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Tag: kindle-unlimited
Office Romances and Enchanting Christmas Fairy Tales: Discounted Romance eBooks
Mr. Hot Grinch (Alphalicious Billionaires Boss Book 3) ($0.99) by Lindsey Hart: She might burn food faster than I can grunt. She might talk back to me like she is the boss. But my son adores her and that's all that counts. So, that puts Miss Saucy Nanny with curves for miles in a specific category, The Absolute No Touch Zone.
This deal is good on December 5, 2020
Clover Park Studs: Boxed Set (Books 1-3) ($0.99) by Kylie Gilmore: From a USA Today bestselling author, three romcoms featuring a frenemies-to-lovers romance, brains vs brawn in an epic smackdown, and a rock star ready to settle down with the one woman who denies him!
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Finding Holly (The Finding Home Series Book 5) ($0.99) by Bridget E. Baker: Paisley loves Christmas as much as James hates it. Can she change a real-life Scrooge's mind… and his heart?
Tory Roof (Sutherland Series Book 1) ($2.99) by Jill C. Baker: When Sarah Sutherland meets a dashing Revolutionary War agitator in a house she is selling, she slips into her former self, casting doubt on her mental health, jeopardizing her marriage, endangering her life in both realms. Modern plot of love, longing, and deception matches true events from 1765. "Not what you expect." Finalist IPNE 2019 Lit Fict
A Scandalous Desire for Duchess Wallflower ($2.99) by Scarlett Osborne: Found on the verge of death, Julia wakes up at the mercy of a handsome Duke, with no recollection of who she is. When Douglas, Duke of Langston lays his eyes upon her, she ignites a dangerous fire in his soul. But when Julia disappears, Douglas' last clue is the description of an infamous hired killer; the contract signed by a familiar stranger…
In Unfair War with Love, My Marquess ($2.99) by Patricia Haverton: After years of teasing by Jonathan and her brother, Daisy has had enough. Jonathan never thought he'd see Daisy as anything but an annoyance. Until the day her nuptials to someone else are announced. When Jonathan falls inexplicably ill, Daisy is desperate to find a cure. And, hiding right in the heart of their house, the devil is here to stay.
Give Me a Christmas: Billionaires Abroad ($0.99) by Zoe Ann Wood: She wanted to escape Christmas… He wanted a second chance. Give Me a Christmas is a clean holiday romance that'll take you to the snowy slopes of Switzerland and give you that delicious and cozy Christmas feel. Get it today!
Declan (Lucky Irish Series Book 4) ($0.99) by Anna Castor: "I… yes, I love you. But not in that way, I'm sorry, Squirt." With these words, Declan Mills broke Bree's heart, and his own. He tried to save their friendship, so Declan did something he'd never done before: he lied to Bree. Bree wants to move on, but one night with Declan binds them together forever. Can she trust him and let him in again?
Dirty Like Me (Dirty Book 1) ($0.99) by Jaine Diamond: When Katie inadvertently wins the role of sex kitten in notorious playboy Jesse Mayes' new music video, the offer is too good to refuse. But as their pretend chemistry begins to turn real, sparks fly. Can she trust her heart to rock's most legendary lover? Her body, maybe…
Candy for Christmas: A Colorado Mountains White Christmas Romance ($0.99) by Novalee Swan: Sparks fly when an ice princess and a hockey superstar are snowbound in a cabin in the Colorado mountains on Christmas Eve. From bestselling author Novalee Swan comes this enchanting Christmas fairy tale about finding love while the snow falls, the fire crackles, and the fairy lights twinkle in the dark.
Love in Lingerie (Unzipped Series Book 1) ($0.99) by Alessandra Torre: An office romance that "smolders with sexual tension from the first page to the last." Kate Martin and Trey Marks run a lingerie company, a business focused on sex and seduction. As the lines blur in their working relationship, Trey fights to keep his secrets… and keep his hands off of Kate.
My Uncle the King (The Aliens Series Book 2) ($0.99) by Sherry Derr-Wille: Three contingencies take off from a dying planet. Two arrive at the destination. The lost contingency is hit with a meteor storm. One ship survives and makes it to the destination. The descendants of the original refugees become the ruling class of their adopted planet. Even the rebel group, the Pure Of Nalo, are unable to unseat the monarchy.
Love Inside the Silence ($0.99) by A.L. Long: Willow Parker had everything going for her, a future she dreamed of ever since she was a little girl would soon become a reality. "It was an unforeseen tragedy, one that no one deserved, especially me. How was I to know that changing my daily routine would have an outcome that would leave me in silence for the rest of my adult life?"
Destroy For Her (Steele Raiders MC Book 3) ($2.99) by RB Hilliard: Ax Easton has everything he's ever wanted—except for Sage. When Sage finds herself in danger, Ax and his brothers come to her rescue. In doing so, they bring the danger right to their doorstep. Can Ax and the Steele Raiders keep Sage safe, or will this threat destroy them?
Tears of the Wolf (Hotel LaBelle Book 4) ($4.99) by Sharon Buchbinder: Chief of Tribal Police Jacob Graywolf and FBI Special Agent Zena Adalwolf must work together to track down a serial killer. To track down the unsub, they allow their inner wolves to come out and play. But with the ever-ticking clock going wild, will the killer find them first?
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Hearts Apart ($1.99) by Patricia Hopper: Leslie Maitland returns to Craicsville's as the town's newest doctor. An unexpected surprise awaits her when she meets U.S. senate hopeful, Travis Winston. Tension erupts when Leslie is plunged into a political firestorm that upends her homecoming and forces her to confront a childhood tragedy in her past. Redemption means placing her trust in the very man she despises.
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Come Hot (Club Silken Book 2) ($3.99) by Jerrie Alexander: Chelsea Coffman is one of those women who takes your breath away. The one heated look we shared exposed her trapped inner vixen just waiting for me to set her free. I was in no position to approach her then, but my life has changed dramatically after a year in Europe. I'll introduce her to the lifestyle, the pleasure, the ecstasy she craves.
Millionaire Romance: Reality TV Series Box Set ($0.99) by Anastasia Alexander: Can love survive Friday the 13th, the world watching, and rich bachelors being flown to an island? Buckle up for this award-winning reality tv romance three-novel collection. Enjoy reading the Southwest Romance that complexity of love in the twenty-first century and just how powerful love can be even with the world watching.
Dragon Summoners and Time Travelers: Discounted Fantasy / Science Fiction eBooks
Lost in Time (Next Time Book 1) ($2.99) by W.M. Wiltshire: Professor Quinn Delaney is in the final stage of his lifelong quest to unlock the mystery of time travel. But before he can complete his work disaster strikes. The professor's twins, Dani and Daric, are abruptly ripped from the present and flung into the past. Embark on an exhilarating journey through history with the first novel, LOST IN TIME, that will leave readers wanting more.
Burden's Edge (Fury of a Rising Dragon Book 1) ($0.99) by Sever Bronny: Teenage warlocks Augum, Bridget and Leera attempt to save their kingdom by resurrecting an ancient order that can summon dragons. (Epic fantasy, coming of age, young adult).
Infinitely Intertwined (Eternally Entangled Book 3) ($0.99) by RaShelle Workman: In book three of this modern-day Rapunzel reimagining, Wysteria must figure out how to use her magical blood to save those she loves. She must also decide if raising one of her ancestors from the dead is a good idea. Beyond that, she and Austin need to decide whether to hold on to their love for each other in spite of their royal blood.
The Path (Awakening Book 1) ($1.99) by AJ Foster: Magic long thought dead has been reborn. Gods and mortals move to seize a power thought lost to time. For some it offers hope, for others the end to everything they know. At the center of it all stands a Daughter of Stone and a priest with no memories. Both don't want to be where they are, both have no choice.
Holy Father (Gods and Psychopaths Book 2) ($0.99) by Louis Park: Terry never wanted to be a messiah, the foul-mouthed psychopath only ever wanted to stay dead. The elder god felt otherwise. Terry also happens to be Cain's father. It's going to be one killer family reunion filled with guts and gore, just hopefully not Cain's. Expect weirdness, gorefests galore, twisted comedy, and a gimp that just won't die!
Melody: A First Contact Techno-Thriller ($0.99) by David Hoffer: Childhood therapy cured Stephen of psychotic delusions. But when the military abducts him claiming his daughter recorded a song broadcast from another world, a voice in his head returns to insist she isn't really dead. What Stephen will discover is a stunning truth about himself, his child's destiny, and the fate of the entire human race.
Murder by Munchausen (Murder by Munchausen Mysteries Book 1) ($0.99) by M.T. Bass: How do you solve a crime when the perp has no fingerprints or DNA? Detectives Jake and EC in the Artificial Crimes Unit repo wayward androids hacked into hit men & track down their cyberpunk masters. Outsourcing murder to a robot is one thing, but bringing a serial killer back to life is quite another…
Thurmond's Saga (Chronicles of the Medieval Underworld Book 1) ($0.99) by Robert John MacKenzie: In the grim medieval streets of Gorgonholm, Thurmond dreams of slaying monsters for the promise of gold. Filled with fascinating historical details and supernatural surprises, Thurmond's Saga will keep you turning pages as the hero and comrades try to escape a rotting goblin den and make it back home with their lives intact.
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The Ashes of Home ($0.99) by Ian Bott: Shayla Carver, master assassin (retired) and planetary governor, has made more enemies than an Imperial tax collector. To atone for her past, she's exiled and tasked with rebuilding her home planet, which was burned to ashes many years ago. But deadly ghosts from her past haunt her, and now even her own survival is the least of Shayla's worries.
Thread 1: Hello World (Rustling of the Chalent Book 1) ($2.99) by Russel Stiltskin: Several Eras have passed since the Vanquisher rallied his forces and allies against any dissident who would refuse Earth's progress. Through fire and blood, he won; but not without the high costs war normally saw. More species were lost to Earth, though they would not be the last. Fast forward to the modern-day, a new hidden threat is stirring.
Four-Legged Gurus and a Summer of Love: Discounted Literary eBooks
Soldier's Heart – A Civil War Novel ($3.99) by Michele McKnight Baker: 2 boys, 2 fathers scarred by war. Who will survive? Read this incredible page-turning Civil War novel inspired by a true story: 2 families-one black, one white-whose lives intertwined. Voted by readers among the top historical fiction books that will make you smarter. "Heart-rending…A story that transcends time…a story that needs to be read."
Conversations With Dog: Adventures of a Four-Legged Guru ($3.99) by Jonathan Robinson: If you could hear your dog's thoughts inside your mind, what might you learn from them? Happy is no ordinary dog. One day, Happy's owner hears her voice inside his head. With wit and wisdom, Happy guides her owner through his major life challenges. Gradually, she teaches him how to live each moment with gusto, optimism, playfulness and love.
The Pale Horse and the Unicorn: A Pandemic Tale ($3.25) by Kenneth Arbogast: A family fleeing Covid19 takes refuge on a National Forest in Michigan. A forest ranger's decision to let them stay provokes conflict as science gets lost in the state's angry politics. "A book that treats in sympathetic and human terms the first few months of the Covid 19 Pandemic in a skillful balance of gravity and humor." – Amazon Review.
Summer of Love: 1967 (Clyde Thomas Book 1) ($1.99) by Ralph Griffith: A compelling account of what that unique summer of 1967 was like in San Francisco the press called "The Summer of Love". A wild ride for all who lived during that era. The realism will take you back to those times in America's most famous city that summer. Readers of all ages will be fascinated with the timeless love story of Clyde and Moonbeam.
True Crime and Food Substitutions: Discounted Nonfiction eBooks
Spine-Chilling Murders in the Quad-Cities ($0.99) by Nick Vulich: Strange things happen after dark. Someone gets shot, hit on the head with an ax, or poisoned. Read about some of the shocking murders in turn of the century Davenport, Rock Island, Moline, Bettendorf, Walcott, and Clinton.
Sleep Training for Babies & Toddlers: ALL (Gentle & Less Gentle) Techniques Thoroughly Covered ($0.99) by Sandra D. Coon: A child that puts themselves to sleep and sleeps through the night: welcome to your new normal. Be honest – when was the last time you've had a full night's sleep or an evening to yourself? Sleep training has already helped millions of parents around the world regain their nights of sleep (and sanity) back.
How to Discipline a Toddler: Toddler Discipline for Every Age and Stage ($0.99) by Sandra D. Coon: What do parents of peaceful and happily beaming toddlers do differently? Toddler discipline can be easy and empowering for everyone involved in the process. If you want to know exactly what will work at every age and stage, read this book now!
