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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.

Bondage Harness

A bondage harness is a piece of BDSM equipment worn for the purposes of sexual bondage. It typically consists of a series of leather straps, typically between 1 and 2 cm wide, attached together in such a way as to allow a person to wear the item. The item can be worn by both men and women. However, modifications may be needed depending on which sex wears the item.

The item is very closely associated with BDSM play, and is often immediately identifiable as being something to do with bondage when depicted. For this reason, it is sometimes worn publicly as a way to reference fetish culture and gain attention. Often, the image of a person in a bondage harness is used by movie studios to provide a cliché of a person into fetish play. Other publications have also been known to use this cliché, a good example being the comic book series and movie Sin City, which has one of its characters wearing a bondage harness.

The harness consists of a main central strap that runs in front and at the back, but with two separating straps where it passes around the head. This central strap runs between the legs, between the buttocks and up to an area midway up the back where it meets the other end of the strap. The straps are then secured together — typically with a standard buckle such as that used on a belt to hold pants up.

When fitted to a male, the harness splits in half in a similar way to the way it splits to go around the head so as to pass around the male genitals. On a female, the harness usually runs straight between the legs. There are then several other straps running out at right angles from the main central strap usually, but not limited to, 3-4 straps. These straps wrap around the body with the two ends secured to each other using further buckles. On a female, the straps may be above and below the breasts, creating a form of breast bondage, with further straps around the waist. On a male, the straps usually criss-cross over the chest and abdomen to emphasize male physique.

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Voice auditions

Do people always say you should do something with that great voice of yours? Do you listen to the voices on TV and radio and think: That sounds like fun. I'd like to do that! What talent should do is make themselves "stick out" at an audition. Be on time, prepared and have several different voices for each character. Versatility and the ability to take direction are the key ingredients! Voice over work can be extremely lucrative and many actors make a living solely from voice over work. If you would like to get into the voice over business, but aren't sure how to get a demo or find a reputable company, go to Voice Over Work. A voice audition is a tryout by a voice over artist in order to secure work in television, film or commercials. Voice auditions are generally referred to as voice over auditions.

TV auditions are very similar to Film and Theatre auditions. The main difference is time. Television is always under a time constraint. A script is written in a week, and that next week it must be cast, in order to film the week after that. Most television auditions are for guest starring spots, under fives and extras. Since there are a limited amount of recurring roles on television shows, episodic character casting is what most TV auditions are for. To get more information on TV show auditions, visit TV show auditions.

Contraception

Contraception, also known as birth control, is designed to prevent pregnancy.

What are some methods of contraception?
There are several general methods of birth control, including (but not limited to):

Barrier methods, such as condoms, the diaphragm, and the cervical cap, designed to prevent the sperm from entering the uterus.
Intrauterine device, or IUD, is a small device that is inserted into the uterus by a health care provider. The IUD is more than 99 percent effective at preventing pregnancy. An IUD can stay in the uterus for up to 10 years until it is removed by a health care provider.
Hormonal birth control, such as birth control pills, injections, skin patches, vaginal rings, and implants release hormones into a woman’s body that interfere with fertility by preventing ovulation.
Sterilization is a method that permanently prevents a woman from getting pregnant or a man from being able to get a woman pregnant. Sterilization involves surgical procedures that must be done by a health care provider and usually cannot be reversed.

The choice of birth control depends on factors such as a person's overall health, age, frequency of sexual activity, number of sexual partners, desire to have children in the future, and family history of certain diseases. A woman should talk to her health care provider about her choice of birth control method.