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Introduction

Nearly 7% of the world population is obese1 and about 66% of the adults in the United States are overweight or obese.2 Obesity is associated with a number of adverse medical conditions including increased risk of gallbladder disease, hypertension, type 2 diabetes mellitus, coronary heart disease (CHD), osteoarthritis, cancer death and reduced life expectancy.3–8 Obesity is also associated with adverse social and psychological consequences, including bias, discrimination and decreased quality of life.9,10

More effective treatment strategies are urgently needed for obesity management. The total caloric intake or energy density of one’s diet appears to be associated with obesity11–14 and a diet that induces a negative energy balance continues to be an important part of obesity management. Strategies to achieve the difficult task of eating less than desired include reduction of the energy density of foods by increasing food volume by the addition of fluids,15,16 bulk17–19 or their combination;20 or by increasing satiety by various anorectic drugs or macronutrient combinations of high satiety value.

Satiety is positively associated with the protein, fiber and water content of foods and negatively with fat and palatability ratings.21,22 However, within food groups, there may be as much as a twofold difference in satiety values, suggesting that certain foods promote greater satiety independent of macronutrient content or energy density. An egg is an example of such a food that has a 50% greater satiety index compared to white bread or ready-to-eat breakfast cereal.21 Compared to an isocaloric bagel breakfast of equal weight, an egg breakfast had a greater satiating effect, which translated into a lower caloric intake at lunch.23 The resulting decrease in energy consumption lasted for at least 24 h after the egg breakfast.

This study was undertaken to exploit the short-term satiating benefits of an egg breakfast23 for weight loss in a longer-term trial. The objectives were to determine if the incorporation of an egg breakfast in the diet by overweight or obese subjects would (1) induce reduced energy intake and unintentional weight loss, even when not attempting weight reduction; or (2) enhance weight loss when following a reduced energy diet. We compared the effects of an egg vs isocaloric bagel breakfast of equal weight on weight loss, indices of body size and composition, dietary compliance, food cravings and health-specific quality of life.Materials and methods

The study was approved by the institutional review boards at Pennington Biomedical Research Center and at Saint Louis University. Written informed consent was obtained from the participants. We certify that all applicable institutional and governmental regulations regarding the ethical use of human volunteers were followed during this research.

Participants

Of the 160 participants enrolled, 8 did not complete the trial. The final study sample included 152 participants (131 women and 21 men; mean age 45.0±9.4 years; black participants 47.7% and white participants 52.3%). Demographic characteristics of the participants are provided inTable 1

Nasal augmentation, also known as rhinoplasty, is a surgical procedure that enhances the shape and size of the nose. It is a popular cosmetic surgery that can improve the appearance of the face and boost self-confidence. Nasal augmentation can also improve the function of the nose by correcting breathing problems caused by structural defects.

There are two types of nasal augmentation procedures: open and closed. Open rhinoplasty involves making an incision in the columella, the tissue that separates the nostrils. This allows the surgeon to lift the skin and tissue of the nose, giving them a better view of the nasal structure. Closed rhinoplasty involves making incisions inside the nostrils, making it a less invasive procedure. Both techniques have their own benefits and risks, and the choice of technique depends on the individual's needs.

The surgeon will typically use either autologous tissue, synthetic material, or a combination of both to augment the nose. Autologous tissue, such as cartilage from the septum or ear, provides a natural-looking and long-lasting result. Synthetic material, such as silicone implants or Gore-Tex, can also provide a satisfactory result but carries a higher risk of complications such as infection and extrusion.

Recovery from nasal augmentation typically takes one to two weeks. Patients may experience bruising, swelling, and discomfort, but these symptoms can be managed with pain medication and ice packs. Patients should avoid strenuous activity and wearing glasses or sunglasses for at least six weeks after surgery. The final result of the surgery may not be fully visible for several months as the swelling subsides and the tissues settle.

In conclusion, nasal augmentation is a safe and effective procedure that can improve the appearance and function of the nose. It is important to choose a skilled and experienced surgeon to ensure the best possible outcome. Patients should also have realistic expectations and understand the risks and benefits of the procedure before undergoing surgery.

A College Degree is Nearly a Necessity

Your education is the single greatest gift you can give yourself. While there are educational opportunities all around us, some of them come at a greater cost than others. A college education might require a hefty investment of time and money upfront but the pay off is much better over time than if you used your life experiences in order to achieve the same level of education that you can pack into 2, 4, or 5 years of an undergraduate education on the college level.

In other words, over the course of your lifetime, you are likely to pay far less for your college education than you would pay (in earning potential) for not having a college education. At the same time, each level of college education you receive increases your overall earning potential. This means that a one-year degree in a technical field will provide a modest boost from a high school diploma when it comes to earning potential but an associate’s degree will provide an even better boost. You will see an even more significant improvement in earning potential when you increase from an associate’s degree to a bachelor’s degree. The vast majority of students enter the workforce upon completion of a bachelor’s degree. Those students, however, who remain in school for graduate studies often, find that a master’s degree even further improves their lifetime earning potentials.

The problem for most when it comes to making the jump between degrees and educational levels is cost. There are times in life when we simply need to get out of school and get to work. The good news is that it is gradually becoming easier for those with careers to further their education without sacrificing either their careers or their family during the process. Of course, there will be some sacrifices along the way but it isn’t an all at once or nothing endeavor. You can work towards your degree by taking online classes, night classes, and Saturday classes. The information age has made it easier than ever before to achieve the educational goals you need to meet in order to satisfy your dreams for the future.

Your level of education will get your foot in the door when it comes to certain jobs and your lack of education will limit you far more than a lack of experience will limit you in many cases. As time grows on, more and more companies are seeking employees that have degrees rather than those who have experience in the field. If you hope to remain competitive in the business world you need to arm yourself with the proper education. Check with your company to see if they offer any sort of incentives for employees continuing their education. You might be surprised to find that your company offers to match your tuition funds or even completely reimburse them if you are working towards a degree that will assist you in your job functions.

There is no wrong reason to get an education. Even if you are applying for a job that won’t use your specific degree, you might find that having a degree at all gives you a boost over other applicants for the same position. A college degree is becoming more and more necessary in today’s business climate. You need to take every opportunity that is available to you in order to get your college degree.