Make Money As A Virtual Assistant: Gain Flexibility And Freedom By Offering Services Online (Make Money From Home Book 12) ($0.99) by Gina Horkey: Are you looking for a flexible, profitable business that you can run from the comfort of your home? Make Money As A Virtual Assistant contains essential tools and resources in a step-by-step guide that will help you set up and grow your own business in as little as a few weeks. Are you ready to start your dream career? Get your copy today!
Easiest Short/Long Term Plan for Saving Money ($2.99) by Jennelle L. White: Learn a much easier better way to save money regardless of your debts, income, or occupation. Based on your PAY SCHEDULE! Set up where you don't miss money set aside, using my plan, thus your money continues to grow! Reviews – " most truthful title," "Excellent investment." Finalist Winner in Manhattan Book Contest & Reader's Favorite. 5-STARS.
The Lost Salesman ($0.99) by Gary Rich: A broken and ridiculed salesman, resurrected to shows how to succeed in any life situation. This book is extremely helpful for everyone trying to make it in sales, from beginners to experts, immigrants, aspiring entrepreneurs, and anyone seeking the strength to get back up after being knocked down!
The Complete Food Substitutions Handbook: Including Options for Low-Sugar, Low-Fat, Low-Salt, Gluten-Free, Lactose-Free, and Vegan ($2.99) by Jean B. MacLeod: Looking to save money, find the best substitutions, and make informed choices? This book has you covered: whether you have food allergies, dietary restrictions, or ethical dos and don'ts. "… hard to think of a more helpful, useful culinary handbook…" ― The US Review of Books. "… MacLeod certainly knows her stuff." ― Kirkus Reviews.
K-Pop and 16th Birthdays: Discounted Young Adult eBooks
Junction 2020 (The Portal Book 1) ($0.99) by Carol Riggs: When Mari Stratton attends a New Year's Eve party on the eve of 2019, she and four others are transported by a violent green storm into an alternate world. There, her personal dreams come true and her nightmares are all too real. Can they avoid these horrors and the ruthless Shifters who hunt them—and find their way back to the real world?
Kissing Daisy Parker ($0.99) by Michael Milton: Kissing Daisy Parker follows three friends as they traverse the oblivion between high school and university, the roller coaster of friendship and sex, and the heartache which accompanies love, loss, and… Street Fighter II. A funny, insightful, and touching YA novel for fans of coming-of-age novels, The Cure, and 1990s video games.
Forlorn ($2.99) by Gina Detwiler: "I don't know what I was expecting for my sixteenth birthday… My best friend Ethan Ellerman got a MacBook Pro. My other best friend Brianna Reynolds went to New York to see a Broadway show… What I got was something I never would have asked for." Grace Fortune's 16th birthday was the worst day of her life…until Jared.
How to Speak KPOP: Mastering the Most Popular Korean Words from K-POP and Talking Like a Real Fan ($0.99) by Jungho Park: Wouldn't it be amazing if you could understand what your favorite Kpop idol says to you or the jokes from your favorite Korean drama on Netflix? How to Speak KPOP is all about helping you to understand Korean words from pop culture without getting into too much Korean grammar or any boring language textbook type of study.
Flesh Devils, Nightmare Hotlines, and the Terrifying Side of Christmas: Discounted Horror eBooks
Twelve Days of Christmas Horror (Rick Wood's Horror Anthologies Book 1) ($0.99) by Rick Wood: Experience the terrifying side of Christmas in these twelve festive horror stories… From a sadistic secret Santa gift, to a murderous telekinetic fairy, to a nativity full of the undead… you'll find a horror treat for all twelve days of Christmas!
How To Exit Your Body and Other Strange Tales ($0.99) by Christopher Maxim: A strange and terrifying collection of stories from Reddit nosleep master Christopher Maxim where each story "brings a new and exciting element." How does one exit their body? Could there be over 24 hours in a day? What if there was a hotline you could call in the middle of a nightmare? Find the answers to these strange questions and others.
Actosite: Wrath of the Flesh Devils ($3.99) by R.F. Katin: The McCade family from the USA travels to Brazil for an animal research project. Things did not go as expected and the McCades found themselves lost and abandoned deep within the Amazon jungle. The family was unprepared for this and now they had to fight for their very lives in one of the most treacherous and untamed places on earth.
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Family Pets and Oddball Characters: Discounted Children's eBooks
No, Fluffy! No! ($0.99) by Mrs. Ani: RUFF, ARF! RUFF, ARF! Hi, boys and girls… My name is Fluffy, and I am the king of my house. When I misbehave, all I hear is "No! Fluffy! No!" Read along and join me in this barking good time! With this great picture book, Mrs. Ani's family pet, Fluffy, will delight children, parents, and teachers.
How I Made a Friend (My Crazy Stories Series Book 6) ($1.99) by Daniel Georges: Winner of the 2020 Purple Dragonfly Book Award – Best Picture Book. Will is perfectly happy in his own creative world. When a new kid enters his life uninvited, his bubble is about to burst. But wait… Doesn't friendship come when you least expect it? A genuinely funny friendship story with adorable oddball characters everyone will love!
There was Histrionic Laughter at the Clowns Cadaver: A Discounted LGBTQ eBook
There was Histrionic Laughter at the Clowns Cadaver ($2.99) by N. Alexsander Sidirov: There was Histrionic Laughter at the Clown's Cadaver is both an emotional odyssey and a genre-defying work of queer memoir/poetry. Oscillating between lyrical, confessional, and surreal poetry, Sidirov subverts every genre all the while riding the glittering waves. If you're looking for an eccentric work of existential exploration look no further.
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Arson Detectives and Prime Suspects: Discounted Mystery / Thriller eBooks
Tuesday's Child ($3.99) by Anya Mora: My daughter is dead. My husband and I cling to what's left of our family, desperate to make sense of the tragedy. But when the sheriff knocks, he delivers news no mother should ever have to hear. Our daughter was murdered. And my son is the prime suspect.
Do No Harm (The Medical Students Book 1) ($0.99) by James B. Cohoon: Matthew is just a kid when his father is shot and killed when he surprised a home burglar. The culprit, Ted Nash, is sentenced to life in San Quentin prison. But that's not enough for Matthew, who obsesses over avenging his father's death. He attends medical school to become a prison doctor. There is no such thing as a vigilante doctor… right?
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The Burnin' ($0.99) by Estevan Medrano: Based on the true story of the "Rhythm Club fire." On April 23, 1940, Natchez, a segregated Mississippi town, has its reputation as a sleepy community shattered when a terrible fire occurs at a local dance hall leaving hundreds dead – all of them African American. A coroner, a nurse, and an arson detective must deal with the horrific aftermath.
I Always Wanted To Be A Spy (Maggie Sloan Mystery Series Book 1) ($1.99) by Judith A. Barrett: Maggie Sloan's spy career began when she was 4 years old; self-taught and dedicated to her craft. When a heart-wrenching murder changes her life forever, will the librarian with a spy's soul and the unusual team stop the heartless criminal, or will she become the latest victim? It all comes down to kill or be killed.
Vengeful Justice (Megan Corver Legal Thriller Book 3) ($2.99) by Freya Atwood: Lawyer Megan Corver never expected her traitor father to make an appearance. When his request for help turns her life upside down, she's forced to investigate her own mother's murder. And forced to defend her father in court. Torn between their familiar bond and the proof against him, she must fight to get to the proof…
The Readiness is All: A Tom Musgrave Omnibus ($0.99) by Peter Tonkin: Peter Tonkin's bestselling Elizabethan murder mystery novels The Point of Death, A Head for Murder, A Midwinter Murder, and The Silent Murder featuring sleuth and swordmaster Tom Musgrave are collected together in a single volume.
The Ocean Raiders: A Nicholas Foxe Adventure ($4.95) by Jackson Coppley: Murder, mystery, and underwater discovery that changes everything. Nicholas Foxe jets to Venice to spend time with an old flame. Expecting romance, Nick instead finds himself immersed in murder and intrigue. A reader said it best: "It's like Indiana Jones in Venice."
Mine to Avenge (In Such a World Book 1) ($0.99) by T.J. Hux: Fleeing the expectations of his family and church, Matthew Pierson embraces a life of danger. After rising to elite levels of the Navy SEALs, Pierson is plunged into a world of betrayal, corruption, and those who stop at nothing to keep their crimes hidden. Consumed by guilt, Pierson must find a way to redemption in such a world… but first he must survive.
Holiday Lights Out ($0.99) by L.C. Turner: Stella Cavanaugh takes a bus trip to the charming small town of Thief River Falls – but not everyone gets off the bus. One of her fellow travelers is dead. Stella can't relax and enjoy her vacation until she gets to the bottom of things. But can she find the killer before they find her?
Bergman Manor ($3.99) by Tara J. Stone: It's 1925, and Clem is more interested in jazz and gin than his uncle's P.I. business… until his uncle turns up dead at the purportedly haunted Bergman Manor. Now Clem must team up with Dorothy, the Manor's feisty maid, to find out the truth behind his uncle's death. What they discover along the way changes everything they thought they knew.
Amethyst Witch (Stacy Justice Mysteries Book 1) ($0.99) by Barbra Annino: Meet Stacy Justice. Journalist. Reluctant witch. Professional klutz. Her grandmother believes she's destined to be the most powerful witch of the century. She's just trying to get through the day without spilling mustard on her shirt or tripping over a dead body.
Christmas Kisses and Second Chances: Discounted Romance eBooks
Stuck With You: A Christmas Romance ($0.99) by Lara Swann: After the year I've had, I need a vacation. Alone. Just me, a gorgeous cabin, chocolate and festive movies. At least, that's the idea. Then I walk in on a stranger…half-naked, sinfully gorgeous and smirking infuriatingly. Double-booked. Just my luck. Now I'm stuck here with a man who doesn't even like Christmas…and who tempts me with every look.
The Kiss that Saved Christmas ($0.99) by Elysia Strife: She doesn't want to fall for him. He can't help but fall for her. A military widow and venue manager, Claire is desperate for help to save her business, a memory of her husband. Zach is prior military and still blamed by the town for past mistakes. Can Zach help Claire find love and save the lodge? Or will her rules and his past destroy everything?
The Darkness Within (Etherya's Earth Book 3) ($0.99) by Rebecca Hefner: Darkrip, son of the Dark Lord, vows to stay away from Vampyre Princess Arderin. Consumed by her beauty and spirited nature, he knows he must resist their attraction. But the Universe is fickle and can muddle with even the best-laid intentions…
Highland Oath (Prequel To Highland Promise Trilogy) ($0.99) by Donna Fletcher: Tragedy is about to hit the Clan MacKinnon and change their lives forever. But the MacKinnon siblings made a promise and they will keep it at any cost.
A Fashionably Dead Christmas (Hot Damned Series Book 5) ($0.99) by Robyn Peterman: This is a holiday paranormal romantic comedy novella for your reading pleasure! It's Christmas at the Cressida House and all Hell is breaking loose.
Distrust (Never Without Her Book 4) ($0.99) by Anne C Maxwell: The story is a scheme to inherit the MGBC's assets, planned by a drug dealer and a yellow press journalist. In Girona, the Bank's CEO finds a girl's body in the bushes across from his house. Meanwhile, his wife is caught in a time and space trick and finds herself in the 1920s circulating in Paris and New York impersonating an acclaimed ballerina.
Amaya's Old Fashioned Daddy: Hebe (Planets Apart Book 2) ($0.99) by Sinistre Ange: Amaya might have chosen her new life on the planet Hebe, thinking she'll be getting a devoted Daddy Dom who will indulge her free spirit – she's not wrong, but she didn't read the fine print. Her new Papa is much stricter than she'd ever imagined, and the pleasure far greater.
The It's Kind Of Personal Series: A Series of Second Chance Romances ($2.99) by Anna Brooks: Six determined men fight for the women they're meant to be with. Their love runs deep and their loyalty everlasting. Each man must battle his past in order to secure a future with his one true love. Defeat is not an option when their hearts are on the line.
Riding My Ex (Savage Souls MC Book 2) ($0.99) by Alexa Hart: Hooking up with your ex is almost always a bad idea. Knocking her up when your crazy-hot fling was supposed to stay a secret, horrible idea! We were never meant to work. Her father represents law and order and I run with a crowd of lawless rebels. But the closer she gets, the more I crave one last taste. I just need to get her out of my system.
Cooped Up for Christmas (Eden's Idyll Series Book 1) ($2.99) by Sabrina York: A great holiday Christmas romance for Below Deck lovers, and anyone who appreciates snarky heroines, buff former SEAL heroes, and drooly Rottweilers. Can he win her back after he broke her heart all those years ago?
New Girl Boxed Set (Pacific High Series Books 1-4) ($0.99) by Ashley Rose: Kennedy Conner quickly realizes that moving to Los Angeles was a mistake. From her first day at Pacific High she has a target on her back. And then there is Hunter West— king of the school, the popular, rich and spoiled bad boy who also happens to be drop-dead gorgeous. Hunter wants her. And he won't take no for an answer.
