![]() She had an uneventful postoperative course and healed extremely well. From the mid section, the skin pannus removed measured 4 x 7.5″ and weighed 500 g. Her skin excess from the left side measured 7×9 cm and weighed 758 g that of the right measured 7.5 x 7.5 inches and weighed 819 grams. Surgery and ResultsĪt surgery, we performed a panniculectomy, a fleur de lis abdominoplasty a diastasis recti repair, and a repair of a small ventral hernia was an incidental finding at the time of surgery despite the fact that she had had a negative abdominal MRI prior to surgery. We work with the patient and the patient’s primary care physician to get these two issues under control before we undertook surgery. In addition, she had recurrent urinary tract infections. ![]() Unfortunately, her diabetes was not under good control and she had an elevated hemoglobin A1c. ![]() A pannus was so large that it interfered with ambulation as well as activities of daily living and made exercise almost impossible. In addition, she had a large diastasis recti. Virtue of prolonged skin apposition of the pannus over the lower abdomen, this resulted in skin irritation and chronic intertrigo. This left her with a great deal of excess skin and a pannus then hung well below her pubic symphysis. ![]() She had undergone gastric bypass as a result of losing a total of 150 pounds. This patient is a 55-year-old Hispanic female with a history of type 2 diabetes due to obesity. ![]()
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![]() If the Nittany Lions’ offensive line doesn’t shape up, these teams will quickly descend upon them and make way for their own seasons. However the matchup plays out, there is no underestimating the next few weeks’ significance for Penn State’s season. They should be more than able to keep the pressure on the weaker Michigan offensive line and force turnovers for big, explosive plays. They’re currently averaging only two offensive touchdowns per game and going into some of the best defense they could go against. Thankfully for Penn State though, Michigan’s offensive is nothing explosive. Conversely, Michigan’s defense is steadfast, averaging 3.5 yards per play. Penn State’s offensive line has been sketchy this season, surrendering 16 sacks so far this season and performing even worse on tackles for loss. Michigan has seen an impressive rushing season so far, so they’ll be expected to push the ball forward on the ground. The best part about the White Out is the home field advantage, and that will play to the Nittany Lions’ defense existing strengths. If Penn State takes this victory they will be 7-7 in total White Out matchups. This will also be the fifth time that Michigan has seen Penn State for a White Out game and the teams are 2-2 in their last 4 matchups. 19 Michigan, this game has a lot riding on it for both teams to establish how the rest of the season could play out. 2 in the AP poll, and that’s the highest they’ve been ranked since 1994. This year’s matchup against Michigan promises to be an exciting one and an important one for gauging the rest of the Nittany Lion’s season. Penn State went on to win the Big Ten Championship Game and went to this year’s Rose Bowl. The play sealed the game for Penn State and arguably the rest of their conference season as the shaky start had been firmly shaken off. Grant Haley picked up a blocked field goal and returned it 60 yards to give Penn State the game-clinching 24-21 lead in the fourth quarter. 2 Ohio State for their White House game the clear underdog, but kept the game close and ultimately eked out a victory in a tense 24-21 final. Last season’s White House game was an impressive one, where the Nittany Lions were picking up steam after an underwhelming 2-2 start (including an embarrassing loss to Michigan). When students are asked to describe the feeling of being at a White House game, the most common response is typically “you can’t.” The stadium is always full and ticket prices range from $220 to over $1000. The tradition has held on and Penn State has had a White House game every season with the exception of 2010 when the department deferred it to the following year due to a weak home schedule. That full-stadium White House game set the standard for all future white out games to rise to, and it has not disappointed since. ![]() 110,078 fans came to white out the Fighting Irish, resulting in a veritable sea of white on all sides. The first of these full-stadium White House games was in 2007 against Notre Dame. Building on the mentality that had been established against Purdue, the university grew White Out games into stadium-wide events against marquee opponents, culminating in the Penn State White House games which take the whiteout to another level. ![]() Since the first White Out game in 2004, Penn State has held one every season (except 2010). The university’s then-director of branding for football Guido D’Elia said that as a result of the White Out, “the stadium from the “quietest 100,000 people’ label to the liveliest, depending on whom you talk to.” Penn State ultimately lost that game, but the attitude of the White Out game was created. ![]() Dress in white, wave white towels and shakers and really make the stadium shudder with their cheers. 