcinogens) are far too risky to be sitting in a skip bin – quick and efficient rubbish removal is your best option.