The Revenge Pact (Kings of Football Book 1) ($3.99) by Ilsa Madden-Mills: River Tate is a god on campus. The king of football. A tattooed bad boy with gunmetal eyes that see right through you. The only chink in his armor is her, the girl he pretends doesn't exist, the forbidden one with the shy smile and lavender hair.
Totally Scrooged ($0.99) by Ann Hardy: In this sweet and romantic modern-day A Christmas Carol reimagining, it'll take three ghosts and two meddling grandmothers but Harper and Grayson might get their second chance at love before the holiday ends.
In His Keeping: Taken ($0.99) by Mia Frances: Out of work and homeless, Sylvie Jenkins takes a job with reclusive, billionaire, bestselling author Connor Hudson. Sparks fly when the demanding alpha male decides she needs taming. She succumbs to his charms, but he's keeping secrets. The cops think he's a serial killer. The women in his past keep turning up dead! Is he really capable of murder?
Hope's Promise (Potter's House Books (Two) Book 19) ($0.99) by Mary Manners: Hope Donnelly lost her husband only months after uprooting for a cross-country move. Left alone to raise her teenage son, Hope's heart is barren as the unworked earth that surrounds her. Rodeo star Jace Callahan returns home to Texas intent on acquiring land from elusive new neighbor Hope Donnelly. But will a troubling secret destroy his plans?
Alternate Realities and a Legacy of War: Discounted Fantasy / Science Fiction eBooks
Arcane (The Arinthian Line Book 1) ($0.99) by Sever Bronny: The kingdom has fallen. Now a lonely teenage warlock must learn to work with two quirky girls to survive. But there's a lot to learn, especially from their cantankerous mentor. (Epic fantasy, coming of age, young adult)
Displaced (Alternate Reality Book 1) ($0.99) by Mark Anthony: It's the year 2040, and robots have overtaken nearly all jobs. Because of this, former neuropsychologist Eric Ryan despises technology. Now a community counselor, he's horrified when an AI robot enters his clinic for mental health assistance. Over the course of therapy, the robot reveals a secret, one that will lead them both into the unknown.
Of Thorns and Beauty (Twisted Pages Book 1) ($0.99) by Elle Madison and Robin D. Mahle: An arranged marriage, a Viking king, and a castle full of secrets make this darker retelling of Beauty and the Beast unlike any you've read before.
Arcanum Astray: Magic is Disappearing (Summus Magister Series Book 1) ($1.99) by Edmund A.M. Batara: Mystery, humor, magic, and archaic words await! Enter an Earth where history took a detour. Where science and magic co-exist. Trains and magic carpets. Detectives and demons. Demons and professors. But something is terribly wrong. Magic is disappearing.
The Year King ($2.99) by Mareth Griffith: Explore a hidden world of modern fairies, ancient evils, and recently-unemployed telemarketers. A 19-year-old working a dead-end office job, Ivy must find her missing flatmate, vanished into a hidden Dublin both magical and murderous, that may have deep connections to Ivy's own family.
Heart of a Warrior Angel: From Darkness to Light ($2.99) by Lali A. Love: Lali A. Love expertly delivers complex characters, intricate worlds, and thought-provoking themes. Check out this multi-award-winning novel about an incarnated angel's journey on earth, overcoming childhood trauma and fear-based conditioning. An empowering story of self-actualization, shadow work transformation, and love, through the powerful alchemy of forgiveness.
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The Forest of Time ($0.99) by E.W. Barnes: The mission: Find a scientist missing 125 million years in the past. But there are questions. Was his disappearance an accident? Or intentional? And the hazards of prehistoric earth aren't the only risks. When TPC Agent Rose Sprucewood discovers evidence of a time travel conspiracy, the most dangerous predator of all may be her own species.
A Date In Time (The Midnight Metropolis Series Book 1) ($0.99) by Anna Jones: A Date In Time is the first book in The Midnight Metropolis Series. Aria expected herself to feel lonely after moving to London for her new job and after experiencing a relationship break-up, she wanted to be alone. Yet after capturing the advances of a mysterious stranger from the future, it dawns on her that the fate of the future hangs in her hands.
Prometheus Outbound (ExoRok Rebels Book 1) ($0.99) by Steve Ruskin: Noemi Ochana never wanted to be a rebel leader… but like any spacer, she rarely gets what she wants. Accused of murder and in possession of a powerful secret, Noemi and her team must stage a daring rescue. If they fail, they're as good as dead. If they succeed, they'll live to fight again. "Hard sci-fi full of grit and machine oil."—Amazon Review
Legacy of War: The Complete Series (Books 1-3) ($0.99) by Joshua James and Daniel Young: CAN PEACE EVER BE TRUSTED? A century ago, an alien fleet attacked Earth. After decades of war, a truce was struck. Humanity stood down. But on the edges of disputed space, an aging starship and its weary crew are looking for proof of alien treachery. If the aliens attack again, humanity won't be so lucky.
Unlikely Friendships and Acts of Kindness: Discounted Literary eBooks
Empire's Daughter (Empire's Legacy Book 1) ($0.99) by Marian L Thorpe: Could you choose between your land and your love? When Lena's land is threatened by invaders from the south, her Emperor asks the unthinkable – that women learn to fight. Accepting his challenge separates Lena from her lover Maya, beginning a journey that will take her far from her village and into the intrigues and politics of her Empire.
While You Walked By ($2.99) by Regina Felty: A young homeless boy. An old man who had lost everything. An unlikely friendship that brought healing to both. Ben is surprised when a homeless boy shows up one night behind Angelo's Bakery–so young, so vulnerable. A heartfelt coming-of-age story about the hope that can be found even in the most desperate circumstances.
The Green House ($0.99) by Dan Lawton: The green house is more than a greenhouse. 7 flowers, 7 colors, 7 meanings, and one 37-year-old secret — the green house is the keeper of it all. Its creator is a fragile elderly man whose life was shattered by a tragedy nearly four decades ago. And when tragedy strikes again — this time to his beloved wife, Miriam — he struggles to cope.
A Very Furry Christmas: Holiday Cat Tales ($0.99) by John D. Ottini: This book contains four heartwarming Christmas stories about our feline friends and the humans who love them. At this special time of the year, there is always hope and by unconditional acts of kindness, there can be miracles too.
Manifestation Mistakes and Skincare Tips: Discounted Nonfiction eBooks
Why Is My Dog So Growly?: Teach Your Fearful, Aggressive, or Reactive Dog Confidence Through Understanding (Essential Skills for your Growly but Brilliant Family Dog Book 1) ($0.99) by Beverley Courtney: Barking, lunging, dog? Struggle to have visitors in your home for fear of your dog kicking off? Here are your answers! Beverley writes with empathy for anyone whose dog has been labeled anxious, fearful, aggressive, or reactive – and the undercurrent of humor will keep you smiling as you work through this entirely force-free program.
Lessons For Living Your Best Life ($3.75) by Gail A Rust: Did you ever commit to something you didn't know if you could do? One Saturday in January, after spending the morning emoting with fellow toastmasters, we were offered acting classes with the instructor. Allen, a fellow toastmaster and professional actor, sat next to me and I questioned him…"Would you sign up for this with Mary?" "This is the kind of stuff I teach." he said.
Skincare: A Guide for Men and Women of Color ($2.99) by Lynn Roan: In this journey of skincare, you would learn new skincare tips no one told you about. Having the Skincare Guide would help you achieve beautiful skin effortlessly. Inside the Skincare Guide, you will learn how your beliefs and lifestyle affect your skin, a skincare planner that you can adapt to fit your needs, 50 skincare stores for people of color, and much more.
Microgreens: The Insiders Secrets To Growing Gourmet Greens & Building A Wildly Successful Microgreen Business ($0.99) by Clive Woods and Donny Greens: The new indoor gardening buzz. No matter where in the world you live, or even if you've never set foot in a garden before, microgreens offer a simple way to improve your health and wellbeing. Furthermore, they present a wildly profitable business opportunity, which you can start today – without harming our fragile planet. [4.5*/5* from 55+ reviews]
How Not to Manifest: Manifestation Mistakes to AVOID and How to Finally Make LOA Work for You (Law of Attraction Short Reads Book 2) ($0.99) by Elena G. Rivers: Have you ever wondered why some people can manifest their desires, yet others struggle with LOA? You've even tried different "manifestation methods" but nothing worked? You see, to make LOA work for you, you need to discover what blocks you first! This book will expose what you've been doing wrong so that you can start manifesting your dream life.
The Seeker of Well-Being: Retrieve Balance in Accordance With Self ($0.99) by Indrajit GARAI: The memoir of a practitioner of stress management using methods of ancient medicine, nutrition, and therapeutic yoga from India. Practical case examples of deep and durable well-being achieved without help from anyone.
The Original Suffrage Cookbook ($2.99) by Cheryl Robson and L.O. Kleber: Celebrate the centenary of women getting the Vote by cooking some of the Suffragists' favorite meals. Vintage recipes contributed by some surprising supporters of the popular cause, including writers, governors, and even a judge. Originally published in 1915 to raise funds for the campaign for the vote for women. History and fun all in one book!
Strange Dreams and Happily Ever Afters: Discounted Young Adult eBooks
The Dream Thief (The Sleepwalker Trilogy Book 1) ($2.99) by James Brown: The first in a series of spine-tingling adventures for young adults! Waking at midnight from a strange dream, Steven Glass at first thinks everything is normal. True, the world outside isn't behaving itself, and he seems to have acquired a talking cat as a companion, but apart from that, what's changed? A great deal, as it happens.
Wilderness (The Survival Trilogy Book 1) ($3.99) by James Brown: A plague has devastated the land. Bloodthirsty creatures stalk the night. A loose band of survivors fight for their lives. Can they make it through? And what will become of them if they do?
Invisible Girl ($1.99) by Padgett Gerler: 14 yr. old Briley feels nonexistent at school–other kids looking right through her. Then when her mom's best friend is accused of murder and she loses her parents' attention, Briley feels she has achieved full Power of Invisibility. But eccentric, fun-loving, colorful Miss Delphine convinces Briley that she is visible, loved, and special.
Fairytale Christmas ($0.99) by Amanda Marin and others: A multi-author fairytale retelling anthology by USA Today and best-selling authors, all with a Christmas theme and lots of happily ever afters.
Pillars of Strength and Tested Faith: Discounted Religion / Spirituality eBooks
Rise!: Transforming Pain Into Pillars of Strength ($1.99) by Karen Althea: This book is about the author's unwavering faith through her journey from infancy to adulthood. The author shared her personal experience of pain through her father's absence, academic failure, job loss, marital breakdown, financial debt, and other of life's disappointments. Through it all, God kept her!
Darkness In Light (Alex Hail Mysteries and Divinities Book 1) ($2.99) by Blake Somner: Alex Hail struggles with the discoveries of betrayal and corruption all around her, as her faith is tested. A Police Detective of the Charleston City Police of South Carolina, she appears to be forever plagued by the gift of her sight, even nearly a decade after leaving the church. Now, she is confronted head-on with a dark evil that is consuming.
Dark Secrets and Devastating Attacks: Discounted Horror eBooks
Haunting in Old Tailem (Haunting Clarisse Book 3) ($0.99) by Janice Tremayne: An Australian Ghost town. A resident demon and a local Shaman. A confrontation with evil awaits. Clarisse realizes that running from evil is not a bad idea until she figures out you can't hide. When some ghosts get tired of hanging around, they latch onto you. At the center of the war on evil is a historic Church that carries dark secrets within its walls.
Penanggal ($0.99) by Devon De'Ath: Devastating attacks on children and the unborn follow a homecoming English missionary and his new Malaysian bride. Police are baffled by the calculated savagery of a beast that strikes without warning from an ancient network of caves beneath Nottingham. Who will uncover the truth and how do you fight folklore from distant lands, made flesh?
Cain: A Vampire Hunters Academy Novel ($2.99) by Delizhia Jenkins: He is known as "The Living Curse" and the progenitor of the species known as "vampire". He is the Darkness that even the shadows hide from and the plague that no man can cure. He is the prophecy of all that is to come and the sworn enemy of Huntress and angel alike. He is the beginning and has the willpower and strength to survive to the very end… His name is Cain.
Pet Monkeys and Blossoming Friendships: Discounted Children's eBooks
It Wasn't Me: A Kids Book About Lying (Mike and His Pet Monkey Book 1) ($1.99) by Sadie Gardner: If you could have any animal as a pet, what would you choose? Mike chose a monkey! But not only did he choose a monkey – he chose a very cheeky yet thoughtful monkey who teaches Mike valuable life lessons and guides him through his childhood years. Ebook and paperback version discounted at 50% off until 7th December!