9 ranked Purdue, and in anticipation of that game, the athletic department held a Friday night pep rally where they encouraged students to go and ‘white out’ the opposing team. On October 9th, 2004, the Nittany Lions were to go head-to-head against the No. The administration knew that they needed to bolster that morale and get people back to cheering the Nittany Lions on, and they wanted that boost to come from the students. Attendance to the games was down and morale was low. The tradition started in 2004 when Penn State was suffering through their fourth losing season in 5 years. The White Out is a fairly new tradition in the history of Penn State football but has become a very popular one among students, alumni, and college football audience at large. College football fans will undoubtedly be aware of the term White Out, though others might be confused by the idea. ![]() ![]() Marissa Meshulam, RDN, specializes in helping patients with chronic diseases manage their conditions through nutrition. Here are all the details on the best low-calorie drinks to sip at home or order at a bar, according to dietitians. Just be aware of the quantity and know that there are certain types of alcohol that are better for weight loss than others. “If we wake up hungover, we are more likely to skip our normal workout class or grocery shopping and, instead, order a bagel and not move,” adds Meshulam.Īll of that said, it *is* possible to drink while you're trying to lose weight. ![]() On top of that, alcohol causes your blood sugar to drop which can result in increased hunger and snacking, adds Tanya Mezher, RDN, a lead functional practitioner at Malla. “It immediately goes to the liver, where it is prioritized as an energy source, so we will burn alcohol calories first.” In other words, alcohol can slow down and/or stall your weight loss progress.Īlcohol also lowers our inhibitions and makes it harder to focus during meals, which can lead to overeating or choosing foods we otherwise wouldn’t, says Marissa Meshulam, RDN, the owner of MPM Nutrition. “Alcohol is both a toxin and inflammatory substance for our bodies, and our body does not have the ability to store alcohol,” says Kimberly Gomer, RDN, the director of nutrition at Body Beautiful Miami. And since a calorie deficit is key for weight loss, it begs the questions of whether it’s possible to drink at all.ĭrinking-or not-can have a greater impact on weight loss than just extra calories. Take alcohol for instance-many cocktails you order out at restaurants and bars are packed with sugar and cals. And you’re probably surprised by just how calorie-dense some of your faves are. Looking to add a low carb meal or snack to this National Margarita Day fiesta? Browse our Atkins Recipes to find the perfect pairing.When you first set out to lose weight, you may be paying more attention to the calorie content of foods and drinks you consume than ever before. One drink contains 0.4g protein, 0.1g fat, 3.4g fiber, 86 calories, and 3.3g net carbs. Pour the mixture over ice and top with club soda, or just put it all in the blender and enjoy a frozen margarita treat. Then you’ll want to combine the sauce with fresh lime juice, sugar substitute, and tequila in a blender. First, you’ll have to make your own tasty Atkins Strawberry Rhubarb Sauce by cooking fresh rhubarb, strawberries, water, and xylitol. This fruity and refreshing low carb margarita is too good not to share. One drink contains 0.3g protein, 0.1g fat, 0.8g fiber, 83 calories, and 3.9 net carbs. ![]() Each sip of this low carb margarita is a burst of sweet-and-sour goodness. ![]() Don’t forget to garnish with salt on the rim and a lime wedge! One drink contains 0.1g protein, 0g fat, 0.1g fiber, 106 calories, and 2.5g net carbs.