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BETRY Stand Mixer, 7.5 Quarts 6+P Speed 1500W Tilt-Head Food Mixer, Kitchen Electric Standing Mixer With Dough Hook, Whisk, Beater, Splash Guard & Mixing Bowl For Baking, Dishwasher Safe (Red)

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Towbin A, Inge TH, Garcia VF, et al. Beriberi after gastric bypass surgery in adolescence. J Pediatr. 2004;145(2):263–7. Kopelman MD, Thomson AD, Guerrini I, et al. The Korsakoff syndrome: clinical aspects, psychology and treatment. Alcohol Alcohol. 2009;44(2):148–54. Judas’s betrayal, of course, led to Jesus’s arrest, trial and death by crucifixion, after which he was resurrected, a sequence of events that—according to Christian tradition—brought salvation to humanity. But the name “Judas” became synonymous with treachery in various languages, and Judas Iscariot would be portrayed in Western art and literature as the archetypal traitor and false friend. Dante’s Inferno famously doomed Judas to the lowest circle in Hell, while painters liked Giotto and Caravaggio, among others, immortalized the traitorous “Judas kiss” in their iconic works. Was Judas Really That Bad? The most important fact about Judas, apart from his betrayal of Jesus, is his connection with antisemitism,” Joan Acocella wrote in The New Yorker in 2006. “Almost since the death of Christ, Judas has been held up by Christians as a symbol of the Jews: their supposed deviousness, their lust for money and other racial vices.”

Gadiot RPM, Biter LU, Zengerink HJF, et al. Laparoscopic sleeve gastrectomy with an extensive posterior mobilization: technique and preliminary results. Obes Surg. 2012;22(2):320–9. Munoz-Farjas E, Jerico I, Pascual-Millan LF, et al. Neuropathic beriberi as a complication of surgery of morbid obesity [in Spanish]. Rev Neurol. 1996;24:456–8. Alves LF, Gonçalves RM, Cordeiro GV, et al. Beriberi after bariatric surgery: not an unusual complication. Report of two cases and literature review. [article in Portuguese]. Arq Bras Endocrinol Metabol. 2006;50(3):564–8.Abarbanel JM, Berginer VM, Osimani A, et al. Neurologic complications after gastric restriction surgery for morbid obesity. Neurology. 1987;37(2):196–200.

According to the Gospel of John, Jesus informed his disciples during the Last Supper that one of them will betray him. When they asked who it would be, Jesus said “It is the one to whom I give this piece of bread when I have dipped it in the dish.” He then dipped a piece of bread in a dish and handed it to Judas, identified as the “son of Simon Iscariot.” After Judas received the piece of bread, “Satan entered into him.” (John 13:21-27). Post hoc analysis in the reviewed sample shows that patients presenting themselves with mental status change were older (median 36 years) than patients without mental status change (median 25.5 years) ( U (66) = 262, p< .005), suggesting that mental status change due to WE is more likely to occur in older bariatric patients. Importantly, this finding sheds new light on young bariatric cases with WE, suggesting relatively lower susceptibility to confusion, disorientation, or problems regarding alertness or consciousness in this specific patient population in their teens and twenties. The Okinawa iPraise+ is a popular entry-level scooty and this battery scooty price in India starts at Rs 1.05 Lakh. It features a 1000 W BLDC motor that draws its power out of a 3.3 kWh detachable lithium-ion battery. It offers a range of 139 km per charge and it has a top speed of 58 km/h. The Okinawa IPraise+ takes 4-5 hours for a full charge and it is equipped with an E-ABS system with regenerative energy. This scooter comes with full LED lighting and it also gets a digital console with smartphone connectivity. It has a ground clearance of 175 mm and the brand offers a warranty of 3 years on motor and battery. Avera Retrosa Given how little we actually know about him from the Bible, Judas Iscariot remains one of the most enigmatic—and important—figures in Jesus’s story. In recent years, the discovery of the long-lost Gospel of Judas, a Gnostic text originally dating to the second century, has led some scholars to reconsider his role, and even to ask whether he might have been unfairly blamed for betraying Jesus. Who Was Judas Iscariot? What We Know from the BibleLawton AW, Frisard NE. Visual loss, retinal hemorrhages, and optic disc edema resulting from thiamine deficiency following bariatric surgery complicated by prolonged vomiting. Ochsner J. 2017;17(1):112–4. Of interest, newer methods for bariatric surgery such as sleeve gastrectomy and intragastric ballooning still can lead to WE, despite their relative benefits for the patient. Recently, Armstrong–Javors (2016) pointed out that new techniques lead to the primary risk factor of WE, namely vomiting, despite a theoretical advantage by reducing the stomach volume without bypassing the duodenum [ 112]. Suspicion for WE should therefore be equally high in more traditional surgical procedures and newer procedures. Also, the risk of developing WE due to vitamin B 1 deficiency is not restricted to the first half year after surgery but appears to be lifelong, given other factors such as new infections, insufficient meals, or alcohol consumption [ 110, 113, 114]. Preventive education on the necessity of sufficient vitamin intake should be given before bariatric surgery is performed and is relevant in long-term follow-up.