A Good Day to Make a Friend: Dasher the Dog's Adventure ($3.97) by David E. Miles: A heart-warming tale of how friendship can blossom once you get to know someone – even if they are very different from you. Dasher is a pretty Terrier with love in her heart and wet paws. Her adventure takes her across the countryside where she makes some unlikely friends along the way. When she gets lost, these new friendships help her to find the way home.
Ares' Story: A Discounted LGBTQ eBook
Ares' Story (Grove of the Gods Book 1) ($2.99) by Sarah Luddington: Drake York is fading from the world, but Mother Earth needs help. She calls the god of war to fight for her and Drake reluctantly answers. Finbarr Wiseman is a student at Annwn University, a place just a little special and he needs even more help than Mother. Drake must find a way to rescue Annwn and Fin before soul eaters suck both dry.
Mob Bosses and Mysterious Coins: Discounted Mystery / Thriller eBooks
Stinger: Operation Cyclone (A Cold War Adventure with Rick Fontain Book 2) ($1.99) by Bill Fortin: With the election of Ronald Regan in 1979, a Presidential Finding, a plan of action, is made to arm and finance the Afghan Jihadi warriors known as the Mujahideen. The Stinger missile would be the proposed solution… Operation Cyclone was its assigned code name. This, of course, is what became known in history as Senator Charlie Wilson's War.
A Darker Shade of Midnight (LaShaun Rousselle Mystery Book 1) ($2.99) by Lynn Emery: Psychic LaShaun Rousselle returns home to Beau Chene, Louisiana to confront a family feud that turns lethal, and the demon she unwittingly set loose on her small bayou town. When she becomes a murder suspect, LaShaun finds an unlikely ally in sexy Vermilion Parish Deputy Chase Broussard. Together they fight human and supernatural evil.
Beach Body Unknown (A Cherrystone Creek Mystery Book 3) ($0.99) by Emma Jackson: Cape Charles' local Iraqi war veteran, Nottingham "Nott" Smith, is minding his own beach-combing business when he discovers a body in the sand dunes. The plastic-wrapped stranger is one piece of salvage that won't be decorating his shack on Cherrystone Creek. Paige Reese, relieves Nott of his find and sets to work identifying the stranger and his cause of death.
Queen of Spades: A Thriller (Queen of Spades Thrillers Book 1) ($0.99) by Kristi Belcamino: Former mob boss Eva Santella fled Italy and carved out a new, secret life for herself in Los Angeles. But then her enemies found her. They hunted her like an animal and left her life in tatters. With everything she cared about, destroyed, Eva has only one thing left to live for: making them pay.
The Big Guy (The Max Book 1) ($1.99) by Jason Palmer: Two convicts. A calculating giant with a gift for making plans. A manipulative sociopath tortured by wild ambition. An unwilling partnership that becomes the most harrowing rivalry in the history of Seamax Penitentiary.
The Lucky Baby (The Lucky Series Book 3) ($2.99) by Tomi Farrell: Ella receives a message from her best friend, now a nationwide fugitive, delivering two pieces of news: Ella now has a baby niece, and the baby has been kidnapped. If reported to the police, the baby will be killed. Put in an impossible situation, she decides to go rogue, to save her baby niece from the hands of evil.
SkyView: Lord of the Wills ($4.99) by M. Sheehan: "Tolkien-like…comprehensively thought out…a wealth of intriguing ideas…An ambitious SF mystery." – Kirkus Reviews. Amazon Bestseller."Cleverly plotted, expertly done…" Amazon."Well-imagined, skillfully written…" Amazon. A 700-year war between good & evil, torn through bequeathed wealth and manipulated reality.
Monastery Valley Series Box Set ($0.99) by Bill Percy: "Percy juggles both plotlines effectively while addressing important social issues." –Publisher's Weekly. This box set includes the first four mysteries in the Monastery Valley Series. Book #5, The Fury Before the Fire, releases January 28, 2021.
The Mostly Good Witch (A Malibu Magic Cozy Mystery Book 2) ($0.99) by Erin Huss: After over 300 years on this earth, Abigail's wish list is relatively simple: open an organic bakery, break the curse of immortality, and live as uneventfully as possible in her Malibu beach home. It's all coming together until her book of hexes goes missing, and a wraith—bent on stealing Abigail's immortal soul—murders her.
Something Found: A Coin ($0.99) by Troy Aaron Ratliff: Key West Artist Todd Freeman may have an idyllic life painting and scouring the beaches and returning lost items to grateful people. Yet, his past holds a grief that led him to starting anew, under the South Florida sun. But he never expected to find the mysterious little coin that would set him on an adventure that could change the world.
House Party Murder Rap (An Evie Parker Mystery Book 1) ($0.99) by Sonia Parin: Fun cozy mystery set in 1920s England. Evie Parker, Countess of Woodridge, is attending the Duke of Hetherington's house party. Along the way, an attempt is made on her life. Then, her host becomes the target. Who will be next? Evie and her new chauffeur form an unlikely alliance to discover as much as they can before the killer can get it right.
Dashing Dukes and a Royally Romantic Christmas: Discounted Romance eBooks
Be Mine This Christmas: A Sweetgrass Springs Story ($0.99) by Jean Brashear: Gib Douglas has been alone a long time when his path crosses that of widowed Dulcie Maguire, mother of four in dire straits- and the last thing he expects from the girl who broke his heart is to find that he still loves her. Dulcie sacrificed her own dreams so Gib could have his, but can the love between them survive the secret she's been keeping?
Shifter Protection Agency ($0.99) by Brittany White: The Bear Shifters of the Shifter Protection Agency are known as much for their fearlessness and courage as they are for their irresistible good looks. Tall, muscular and just a little broody. They'll as soon steal your heart as protect it. But when forbidden trysts prove feelings too passionate to ignore, desire leads the way…
Heired Lines ($0.99) by Magan Vernon: Who the hell does Lord Gavin Webley think he is? Well-royalty- duh and a royal pain in the a**. I was more than down on my luck, selling items online to pay the bills. So when I got an email from a man saying I didn't know the history of the vase I was selling, I went off. Until he offered me a job in an English castle.
Forbidden Alphas and Curvy Girls ($0.99) by Julie Scarlet: If you like big, hot alphas, then you're in the right place! The Ultimate Mega Bundle of my best selling books!
My Smalltown C.E.O. Scrooge: A Festive Romantic Comedy ($0.99) by Harmony Knight: Love snow-ins, fistfights, man-flu (who doesn't), romantic proposals (plural), adorable orphans, hot CEOs, quirky ladies, reluctant Santas, and side characters you instantly want to be friends with? Then this festive romantic comedy may be for you. Join Allie and Greyson as they muddle their way from hilarious meet-cute to happy-ever-after.
Forbidden Ways of Wayward Lords ($0.99) by Olivia T. Bennet: Three Regency steamy romances, filled with shocking plot twists, suspense, and true love! Their love is forbidden, but the Lords will do anything to conquer their ladies. Scandals and enemies appear in every corner, but nothing will stop them. Join the Lords in their fiery missions today!
Wittingly Seduced by the Dashing Duke ($2.99) by Eleanor Banfield: His mother's last will upsets Aaron's quiet life and forces him to confront an unexpected peril: Rebecca, the lady that arouses his ultimate desires. But soon, secrets are exposed, an arranged betrothal is unveiled, and a series of attacks threaten Rebecca's life. And they realize they live on borrowed time…
Snowbound: A Holiday Reverse Harem Romance ($0.99) by Cassie Cole: It was supposed to be a winter getaway at a ski resort. Until my friends bailed on me. Now I'm stuck in our ski chalet with three sexy guys.
A Very Royal Christmas (The Young Royals) ($0.99) by Emma Lea: With the temperature dropping alarmingly, a predicted snowstorm, an escaped cow, and a leaking and crumbling castle, the absolute very last thing Lady Georgina Darkly, Duchess of Pemberton, needed was for an arrogant, stubborn, wealthy, and undeniably gorgeous Italian to turn up on her doorstep in need of rescuing.
New Immortals Box Set (Books 1-4) ($0.99) by Tia Didmon: Fans of paranormal romance filled with demons, shifters, and monstrous villains will enjoy the bestselling New Immortals series. This bestselling series includes the first four books and Immortal Christmas, a box set exclusive Christmas story. This sizzling box set is discounted for a limited time, so grab your copy today!
Holly Bough Cottage (Holiday Cottage Series Book 2) ($2.99) by Cindy Gunderson: Two broken hearts. One town bursting with Christmas magic. With Liv's heart still raw from past wounds and Jonah hiding a past life that could ruin any budding relationship, their initial attraction doesn't seem to stand a chance. Will the twinkle lights, sleigh rides, and apple cider in Sprucewood be enough to bring them together?
Rogue 13 ($0.99) by Ian Gray: FBI agent Heather Caraway's undercover investigation into a corrupt federal judge threatens to expose a military cover-up, as well as her own life. Emerging from the safety of anonymity former shadow operative Ronan McGregor stands as her lone ally. Will their unexpected alliance ignite a romance, or will his ties to the cover-up burn them both?
Robert: A Christmas Story ($1.99) by Darrell Mangum: An amazing journey for two people who couldn't be more different. But it's love at first sight for Robert and Michelle. Can they overcome the challenges that will make their path so challenging? 50% of book sales will be donated to "The Road Home" through the end of the year. "Robert" is a wonderful gift for anyone, and your purchase will give comfort to the homeless.
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The health care industry continues to boom with many new regulations and reform in limbo. Job growth should be robust due to the likelihood that new systems will be put in place for such administrative duties as patient record keeping and customer billing. There will be a demand for savvy individuals who have up-to-date training in these new systems to help get these programs up and running. Another benefit of these administrative positions is that workers do not have to get involved in patient care. Health information technologists and medical billing specialists who graduate from a medical billing school degree or certificate program will be well positioned to take advantage of this growing sector.
Medical billing schools offer several different degrees and certificates to their students. In fact, there are diverse associate�s degrees, bachelor�s degrees, and certificates with an equally diverse number of job titles, including medical records clerk, health care information technologist, medical records coordinator, and medical records technician just to name a few. The reason for the number of degrees, certificates, and titles is due to the difference in licensing requirements from state to state. Some states require medical billing specialists to hold an associate�s degree in medical billing while others require a bachelor�s degree or accept a certificate in medical billing in conjunction with another degree in an unrelated or related field. Medical billing schools gear their programs and internships towards state licensing requirements. Candidates can earn a medical billing degree in as little as 18 months in some states.
The medical billing industry is changing rapidly and there is little reason to believe that reform will not continue. Politicians on both sides of the aisle continue to speculate that medical billing reform is a key component in bringing down medical costs for insurers, companies, the government, and individuals. The current system of coding and billing should become more standard over time and medical records will be increasingly digitized. Coding is the process of identifying and numbering medical procedures and supplies in a standard way. Billing is the complex process of using the codes to determine which stakeholder is responsible for what percentage of a medical bill. This includes conferring with insurers over which procedures are covered by a patient�s particular plan as well as understanding the deductible system of the patient�s plan. Medical billing specialists use deductibles and co-payments to determine how much patients must contribute from their own pockets or from their medical accounts. Co-payments and deductibles are designed to keep patients from seeking unnecessary medical care and to allow insurers flexibility in insuring both healthy people and those with chronic illnesses or other expensive medical problems.
Once entrenched in the medical billing industry, medical billing professionals may find themselves returning to medical billing schools to maintain their licenses, to learn new skills, and to advance vertically in their careers. In an industry like health care, where the pace of change can be dizzying, maintaining and updating skills through continuing education is the key to continued employment and advancement. With so many job titles in the medical billing field, it is imperative to specialize and learn new skills to gain a foothold higher in the administrative hierarchy. Medical billing schools are currently expanding their course offerings to serve professionals and working medical billing specialists. The increase in flexibility promised by online classes and degrees makes it easier than ever for modern workers to add educational credits to their resumes.