įor a twist on the classic, try a strawberry margarita made with juicy large strawberries, fresh lime juice, sugar free sweetener, tequila, and club soda. Combine tequila, fresh lime juice, and just a teaspoon of sugar substitute before either blending with ice or mixing in a shaker. Mix up this classic for National Margarita Day and enjoy it blended with ice or on the rocks. By substituting just a few ingredients, you can still enjoy a tasty low carb margarita with these three recipes: After all, when low carb margaritas are on the menu, that’s something to celebrate! Enjoy the day and relax with a freshly mixed drink, or call up some friends and make it a fiesta. This National Margarita Day, raise a glass to good health, good friends, and a low carb lifestyle. ![]() ![]() In the early 1970s, Leonard Kleinrock carried out mathematical work to model the performance of packet-switched networks, which underpinned the development of the ARPANET. In 1969, the first four nodes of the ARPANET were connected using 50 kbit/s circuits between the University of California at Los Angeles, the Stanford Research Institute, the University of California at Santa Barbara, and the University of Utah.In 1965, Western Electric introduced the first widely used telephone switch that implemented computer control in the switching fabric.The NPL network, a local area network at the National Physical Laboratory (United Kingdom) used a line speed of 768 kbit/s and later high-speed T1 links (1.544 Mbit/s line rate). ![]() Davies pioneered the implementation of the concept. Throughout the 1960s, Paul Baran and Donald Davies independently developed the concept of packet switching to transfer information between computers over a network.Licklider sent a memorandum to office colleagues discussing the concept of the " Intergalactic Computer Network", a computer network intended to allow general communications among computer users. In 1960, the commercial airline reservation system semi-automatic business research environment (SABRE) went online with two connected mainframes.Kitov's proposal was rejected, as later was the 1962 OGAS economy management network project. In 1959, Anatoly Kitov proposed to the Central Committee of the Communist Party of the Soviet Union a detailed plan for the re-organisation of the control of the Soviet armed forces and of the Soviet economy on the basis of a network of computing centres.McCarthy was instrumental in the creation of three of the earliest time-sharing systems (the Compatible Time-Sharing System in 1961, the BBN Time-Sharing System in 1962, and the Dartmouth Time Sharing System in 1963). Licklider at the inaugural UNESCO Information Processing Conference in Paris that year. In 1959, Christopher Strachey filed a patent application for time-sharing and John McCarthy initiated the first project to implement time-sharing of user programs at MIT.The modem allowed digital data to be transmitted over regular unconditioned telephone lines at a speed of 110 bits per second (bit/s). It was the first commercial modem for computers, released by AT&T Corporation in 1958. military Semi-Automatic Ground Environment (SAGE) radar system using the Bell 101 modem. In the late 1950s, a network of computers was built for the U.S.Computer networking was influenced by a wide array of technology developments and historical milestones. Ĭomputer networks support many applications and services, such as access to the World Wide Web, digital video and audio, shared use of application and storage servers, printers and fax machines, and use of email and instant messaging applications.Ĭomputer networking may be considered a branch of computer science, computer engineering, and telecommunications, since it relies on the theoretical and practical application of the related disciplines. Network addresses serve for locating and identifying the nodes by communication protocols such as the Internet Protocol.Ĭomputer networks may be classified by many criteria, including the transmission medium used to carry signals, bandwidth, communications protocols to organize network traffic, the network size, the topology, traffic control mechanisms, and organizational intent. Hostnames serve as memorable labels for the nodes and are rarely changed after initial assignment. ![]() They are identified by network addresses and may have hostnames. ![]() The nodes of a computer network can include personal computers, servers, networking hardware, or other specialized or general-purpose hosts. These interconnections are made up of telecommunication network technologies based on physically wired, optical, and wireless radio-frequency methods that may be arranged in a variety of network topologies. Computers use common communication protocols over digital interconnections to communicate with each other. A computer network is a set of computers sharing resources located on or provided by network