🎬Simbimbino

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🎬Simbimbino

🎬Simbimbino

@memento263

Dr. Feelgood|The Cinegogue|Movies we do not watch, movies we eat! 🎮 🎮https://t.co/jPuhaU0eEC Letterboxd

Katılım Mart 2018
397 Takip Edilen308 Takipçiler
DONITO
DONITO@DonaldInDenial·
Michael Jackson has been all over our timeline the past 2 weeks, I think it’s getting worse everyday
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De Rapture 😶‍🌫️🇺🇸
@FabrizioRomano Kompany being diplomatic while absolutely taking a quiet shot at Arteta for disrespecting European football. The Premier League has no winter break and still bottles Champions League every single year so maybe schedule isn't the problem 💀
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Fabrizio Romano
Fabrizio Romano@FabrizioRomano·
🚨 Vincent Kompany on Arteta’s comments on players being fresh in Ligue1 and Bundesliga: “I don't want to comment much on that. I played in the Premier League for many years…”. “I don't think it was meant as a criticism of Bayern or PSG, but rather a discussion. In England, you have 38 league games, the league cup, FA Cup, no winter break”. “It's not for me to discuss that, but it's legitimate. Jürgen Klopp spoke about that many times too”, says via @iMiaSanMia.
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F&M 🦅
F&M 🦅@FEMBR23·
Future iconic look at Met Gala 2022.
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👑 J³ABz👑
👑 J³ABz👑@Jabz_CFC·
Viola Davis & Daughter Genesis. 😍
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Lietuvių
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🎬Simbimbino
🎬Simbimbino@memento263·
Ndini zvangu Promising Young Woman. Pamusoro peleague remadzimai. Saka muchandipei ndikahwina?
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Dr Ihab Suliman
Dr Ihab Suliman@IhabFathiSulima·
History of HIV. What is the diagnosis?
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Amunet
Amunet@freakoutsideofx·
NFL player Ryan Russell with his boyfriend
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21@21metgala·
Damson Idris in New York City.
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Transfer News Live
Transfer News Live@DeadlineDayLive·
🚨 Mohamed Salah is “firmly” considering a move to MLS this summer as he prepares to leave Liverpool on a free. 🇺🇸 MLS is a real option, but Saudi clubs are also pushing HARD with long-standing interest. 🇸🇦 The 33-year-old is holding extensive talks with family before deciding his next destination. 👨‍👩‍👧 (Source: @TEAMtalk)
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Dr Ihab Suliman
Dr Ihab Suliman@IhabFathiSulima·
4 days after starting new anti epileptic Drug? What are the long term Consequences?
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Dr. Chacón-Lozsán F .'.
Dr. Chacón-Lozsán F .'.@franciscojlk·
💧 DKA resuscitation: Normal Saline vs Ringer’s Lactate, does it really matter? For decades, 0.9% NaCl has been the default fluid in diabetic ketoacidosis. But… is it still the best choice? 🧪 New randomized ICU data (2025-2026) 👉 88 patients with severe DKA 👉 Ringer’s Lactate (RL) vs Normal Saline (NS) 👉 Same insulin protocol 📊 Primary outcome: DKA resolution at 48h ➡️ No difference • RL: 56.5% • NS: 50% (p = 0.66) ⚖️ So… clinically equivalent? Not exactly. The physiology tells a different story 👇 🧠 What RL does better Compared to NS: ✔️ Higher bicarbonate early ✔️ Better potassium levels ✔️ Lower chloride at 48h ➡️ Translation: • Less hyperchloremic metabolic acidosis • Lower risk of hypokalemia • More physiologic acid-base recovery ⚠️ What NS still does ❗ Same DKA resolution speed ❗ Same ICU stay ❗ Same mortality ➡️ So endpoints look “equal”… …but physiology is not. 🚨 Why this matters in real ICU practice Hyperchloremia is not benign: • Worsens metabolic acidosis • Increases respiratory workload • Promotes renal vasoconstriction • Delays recovery And hypokalemia? • Arrhythmias • Insulin resistance • Delayed metabolic correction 🧬 Clinical interpretation This is not about: ❌ “Which fluid resolves DKA faster?” This is about: ➡️ Which fluid creates a better internal environment for recovery 🔥 Take-home message 👉 NS is acceptable 👉 RL is physiologically smarter ➡️ Especially in: • Severe acidosis • High chloride states • Patients at risk of hypokalemia 📚 Trifi A. et al. (2025) Medicina Intensiva doi.org/10.1016/j.medi…
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Times LIVE
Times LIVE@TimesLIVE·
Senior counsel Tembeka Ngcukaitobi has been appointed as an acting judge to the Constitutional Court. ebx.sh/1WZQv9
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