You can trust one name for Hotel Booking Services in Mathura (Uttar Pradesh) that are well-equipped with all the basic amenities such as 24 hours power supply, 24 hours water supply, TVs, laundry services, WiFi connectivity, parking etc.
We have collaborated with various hotels and are capable of making a Hotel Booking on clients� behalf in five Star Hotels, 3 Star Hotels, 2 Star Hotels, Guesthouse, Luxury Resorts and Motels. So, do not get into the hassle of booking hotels through fake brokers, get in touch with us and enjoy the never before hospitality.


Tim Flach's book Equus was on sale on One King's Lane earlier this week, which reminded me of how much I love his photography, especially his pictures of horses. The book is full of gorgeous images of horses both in a studio and in the field (literally and figuratively, ha!), and I am absolutely smitten. I think pretty much any one of them would look fantastic blown up as a print and featured in a living room or bedroom--you can buy some in galleries in England. Someday!
You can see several of the photographs from the book on Flach's website.


text:
The most beautiful day of this summer. My wedding day
I've always imagined how our wedding will look like from the moment we set the date. I had in my mind, not only the big picture, but every single detail, I've thought of a story for each moment, of the meaning of every object, because I really wanted it to reflect us. I told Nicolai that the most beautiful and foremost the best thing to to is to have a small wedding, because that would have meant that we were involved completely and that we can enjoy those moments live, not only in the after pictures. We've decided that we will do it in our own home, in the house were Nicolai grew up. I already knew how important were his parents in his life, the strength of their bond and that he could have them next to him in this way. I have to confess that before the event, I made a true walk of power.
A few years ago, we're transformed the old barn into a house, a traditional house from Maramures, which we've started to renovate. I promise to tell you more about this in another post, hoping that you will find my ideas inspiring. So, a few days before the event we were still renovating, we had a lot of arranging to do, guests to receive and so on. With the help of our dear ones, everything turned out exactly the way I dreamed of.
The wedding was for me another opportunity for me to realise how passionate I am for arrangements and interior design. It's a field which I absolutely love, that is why I think that the ideas come naturally to me whenever I relate to this field. Many people asked me who arranged the table in the garden, after seeing it, because it turned out to be spectacular. I had in my mind the exact way it should look like, how should the candles look, the flowers, the table cloth. I have to give thanks to all of the people that helped me give these ideas life: Anca, Nicolai's niece, who helped me to order the flowers, Ela was the one who helped me decorate, Nea Victor made the rig on which the light bulbs were placed exactly how I wanted them. Everybody had a role in this story. I really wanted to have peonees, because they are my favourite flowers and I found them the perfect place, in small water bowls. The table cloth was made out from a bag material, which I thought that went well with the overall decor. Each and every ornament on the napkins was carefully selected and placed.
The bridal dress that I wore, was something that I've worked on with Cristina Săvulescu, and I can really say that it reflected my altogether. I wanted something simple, chic, with an element that made it pop out: a black bow.
Let me tell you about the wedding cake! Everyone told me that it was sensational, so good that the next day I was asked if there was a piece left of it. 🙂 The kudos goes to the bakery from Seini, which not only makes beautiful specialties, but also delicious. Our cake was with chocolate frosting and sour cherries, this being my favourite combination.
The wedding day was really special. We've enjoyed the presence of our family, friends and and every moment which we spent together. There were many people that helped us and we wish to thank each and every one of them for building this story with us.
"Nicolai" , a family dream that has come true
I received a…unusual gift
La rentrée avec Bonpoint
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The 60' look
The most beautiful light
Teint Idole Ultra Wear – the ''miracle'' foundation from Lancôme
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The new "Absolutely Rôse" line from Lancôme. Soft and subtle
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The Darphin beauty care products have arrived in Romania
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Back in Tokyo, after 20 years
Two surgeries in just one week