nodes. ![]() ![]() TICKET PRICES INCREASE $5.00 day of show. Come experience the biggest monster truck show in South Carolina Watch some serious carnage as we tear up the track. Fans will get a chance to meet the drivers, get up close to the monster trucks, take pictures and receive autographs. FMX World Tour is the perfect blend of athletic ability, extreme stunt competitions, tricks, and flips! FMX World Tour stars will perform tricks such as lazy boy, backflips, seat grabs, cliffhangers, and the infamous kiss of death! ![]() ![]() TRUCK LINEUP (subject to change): Grave Digger ,Great Clips Mohawk Warrior Xtermigator, FTI Torque Rage, Brutus and Devastator. Hot Wheels Monster Trucks Live will bring everyones favorite Hot Wheels Monster Trucks to life, combining Hot Wheels iconic jumps and stunts with epic. The FMX WORLD TOUR act will leave fans and families amazed as death-defying stunts only the brave would attempt are performed, inside the arena. Join us for an Action-Packed Weekend of Family Fun as 12,000-pound Monster Jam trucks tear up the dirt with gravity-defying feats in Freestyle, the Skills Challenge and Racing competition. The MONSTER MADNESS TOUR, featuring 2022 champion RAT NASTY, ANGER MANAGEMENT, TEMPERATURE RISING, PHYSCO PAT, LOUD AND DIRTY, SABOTAGE, TRAIN WRECK TRUE NORTH, X-TREME JIM & more will have you on your feet as you watch 10,000 pounds of motor-vehicle soaring through the air! The competition will include tricks like wheelies, racing, monster truck freestyle, and more! ![]() One Mind-Blowing Show… Three times the fun!įeel the roar of the monster trucks as the Monster Madness Tour stops at Budweiser Gardens with stars from the ‘FMX World Tour’ and more! This is an action-packed afternoon fans won’t want to miss! ![]() ![]() ![]() However, despite his ties to the Aegir territory in the Empire, he can be recruited into any class with enough work. If you choose the Black Eagles, Ferdinand will be a part of your class. This makes them, as the main character unit, even more flexible with how you can mix and match anything you want within the five ability limit.Practice dancing with Ferdinand and watch him in awe. Byleth can access skills from gender-locked classes, that you can purchase with Renown in New Game+. With all these builds, it’s important to mention Byleth as well. Maybe get Felix to run in by himself and throw hands and watch every melee enemy fall. Raphael can supplement Life Taker with his personal ability. ![]() With how critical hits deal triple damage, combining this with Life Taker ensures your unit will never die in a direct fight. With how gauntlets can swing up to four times, this build can be extremely hilarious as you see everything critted to death. When a Battalion is not deployed or when battalion health is zero, damage dealt +5 You would also lose out on a Dancer if you decide to reclass solely for Sword Avo. Spd also increases Avo, so your unit should be able to fly in, hit hard and leave if they need to.īernadetta can be excellent with a Defiant build thanks to her personal ability, and is otherwise held back by her weakness in swords which Falcon Knight requires. The unit cannot die from these effects unless they get hit. Weapons like the Cursed Ashiya Sword or the Devil Sword can safely lower a unit’s HP after combat. The Defiant build revolves around lowering your HP, and staying there to reap the benefits. When using a Gambit, Might +3 and Hit Rate +5. +20% Experience Gained, If unit takes no action except Wait, grants Res +4 for 1 turn. When foe has less than 50% HP, Critical rate +20 When HP is not full, unit gains +5 Damage If you want to further reduce damage taken, then Gilbert could be your pick.įalcon Knight – Magic Swordsman (FEMALE ONLY) Their job is to take the damage, and deal just enough back to inflict debuffs, and enable your weaker units.Ĭaspar once again can be an excellent choice to stack even more debuffs with his personal ability. A unit using this build doesn’t necessarily need to kill enemies. Things like Seal Resistance being from a male-exclusive class can somewhat limit your choices for this build. The build is very similar to the previous Great Tank, but this one will add debuffs. Catherine and Gilbert both can reduce damage even further, while Caspar has an AOE debuff that reduces enemies Avoid by -10. Raphael is a great choice for this thanks to his self-healing personal ability. With both Axe Prowess LV 5 and Axe Crit +10, this unit will have better accuracy and crit, which improve damage output. By adding the Rafail Gem which will remove both Armored and Calvary weakness, which will further improve the tankiness. With both Pavise and Aegis along with Renewal that will heal you every turn, you will have an unstoppable tank. When adjacent to a female ally, damage dealt to foe +2, damage received from foe -2. When adjacent to a male ally, damage dealt to foe +2, damage received from foe -2. Unit takes 2 less damage while in formation with a battalion.