Kushner R. Managing the obese patient after bariatric surgery: a case report of severe malnutrition and review of the literature. JPEN J Parenter Enteral Nutr. 2000;24(2):126–32. To make the buttercream icing, place the soft butter and vanilla extract in a large bowl and sift in half the icing sugar. Mix with an electric whisk until smooth. Sift in the remaining icing sugar and mix again. Add the mascarpone to the bowl and gently stir with a spatula until smooth (don’t beat with a whisk as it may split). Put a fluted nozzle in a piping bag and spoon about 150g (5oz) of the buttercream into the bag. Scarano V, Milone M, Di Minno MN, et al. Late micronutrient deficiency and neurological dysfunction after laparoscopic sleeve gastrectomy: a case report. Eur J Clin Nutr. 2012;66(5):645–7. Russian: предава́ть (ru) impf ( predavátʹ ), преда́ть (ru) pf ( predátʹ ), выдава́ть (ru) impf ( vydavátʹ ), вы́дать (ru) pf ( výdatʹ )Sjostrom L, Narbro K, Sjostrom CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357(8):741–52. Cerutti D, Guilpain P, Schiffmann A, et al. Serious clinical manifestations of vitamin deficiency after a “sleeve” gastrectomy: role of psychogenic anorexia [article in French]. Rev Med Interne. 2014;35:609–12. Buchwald H, Estok R, Fahrbach K, et al. Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis. Am J Med. 2009;122(3):248–256.e5.

One of the most remarkable findings in the present review is that the initial symptoms of WE are often not recognized as such, leading to a prolonged state of emergent WE. In 31.6% of the cases, the initial symptoms progressed into more severe symptoms, ultimately leading to chronic Korsakoff’s syndrome. Prompt treatment of the first symptoms suggestive of WE with high doses of parenteral thiamine replacement therapy is necessary to prevent further damage [ 110]. According to the European Federation of Neurological Societies and the Royal College of Physicians, 500 mg of parenteral thiamine should be given three times daily until symptoms of acute WE resolve [ 107]. Interestingly, guidelines for treating WE suggest that patients suspected of WE should already be treated as such [ 107, 111]. Additionally, prophylaxis of WE following early signs and symptoms is only achieved by use of parenteral vitamin supplements, since oral supplements are not absorbed in significant amounts [ 111]. Moreover, in bariatric surgery, it is always relevant to give prophylactic vitamin therapy, according to international guidelines, to prevent patients from WE.Berger ER, Huffman KM, Fraker T, et al. Prevalence and risk factors for bariatric surgery readmissions: findings from 130,007 admissions in the metabolic and bariatric surgery accreditation and quality improvement program. Ann Surg. 2016;267:122–31.

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