redpajama_set_name: RedPajamaCommonCrawl


text:
Search CTV Windsor Close
Crime Stoppers Report: $110,000 worth of items stolen from Lakeshore business
Members of the Lakeshore OPP Detachment were called to an address on Richardson Side Road for the report of a break and enter on Nov. 23, 2022. (Source: OPP)
Crime Stoppers and Essex County OPP say $110,000 worth of items, including 12 dirt bikes, were reported stolen after a break-in in Lakeshore.
Members of the Lakeshore OPP Detachment were called to an address on Richardson Sideroad for the report of a break and enter on Nov. 23, at 2:50 a.m.
It was determined that four unknown individuals entered the business and proceeded to steal 12 dirt bikes, a kids sized ATV, four electric bikes, 20 off-road tires and various apparel, valued at over $110,000.
The suspects were operating two pickup trucks, each pulling enclosed trailers. Both vehicles were believed to be heading towards the City of Windsor.
The two vehicles are described as:
A dark Dodge Ram pickup truck, towing a white double-axel enclosed trailer with the letters "LK" on the rear door
A white Dodge Ram pickup truck with a sunroof, towing a single-axle enclosed trailer.
The investigation is continuing.
Anyone with information regarding this incident should immediately contact Essex County OPP Street Crime Unit at 519-723-2491 or 1-888-310-1122.
Should you wish to remain anonymous, you can call Crime Stoppers at 1-800-222-8477 (TIPS) or leave an anonymous online message at www.catchcrooks.com where you may be eligible to receive a cash reward of up to $2,000.
Wind chill impacting morning temperatures in Windsor
More overnight snow in the region has led to some poor road conditions Friday morning.


Become an expert in advanced control system analysis and the design techniques used widely in industry. Learn how to control traditional engineering systems and how to apply your knowledge to complex systems like biological processes, financial or energy systems, aerospace and the environment.
In the first year, you'll take the Global Engineering Challenge. This involves working with other engineering students on a one-week project to tackle a real-world problem. The challenge is designed to develop your skills and enhance your career prospects.
These figures give an indication of how you'll learn and be assessed. They're a combined average of all the years of the course. The learning and assessment percentages could vary depending on the modules you choose.
We are the only department in the UK dedicated to Control and Systems Engineering.
We are home to the Rolls-Royce University Technology Centre and have research contracts with major institutions like the European Space Agency, as well as our many academic and industrial partners. These connections mean our teaching is based on the latest thinking.
Our facilities include a robotics, real-time systems, and control and power systems laboratory, as well as a state-of-the-art electronics and control lab in the Diamond (pictured).
Qualified systems and control engineers make a genuine difference in the world. They build robots and design manufacturing processes. They can even help to predict climate change, financial trends or reserves of raw materials.
Our graduates work in many different sectors, such as manufacturing, aerospace, robotics, power generation and finance, for companies including Rolls-Royce, Jaguar Land Rover, Shell, Dyson and HSBC.
"When I looked into other universities, I found there was nowhere else that had its own dedicated systems and control department. Sheffield is the only one in the UK...I really enjoy being an engineering student, because I get to find out how things work, how systems work and how things are put together...I used to enjoy it when I was really little, and now I get to go on and do it as my career."
All our courses are accredited by the Institution of Engineering and Technology and the Institute of Measurement and Control. Our MEng degrees meet all the academic requirements for Chartered Engineer (CEng) status.


text:
Q: SharePoint 2013 Unexpected Error while creating lookup column to use external list I am using SharePoint Server 2013. In that I am creating a custom column which lookup to an external list.
My ECT is based on an SQL Server table and I have created the external list in the site. I have used read and readlist operations. Than after I can see this in my site. But when I create lookup column based on this external list, Error occurs "Sorry, something went wrong" error page with Correlation ID: a2fa749d-af7b-e022-9b7a-7fa53c48783a".
I had done some research and tried setting the Allow unlimited length in document libraries flag, but this isn't resolved it. I don't understand what the issue as I can see my external list.
Can anyone help on this??
Thanks
Stephen

A: You seem to be running into the 2000 item limit for BCS, which you could increase but may still not be able to resolve your issue completely.
First Option
Here is a similar question: BCS External Content Type with 20,000+ items (O365)
The accepted answer says:

I had a similar issue this morning, with an external dataset with
  around 100,000 records. The way I worked around it was to create a SQL
  stored procedure to do the Read List operation, rather than querying
  the data directly. The Read Item operation can still be linked
  directly to the list, rather than requiring a second stored procedure.

Second Option
However I would also point you to this blog, which uses a slightly different approach to get the functionality working.

The data I originally had received for the cities and towns was in a
  CSV file. I found a nice little site that would convert the CSV format
  to JSON (bookmark this one; you'll need it in this JSON-oriented
  world).
Once I had the JSON file uploaded to a Document Library, the code
  below is what I used to set up the autocomplete. We wanted the
  autocomplete to allow multiple choices, so there's a little monkeying
  around to enable that. It wasn't tremendously peppy (19,000 cities,
  after all), but it worked.

So if your data is static you could just jump over to Marc's blog and use that code. If it isn't there is still some work you'd need to do to get some sort of cache running that gives you JSON dynamically. But in that case I think the first option is a better choice.

redpajama_set_name: RedPajamaStackExchange


text:
O Vale do Caí é composto por 19 municípios, predominantemente colonizados por alemães, açorianos e italianos. O Vale do Caí engloba os seguintes municípios:
 Alto Feliz
 Barão
 Bom Princípio
 Brochier
 Capela de Santana
 Feliz
 Harmonia
 Linha Nova
 Maratá
 Montenegro
 Pareci Novo
 Salvador do Sul
 São José do Hortêncio
 São José do Sul
 São Pedro da Serra
 São Sebastião do Caí
 São Vendelino
 Tupandi
 Vale Real

Demografia
Dados do Vale do Caí, segundo a Fundação de Economia e Estatística:
 Taxa de analfabetismo (2000) = 4,91 %
 Expectativa de Vida ao Nascer (2000) = 75,12 anos
 Coeficiente de Mortalidade Infantil (2007) = 12,35 por mil nascidos vivos
 População(2019/IBGE) = 227.776 hab.
 PIBpm(2006) = R$ mil 2.327.607
 PIB per capita (2006) = R$ 13.777
 Exportações Totais (2008) = U$ FOB 1.120.382.747

Referências

 Portal Vale do Caí - http://www.valedocai.com.br

Ligações externas
 Secretaria do Turismo do Rio Grande do Sul

Ver também
 Imigração alemã no Rio Grande do Sul
 Lista de municípios do Rio Grande do Sul
 Lista de municípios do Rio Grande do Sul por população
 Lista de municípios do Rio Grande do Sul por data de criação

Cai
Imigração alemã no Rio Grande do Sul

redpajama_set_name: RedPajamaWikipedia


We've been getting our share of rain lately here in the Treasure Valley. No complaints out of me. Compared to last year we're living in a dream and the temperatures are right where they're supposed to be for early Spring. Last week we were hit with a few showers but nothing really affected commuters either going or coming from work. This week, however, may be different.
According to weather.com Tuesday and Wednesday we only have a 20% chance of rain so it'll be hit or miss there but Thursday another storm's blasting through Idaho that will land smack dab in the middle of Boise. A strong chance of showers that will most likely be in full force as people are heading into work that morning.
We're all experienced drivers here in Idaho (Ha!) so I expect there will be no issues. Everyone will leave a little early to make sure they're not rushed. Everyone will drive with their lights on so others can see them clearly. Everyone will slow down and be courteous for other drivers right? That's what I thought.
A little sunshine should be back on Friday and Saturday with temperatures in the upper 50's and lower 60's so we should have a nice weekend to look forward to.


Protein is an essential part of any diet, including the Mediterranean diet. While it's primarily plant-based, you actually can (and should!) have meat on this healthy eating plan. To fully reap the benefits of the Mediterranean diet, however, you'll need to be mindful of your choices.
First, let's talk about why protein deserves a spot on your plate. "Protein is especially important because it aids in the production of enzymes, hormones, neurotransmitters, and antibodies throughout your body," Mary Claire Shurina, MS, RD, LD, told POPSUGAR. "It also helps with the growth and repair of cells within our hair, skin, muscles, bones, and internal organs." Basically, protein plays a pretty important role in a lot of the things your body is doing behind the scenes.
This is one reason the Mediterranean diet is linked with a lower occurrence of disease, because unlike some other diets, it emphasizes lean sources of protein. Here's what to look for during your next shopping trip.
Fish and other seafood like shrimp and scallops are probably the most common proteins on the Mediterranean diet. In addition to providing protein, some fattier varieties of fish are also healthy sources of omega-3 fatty acids. "These fats are especially beneficial for brain and heart health," Mary Claire told POPSUGAR. When seeking out seafood, she recommends looking for salmon, sardines, mackerel, and albacore tuna to get your fill of protein and healthy fats.
Poultry typically includes chicken, turkey, and duck, but can be any type of fowl you enjoy. Most poultry is relatively lean and has "low levels of saturated fat compared to red meat and pork," Mary Claire said. On the Mediterranean diet, you want to increase consumption of unsaturated fats and limit consumption of saturated fats, so chicken breast or roast turkey can make a great addition to your meals.


Home » Happy March Work Anniversary!
2018 marks 40 years of partnership for Tsugami and Rem Sales. The month of March comes with 7 more very exciting anniversaries!
Tsugami/Rem Sales, LLC would like to wish all of our March hires a very happy work anniversary! Thank you for helping us become leaders in the CNC industry! We appreciate all you do for Rem Sales, our distribution, and our end-users each day.