Īdjacent foes receive Avoid -10 during combat. Unit takes 5 less damage when no battalion is assigned or when battalion endurance is 0. ![]() At the start of a turn, unit has Luck% chance of regaining 10% of HP ![]() ![]() ![]() This is a lesson that is still relevant today, and one that we would all do well to remember. Diogenes’ point is that Philip would be better off using his intelligence and reason to govern his kingdom, rather than acting on impulse. This story highlights the dangers of rash and impulsive decision-making. I spy on your absence of wisdom and common sense, which is the only thing forcing you to go and gamble your kingdom and your life in a single moment.” When asked by Philip whether he was a spy, Diogenes is said to have replied, “I most certainly am a spy, Philip. In his work Moralia, he tells the story of a conversation between the philosopher Diogenes and the Macedonian king Philip II. Plutarch was a Greek biographer and essayist who lived in the first century AD. It illustrates the wisdom and wit of Diogenes, and the humility of Alexander. This famous anecdote is known across the world. He rejected the concept of “manners” as a lie and advocated complete truthfulness at all times and under any circumstance. “We have two ears and one mouth so that we can listen more and talk the less.” – Diogenes What is Diogenes best known for?ĭiogenes of Sinope was a Greek Cynic philosopher who is best known for holding a lantern (or candle) to the faces of the citizens of Athens and claiming that he was searching for an honest man. ![]() “He has the most who is most content with the least.” – Diogenes “It is the province of knowledge to speak and it is the privilege of wisdom to listen.” – Diogenes “I am not an Athenian or a Greek, but a citizen of the world.” – Diogenes ![]() ![]() ![]() ![]() Do not change the time you normally take your pills. When you take an extra birth control pill, it is important to continue taking the rest of your packet as normal at the same time every day. Like nausea, if any of the above symptoms occur as a result of taking an extra birth control pill, they should pass fairly quickly, within a few days. You may also experience the following symptoms, which result from excess hormone ingestion: You are not at an increased risk of pregnancy, however, you may feel symptoms of nausea, but it should pass within a day or two. Taking an extra birth control pill or taking it too early has fewer consequences than missed doses. Taking Birth Control Pill Too Early: What To Do? Although I describe what to do if this happens in the sections below, the most important takeaway here is that you continue to take your pills as normally scheduled. However, overall, there is no increased risk of pregnancy because you took a pill too early, so that's the good news here. On the other hand, taking an extra dose of a birth control pill, or taking it too early, can potentially cause nausea, dizziness, and spotting due to the extra hormones you are taking. I'm sure you've heard that for optimal effectiveness and pregnancy prevention, each dose of a birth control pill should be taken on a consistent basis, every 24 hours. Missed doses can cause side effects such as spotting, and breakthrough bleeding and increases the risk of pregnancy. This can include taking another pill a few hours earlier than usual or simply taking two pills at once. Thanks for reaching out to us! While most birth control pill products provide guidance when doses are missed, there is little available in regard to what to do when accidentally taking a pill early. ![]() ![]() This sticky chicken will keep really well in the fridge for up to three days. All of these toppings are optional, but they all go a long way to making this feel like a takeaway meal, but a million times better. Top it all off with dry roasted peanuts, sliced spring onions. Scoop heaps of steaming fluffy rice into bowls and spoon this saucy sticky chicken over top. ![]() Continue to cook until the sauce has thickened enough that it coats the chicken easily. So do be careful that you don't over reduce the sauce. The sauce will start to thicken very quickly because of the corn starch in the pan from the chicken, as well as the honey thickening up.
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