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Gastric Bypass

Gastric bypass procedures are any of a group of similar operations used to treat morbid obesity—the severe accumulation of excess weight as fatty tissue—and the health problems it causes. Bariatric surgery is the term encompassing all of the surgical treatments for morbid obesity, not just gastric bypasses, which make up only one class of such operations. A gastric bypass first divides the stomach into a small upper pouch and a much larger, lower remnant pouch and then re-arranges the small intestine to allow both pouches to stay connected to it. Surgeons have developed several different ways to reconnect the intestine, thus leading to several different bypass names. Any bypass leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and psychological response to food. The resulting weight loss, typically dramatic, markedly reduces comorbidities. The long-term mortality rate of gastric bypass patients has reduction of up to 40 percent. The gastric bypass, in its various forms, accounts for a large majority of the bariatric surgical procedures performed. An increasing number of these operations are by limited access techniques, termed laparoscopy. Laparoscopic surgery uses several small incisions, or ports, one of which conveys a surgical telescope connected to a video camera, and others permit access of specialized operating instruments. The surgeon actually views his operation on a video screen. The method is limited access surgery, reflecting both the limitation on handling and feeling tissues, and also the limited resolution and two-dimensionality of the video image. With experience, a skilled laparoscopic surgeon can perform most procedures as expeditiously as with an open incision—with the option of using an incision should the need arise. The gastric bypass reduces the size of the stomach by well over 90 percent. A normal stomach can stretch, sometimes to over 1000 ml, while the pouch of the gastric bypass may be 15 ml in size. The gastric bypass pouch is formed from the part of the stomach, which is least susceptible to stretching. That, and its small original size, prevents any significant long-term change in pouch volume. What does change, over time, is the size of the connection between stomach and bowel, and the ability of the small bowel to hold a greater volume of food. Over time, the functional capacity of the pouch increases, and by that time, weight loss has occurred, and the increased capacity serves to allow maintenance of a lower body weight. When the patient ingests just a small amount of food, the first response is a stretching of the wall of the stomach pouch, stimulating nerves, which tell the brain that the stomach is full. The patient feels a sensation of fullness, as if they had just eaten a large meal—but with just a thumbful of food.

Libido

Libido refers to a person's sex drive or desire for sexual activity. The desire for sex is an aspect of a person's sexuality, but varies enormously from one person to another, and it also varies depending on circumstances at a particular time. A person who has extremely frequent or a suddenly increased sex drive may be experiencing hypersexuality. Sex drive has usually biological, psychological, and social components. Biologically, levels of hormones such as testosterone are believed to affect sex drive; social factors, such as work and family, also have an impact; as do internal psychological factors, like personality and stress. There is no measure of what is a healthy level for sex. Sex drive may be affected by medical conditions, medications, lifestyle and relationship issues.

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audition shoes

Audition shoes can be a very important part of a performer's audition. Many times casting directors and casting agents will put out an open-call for a certain type of performer i.e., construction worker or doctor. A specific type of shoe is generally worn by these people while at work. Therefore, it would not be a bad idea for an actor to wear similar shoes to more closely fit the role. Go to audition shoes for some ideas about what type of shoes would be appropriate for different types of auditions. Audition shoes are shoes performers (generally dancers) wear for a specific type of audition.

Auditions are held by producers and casting directors. They choose whom to cast after an audition has been held. Always bring a headshot and resume to an audition. To get more information on auditions for actors, visit auditions for actors.

Heterosexuality

Heterosexuality is romantic and/or sexual attraction or behavior between members of the opposite sex or gender. As a sexual orientation, heterosexuality refers to an enduring pattern of or disposition to experience sexual, affection, physical or romantic attractions to persons of the opposite sex; it also refers to an individual’s sense of personal and social identity based on those attractions, behaviors expressing them, and membership in a community of others who share them. The term is usually applied to human beings, but it is also observed in all mammals. The demographics of sexual orientation are difficult to establish due to a lack of reliable data. However, the history of human sexuality shows that attitudes and behavior have varied across cultures.