Overvoltage Research and Geophysical Applications deals with the subject of overvoltage (or induced electrical polarization) as it relates to geophysical exploration. This book presents the results of theoretical and experimental research conducted between 1946 and 1958 to investigate overvoltage and sponsored by Newmont Mining Corporation.
This book is comprised of 10 chapters and begins with a brief overview of the history of Newmont's interest in overvoltage. The next chapter describes a theory for induced polarization effects (for step-function excitation), with particular reference to a mathematical formulation that represents the volume distribution of dipolar sources. The reader is then introduced to a brief theoretical derivation for the effective conductivity and dielectric constant of a homogeneous medium loaded with a uniform distribution of spherical conducting particles. The following chapters explore the complex conductivity of rocks as a function of frequency; laboratory studies of induced polarization in mineralized and non-mineralized rock specimens; induced polarization decay curves on rock specimens; and phenomena resulting from electric polarization of rocks at low frequencies. Some electrical transient measurements on igneous, sedimentary, and metamorphic rocks are presented. The final chapter considers various explanations of the normal effect and describes induced-polarization experiments. This monograph will be of interest to geophysicists.


Department of Surgery, Faculty of Medicine, Nursing and Health Sciences, Monash University , Chairman, Department of Urology, Monash Health, Australia.
University of Melbourne, Division of Cancer Surgery, Peter MacCallum Cancer Centre Melbourne, Australia.
Olivia Newton-John Cancer Research Institute, Austin Hospital, Melbourne, Victoria, Australia.
Australian Prostate Cancer Research Centre, Epworth Healthcare, Richmond, Australia.
Robotic assisted radical prostatectomy has emerged as the dominant surgical technique for the management of localised prostate cancer in many Western countries. Yet the evidence to support such a radical change in surgical technique has been limited and of poor quality, with the driver of the change initially being aggressive marketing, followed by hospital and urologist competition, and lastly by patients themselves who perceive robotic assisted radical prostatectomy to be the better technique. A critical review of the contemporary literature would suggest that robotic assisted radical prostatectomy may indeed have benefits over traditional open surgery in the areas of length of inpatient stay, perioperative complications and transfusion rates. However, the important parameters of cancer control, continence and potency outcomes appear largely equivalent between the techniques and more determined by surgeon and hospital experience, and patient characteristics, with the advantages of robotic surgery coming at increased cost. There is no question that robotic assisted radical prostatectomy is already widely disseminated and this trend is irreversible regardless of the outcomes of future studies. This however, does pose challenges regarding training in centres that do not have access to robotic technology, credentialing requirements for transitioning open surgeons and maintenance of open skills where robotic assisted radical prostatectomy cannot be performed.
Robotic assisted radical prostatectomy (RARP) has become the surgical method of choice of urologists in many developed nations, in preference to an open radical prostatectomy (ORP). Since the introduction of robotic surgery over a decade ago, the debate over which is the 'best' technique has waged and been the topic of debates in many urology conferences around the world. Yet the level of evidence to support superiority between techniques is poor, with no randomised controlled trials of note to date.1,2 Most studies have been level 4 data, namely retrospective single centre case series, often comparing a contemporary series of RARP to historical ORP data. In fact, a systematic review of the literature in 2010 demonstrated that 12 authors contributed to writing 72% of published studies.2 Population data and meta-analyses since then have been valuable, but again do not replace a well conducted randomised control trial as much of the data is incomplete, surgical skill and experience is unstated, surgeon and hospital volumes are often unknown and there is no standardised reporting of complications, nor analysis of pathological outcomes by central pathology review. All these highlight the poor quality of data we have to date and why we look forward with considerable interest to the results of the randomised control trials being performed in Brisbane, Australia, currently comparing the techniques, within the same time period, with the same care pathways, in the same institution, with central pathology review and with experienced urologists performing the surgery.3 This together with another prospective contemporary but non-randomised trial happening in Melbourne, Australia, will add a lot of knowledge regarding the true benefits of one technique over the other.
Given the fact that a radical prostatectomy is essentially the same operation regardless of technique used, it seems that oncological outcomes should be similar or identical, and driven more by tumour and surgeon factors. Due to the long lead time to identify, differences in cause specific survival or even prostate specific antigen (PSA) free survival, positive surgical margins have been used as a surrogate for surgical quality. Naturally, this is also affected by factors such as pre-operative PSA, tumour volume, surgeon skill and experience, pathological processing and techniques, hospital volume and experience. As such, unless these factors are standardised, the results of comparisons between techniques may be flawed.
A recent meta-analysis demonstrated non-significant differences on the pT2 (p=0.31) margin rates, or overall margin rate (p=0.19), between techniques and no differences in seven year biochemical free survival (p=0.56).4 This was supported by a meta-analysis of 286,000 radical prostatectomy cases from over 400 published papers, which demonstrated that overall and pT2 positive surgical margin rates were lower in RARP vs ORP (overall 24.2 vs 16.2%; pT2 16.2 vs 10.7%), however following propensity adjustment these differences were not statistically different. A study from the Mayo Clinic controlling for factors such as hospital, pathology and surgeon skill and experience, found no difference in positive margin rate, with RARP having a 15.6% margin rate to 17% with ORP (p=0.608), with no difference in long-term disease biochemical progression rate.5 This is supported by data from a single centre in Belgium, with RARP having a 30% positive margin rate compared to 21% with ORP (p=.204),6 from the Health Professionals Follow-up Study (24.5% vs 23.1% p=0.51),7 from Johns Hopkins (34.3% vs 29.4%, P=0.52),8 and from Memorial Sloan Kettering (15% each ), all comparisons quoted being non-significant.9 In the latter two studies no difference was noted in biochemical free survival between techniques (p=0.6),8,9 although at Memorial Sloan Kettering they importantly noted a greater difference of biochemical free survival between surgeons (2.3% crude difference over two years) using the same technique rather than between techniques (0.8% crude difference over two years).9 They concluded that the surgical approach should be based on the skill and confidence of the surgeon rather than being focused on a specific technique. Case volume appears to be a major factor, with a recent series demonstrating a positive surgical margin rate of 36% in the first 50 case RARP experience to 7.5% in case numbers 251-450.10 Another demonstrated it required a case experience of more than 1600 cases to obtain a margin rate <10%.11 This fact would apply equally to both ORP and RARP.
Some multi-institutional studies however, have shown some benefit for RARP over ORP with regards to margins (22.8% vs 13.8%).12 However, ORP patients had higher risk prostate cancer at the time of this surgical series and were operated on earlier in the study time period, introducing some selection bias. Logistic regression to attempt to correct for these factors demonstrated an odds ratio of 0.76 in favour of robotic surgery (p<0.001). Surgical and hospital case volume and experience were uncertain, and pathological processes likely to be vastly different between centres with no central review. Similar concerns can be raised regarding a recent analysis of the SEER data, comprising 5556 RARP cases, 7878 ORP cases, but critically with nearly 9000 cases excluded from the analysis.13 ORP once again had higher pre-operative PSA levels and higher clinical stages, and there was no standardisation of pathology processes. RARP was associated with fewer positive margins (13.6% vs 18.3%), mostly in the intermediate and high risk cases. RARP was also associated with less use of additional cancer therapies within six months of surgery (4.5% vs 6.2%), but there was no information about PSA relapse rates, nor cause specific survivals, and hence uncertainty about why these secondary therapies were introduced.
The bulk of the literature would suggest that oncological outcomes with regards to surgical margins, biochemical evidence of recurrence and additional therapies are equivalent, with any differences likely to be attributable to factors such as tumour volume, pathology and surgical case volume and experience.
A recent meta-analysis however, was based on nine studies comparing RARP with ORP (mostly historical controls), and demonstrated a mean no pad incontinence rate of 16%.16 The authors did conclude that RARP achieved better continence rates compared to ORP (92.5% vs 88.7%), with some studies in the analysis demonstrating a faster return to continence with the robotic approach. However, they concluded that age, body mass index, comorbidity index, prior lower urinary tract symptoms and prostate volume were significant pre-operative predictors of urinary incontinence, which naturally were not controlled in any of these comparative studies, let alone with reference to surgeon experience. The authors concluded that multiple design and methodological factors needed to be considered when interpreting these outcomes.
Erectile dysfunction is another common complication after radical prostatectomy, but studies are again hampered by lack of standard definitions and the lack of use of patient reported outcomes via validated instruments. It has been well shown that erectile dysfunction can also be effected by the ability to nerve spare at radical prostatectomy, age, pre-existing erectile function and co-morbidities. Very few studies have adequately controlled for these factors, nor do they take into account surgeon experience or skill. Data from the Mayo Clinic demonstrated no significant difference between techniques (70% RARP vs 62.8% ORP p=0.08),5 with results from the Health Professionals Follow Up Study showing no difference in EPIC-26 scores (p=0.66).7 In the LAPPRO study, erectile dysfunction was found in 70.5% after RARP, and 74.7% after ORP, which was modestly beneficial for RARP with an adjusted OR of 0.81 (95% CI 0.66-0.98),14 even taking into account factors as mentioned above. Importantly, 40% of patients were not potent pre-operatively, were not interested in sexual activities or did not have nerve sparing for oncological reasons. Of the remaining patients, the three, six and 12 month potency recovery rates were 10%, 53% and 82% respectively, with median time to potency of six months.
A recent systematic review looked at six studies comparing RARP to ORP.17 Age, baseline potency status, co-morbidities index, and extent of nerve sparing were the most important predictive factors, however an advantage was found in favour of RARP based on seven studies all of level three or four evidence. The authors concluded that 47.8% after ORP had erectile dysfunction compared to 24.2% after RARP, however other factors might have contributed to these discrepancies. Overall, most studies demonstrate modest improvement in potency rates with RARP, although other factors may have played a role when interpreting these results.
RARP has an advantage in relation to blood loss and transfusion requirements due to the higher intraperitoneal pressure and steep head down position of the patient, thus reducing venous blood loss intra-operatively. Accurate measurements of blood loss, and non-standardised protocols regarding indicators for transfusion, hamper these analyses, however the results consistently demonstrate an advantage of RARP over ORP. Mayo data demonstrated a 13.1% transfusion rate in ORP vs 5.1% in RARP group (p<0.001)5 and the Health Professionals Follow Up Study with ORP 30.3% vs RARP 4.3% (p<0.001).7 The investigators estimated on average, 495mL less blood loss with RARP, however they noted that the ORP group was demonstrating a 66 mL/year reduced estimated blood loss, while the RARP cohort was not, indicating that one can no longer compare RARP to historical ORP controls. A systematic review also indicated a 580mL reduced estimated blood loss with RARP, but analysis of the trials included showed huge variability in transfusion rates with ORP, with some series as low as 2-3% of cases, suggesting that case selection, as well as surgeon and hospital experience, may be factors.4 Another recent systematic review comparing RARP to historical ORP controls demonstrated an advantage to RARP (12.5% vs 1.8%),18 as well as an analysis of the Nationwide Inpatient Sample (7.7% vs 2.4%).19 The difficulty in interpreting these data is that the RARP patients had fewer co-morbidities and were more likely to have surgery performed in urban high-volume academic institutions, which may have introduced selection bias. Overall the weight of evidence would suggest a reduced blood loss and transfusion rate with RARP, however the extent of this remains unclear given methodological issues with the studies performed. Contemporary transfusion rates are now low regardless of technique with the gap between techniques appearing to narrow.
Meta-analyses have consistently confirmed reduced peri-operative complications in patients undergoing RARP owing to the laparoscopic approach, but again uncontrolled for surgical and institutional experience. These include readmission, re-operation, pneumonia, deep vein thrombosis, wound complications and anastomotic leak.18,19 Furthermore, the urethro-vesical anastomotic stricture rate is significantly reduced with this, sometimes troubling complication, almost eliminated in robotic series where the suturing is completed under direct vision.
Length of stay (LOS) was consistently shorter in the RARP group compared to ORP by approximately one day in most series. In the European series, a reduction from 4.1 to 3.3 days was seen (P<0.001), while in the US Nationwide Inpatient Sample, a prolonged LOS greater than two days was seen in only 14.5% of RARP patients compared to 39.6% of ORP patients (p<0.001).19 In an academic setting however, a prolonged LOS greater than two days was found in 10.8% of RARP patients compared to 12.6% of ORP, demonstrating that surgical and centre caseload is likely to have an effect in mitigating some of this observed LOS discrepancy.5 In Australia, the data are more pronounced where LOS with open surgery still remains at greater levels (at least two days), but may reflect lack of adoption of protocols, anaesthetic and pain pathways that are dated and, preoperative counselling.
Surgical training in Australia has traditionally followed a master-apprentice relationship, whereby the trainee is given greater responsibility in surgical cases as they gain experience under the watchful eye of the more experienced surgeon. In Australia, data has emerged from Victoria for ORP, where it was concluded that the value of high-volume and fellowship-trained urologists in performing and teaching ORP was a key factor in patient outcomes.27 There is no such data for RARP, and indeed with only a select few public institutions offering RARP, the role of long-term fellowships cannot be underscored. At present, trainees must assist surgeons in the private sector, which is helpful but does not allow the graduation to an independent surgeon easily. Mini-fellowships and mentoring help in some respects, but a drop in key indicators by surgeons switching to RARP from open, or whom have had little training, is generally accepted as part of a long 'learning curve' of any new technique. In the future, as outcomes are increasingly scrutinised with audits, the best strategy for clinicians to maintain standards and optimal patient outcomes is to understand these elements and direct trainees to appropriate centres for training and fellowships.
While we await the results of the only randomised control trials to have been performed comparing RARP and ORP, we can conclude that RARP is a well-established operation, which gives excellent results in experienced hands, as does ORP. While the important long-term oncologic and functional results appear to remain largely surgeon dependent, for a given surgeon RARP will offer at least equivalent results, with a reduction in peri-operative complications and bladder neck stricture rates. RARP does appear to carry a small (and possibly narrowing) advantage with regards to LOS and transfusion rates, but at an increased cost. Trials to date are often subject to substantial selection bias influencing outcomes, and making conclusions hard to interpret. Nonetheless, an entire generation of trainees in the US have now been trained in RARP, with subsequent de-skilling in ORP. This raises some serious issues for future surgical planning, namely how to train when institutions do not have access to a robot, how does one credential an existing open surgeon transitioning to robotics and how does one maintain open skills in this procedure for those rare occasions where RARP may not be possible for anatomical or mechanical reasons.
It is perhaps time to put this debate to rest and accept that each surgeon should choose their preferred method of performing radical prostatectomy, without the claims from companies, hospitals and urologists that one technique is vastly superior to the other. As demonstrated by the team at Memorial Sloan Kettering, there was more variability between surgeons using the same technique then between techniques themselves.
While it is entirely appropriate to train new surgeons in robotic technology, it is important that benefits of RARP over ORP are not over-stated and that experienced surgeons in ORP should feel comfortable continuing to offer their preferred operation. A recent study of this transitioning process in an experienced open surgeon demonstrated that it required 99 RARP cases to reach previous ORP levels in regards to sexual function, 182 cases for incontinence and 200 cases with regards to margins, with up to 700 cases to plateau outcomes.28 This then translates to several, and in some circumstances many years of patients being subjected to a worse functional and oncological outcome should these open surgeons transition. Indeed, some experienced open surgeons may never reach what they were achieving with ORP previously, and therefore this issue remains a potential major ethical dilemma as long as this debate continues.
Dasgupta,P. Improving the evidence for robot-assisted radical prostatectomy. Eur Urol. 2015;67:671-672.
Kang DC, Hardee MJ, Fesperman SF, et al. Low Quality of evidence for robot-assisted laparoscopic prostatectomy: Results of a systematic review of the published literature. Eur Urol. 2010;57:930-937.
Gardiner RA, Coughlin GD, Yaxley JW, et al. A progress report on a prospective randomised trial of open and robotic prostatectomy. Eur Urol. 2014;65:512-515.
Novara G, Ficarra V, Mocellin S, et al. Systematic review and meta-analysis of studies reporting oncologic outcome after robot-assisted radical prostatectomy. Eur Urol. 2012;62:382-404.
Krambeck AE, DiMarco DS, Rangel LJ, et al. Radical prostatectomy for prostatic adenocarcinoma: a matched comparison of open retropubic and robot-assisted techniques. BJUI. 2008;103:448-453.
Geraerts I, Van Poppel H, De Voogdt N, et al. Prospective evaluation of urinary incontinence, voiding symptoms and quality of life after open and robot-assisted radical prostatectomy. BJUI. 2013;1122:936-943.
Alemozaffar M, Sanda M, Yecies D, et al. Benchmarks for operative outcomes of robotic and open radical prostatectomy: results from the Health Professionals Follow Up Study. Eur Urol. 2015;67:4342-438.
Pierorazio PM , Mullins JK, Eifler JB, et al. Contemporaneous comparison of open vs minimally-invasive radical prostatectomy for high-risk prostate cancer. BJUI. 2013;112:751-757.
Silberstein JL, Su D, Glickman L, et al. A case mix adjusted comparison of early oncological outcomes of open and robotic prostatectomy performed by experienced high volume surgeons. BJUI. 2013;111:206-212.
Yee DS, Narula N, Amin MB, et al. Robot-assisted radical prostatectomy: current evaluation of surgical marins in clinically low-, intermediate-, and high-risk prostate cancer. J Endourol. 2009;23:1461-1465.
Sooriakumaran P, Wiklund JM, Lee D, et al. Learning curve for robot assisted laparoscopic prostatectomy: a multi-institutional study of 3794 patients. Italy J Urol Nephrol. 2011;63:191-198.
Sooriakumaran P, Srivastava A, Shariat SF, et al. A Multinational, multi-institutional study comparing positive surgical margin rates among 22393 open, laparoscopic and robot-assisted radical prostatectomy patients. Eur Urol. 2014;66:450-456.
Hu JC, Gandaglia G, Karakiewicz PI, et al. Comparative effectiveness of robot-assisted versus open radical prostatectomy cancer control. Eur Urol. 2014;66:666-672.
Evans S, Millar, JL, Frydenberg, et al. Positive surgical margins: rate, contributing factors and impact on further treatment: findings from the Prostate Cancer Registry. BJUI. 2014;114(5):680-90.
Ficarra V, Novara G, Rosen RC, et al. Systematic review and meta-analysis of studies reporting urinary continence recovery after robot assisted radical prostatectomy. Eur Urol. 2012;62:405-417.
Ficarra V, Novara G, Ahlering TE, et al. Systematic review and meta-analysis of studies reporting potency rates after robot-assisted radical prostatectomy. Eur Urol. 2012;62:418-430.
Tewari A, Sooriakumaran P, Bloch DA, et al. Positive surgical margin, and perioperative complication rates of primary surgical treatments for prostate cancer: A systematic review and meta-analysis comparing retropubic, laparoscopic and robotic prostatectomy. Eur Urol. 2012;62:1-15.
Trinh QD, Sammon J, Sun M, et al. Perioperative outcomes of robot-assisted radical prostatectomy compared with open radical prostatectomy: results from the Nationwide Inpatient Sample. Eur Urol. 2012;61:679-685.
Webster T, Herrell S, Chang S, et al. Robotic assisted laparoscopic radical prostatectomy versus retropubic radical prostatectomy: a prospective assessment of postoperative pain. J Urol. 2005;174:912.
Wood D, Schulte R, Dunn R et al. Short term health outcome differences between robotic and conventional radical prostatectomy. Urology. 2007;70:945.
Kowalczyk KJ, Weinburg AC, Gu X, et al. Comparison of outpatient narcotic prescribing patterns after minimally invasive versus retropubic and perineal radical prostatectomy. J Urol. 2011;186:1843-1848.
Miller J, Smith A, Kouba E, et al., Prospective comparison of short term convalescence: laparoscopic radical prostatectomy versus open radical prostatectomy. Urology. 2003;61:612.
Wallerstedt A, Tyritzis SI, Thorsteinsdottir T, et al. Short term results after robot assisted laparoscopic radical prostatectomy compared to open radical prostatectomy. Eur Urol. 2015;67:660-670.
Bolenz C, Gupta A, Hotze T, et al. Cost comparison of robotic, laparoscopic and open radical prostatectomy for prostate cancer. Eur Urol. 2010;57:453-458.
Kim SP, Shah ND, Karenes JR, et al. Hospitalization costs for radical prostatectomy attributable to robotic surgery. Eur Urol. 2013;64:11-16.
O'Kane D, Papa N, Lawrentschuk N, et al. Supervisor volume affects oncological outcomes of trainees performing open radical prostatectomy. ANZ J Surg. 2015 April doi:10.1111/ans.13112 (Epub ahead of print) PMID: 25916513.
Thompson JE, Egger S, Bohm M, et al. Superior quality of life and improved surgical margins are achievable with robotic radical prostatectomy after a long learning curve: a prospective single surgeon study of 1552 cases. Eur Urol. 2014;65:521-531.


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