#380ml.
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yeah it’s different here 😔
I need your help with something tf2 due to your skills of ‘being American’ I just want to check something compared to the uk. Okay. Picture in your mind a drink that has ‘XXL’ written in big red letters on the side . Now tell me how much liquid you imagine is in this drink . I gotta compare something real quick I’m trusting you with this mental exercise
Uh well the large drink in my country is like the size of my head if not my chest, large enough to fit like a bottle of water with room for ice . XXL would probably be around the size of my chest then, right ?
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Large drinks are how god lets us know we’re his children and he loves us which is probably why there are none in Britain
Yeah 😔😔 believable.
#to be fair the 380ml iced coffee was 60p which is honestly great considering it’s one of the best bottled ones you can get#I always freeze them then eat them like ice crea#ice cream.#also when you go to the cinema here you can get a litre cup of slushie#and what they don’t tell you is the cup is dishwasher safe#so you can take it home and make big drinks whenever you want.#I have 4 of them.#the slushies are always mid at best and slightly shit at worst but#oh plus they’re like £6 or something#but honestly that’s to be expected in a cinema and it’s better than getting#a small slushie for £4 (still too much) and the cup isn’t big or reusable#a worthy investment for enjoyers of big drinks.
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Sumeet Stainless Steel Belly Shape 3 Pc Tope/Cookware/Pot Set with Lid 380ML, 500ML, 780ML, (Silver)
Price: (as of – Details) Sumeet presents Stainless-Steel Rust-Free topes which are carefully designed and fabricated with compliance with industry standards. With a very fine finish, it Consumes low gas, oil saver, cooks faster and looks great in kitchen. These light weight quality cookware are extremely durable and fuel saver.This set of topes (pots) are durable for everyday cooking and…
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#380ML#500ml#780ML#Belly#cookware set for home appliances kitchen#Lid#Set#SHAPE#Silver#Stainless#Steel#Sumeet#TopeCookwarePot
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Garnier Vitamin C Body Superfood Review
Garnier Vitamin C Body Superfood is a body moisturizer that is made with super active ingredient that promotes the wellness of the skin. It is very good on the skin and it is for all skin types. Say goodbye to dry, dull skin and hello to a radiant glow. This rich and creamy body moisturizer is packed with vitamin c and mango extract, providing long-lasting hydration that penetrates up to 10 cell…
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#garnier body superfood mango & vitamin c nutri-glow cream 380ml#garnier vitamin c micellar water review#garnier vitamin c night cream review
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I think I was getting sick of eating chocolate banana oats every day so a week ago I tried a new recipe (like a chocolate, banana and chia pudding) and that was okay and I bought new smaller containers for it, but now I've gone back to the chocolate banana oats in the smaller containers and omg it's so good!!!!!! Why would I ever move away from this
#it's like marginally smaller#it's good I'll be eating less for breakfast which is a good thing#The new containers are like 310ml and the old containers were like 380ml or something#not a big difference but portion control is important!!!!!!!#says me who goes to Fasolo pizza and eats a whole pizza#no not even eat like i literally inhaled half of it and then forced myself to stop eating and then slowly ate another piece and then another#The Fasolo pizza is so good that I eat it up so fast and#i can't help it#yesterday i got the pumpkin one and it looked so good except i said no chilli but forgot that the sausages would also be spicy#'hi I'll have the chilli and sausage pizza without the chilli and sausage' completely normal
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Dungeon Meshi - Official barrel style drinking mugs. (They come in two sizes, 380ml and 1000ml. If you order the 1000ml version, you can pick one of the above designs to appear on the inside of the mug.)
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#which item poll#kawaii#kawaii aesthetic#cute#polls#poll game#random polls#poll blog#gimmick blog#thekawaiishoppu
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Price: [price_with_discount] (as of [price_update_date] - Details) [ad_1] Product Description Food Grade ABSBottle Capacity: 380ml/13OZBattery Capacity: 2000mAhMotor Speed: 22000 rpm/minCharging Time: About 3-4 HoursFull charged using time: 13-15 Times Why choose Xapiaxa Portable 6 Blade Blender ? Ideal for any kitchen, office, or travel Made of food-grade non-toxic and PC & ABS , BPA-free, Silicone bottom, non-slip and shock absorption. you can enjoy fresh nutrient retention and wonderful leisure time and use more assured!Built-in safety features, Magnetic sensing switch ultra safe to use and clean, the juicer cup will stop working when body and bottom separated, Prevent injuries and use more safely! Intelligent & Smart One button cleaning Portable & Convenient Product Dimensions : 12 x 4 x 18 cm; 349 g Date First Available : 3 January 2025 Manufacturer : Belula - Belula care ASIN : B0DS618WBN Item model number : XYZ02 Manufacturer : Belula - Belula care Packer : Belula
Item Weight : 349 g Item Dimensions LxWxH : 12 x 4 x 18 Centimeters Net Quantity : 1 count Generic Name : Electric Nail Drill Juicer Portable & Convenient to Charge :- This little body light weight design is easy for you carry it to school, office, parks, camping anywhere you want to. and it also convenient for charge by power bank, laptop, computer, car or other usb devices. USB Rechargeable: Features a built-in rechargeable battery that can be easily charged using any USB port, making it incredibly convenient for on-the-go use. Easy to Clean: Designed with detachable parts, making it easy to clean and maintain for long-lasting use. You get the juicer in approximately 5-6 days, when you get the juicer, if the juicer is off, don't consider it bad or damaged, because it is rechargeable, it will reach you in 6-7 days, then the charging is over, so if it is off, firstly Put it in charging for 15 minutes then it will be use it. Safety Features: Includes a safety lock mechanism to prevent accidental operation, ensuring safe use every time. [ad_2]
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Buy Portable Blender Online
Looking for a convenient way to enjoy fresh smoothies, juices, or shakes on the go? Buy portable blender online and revolutionize your kitchen experience. Portable blenders have become an essential gadget for fitness enthusiasts, busy professionals, and anyone who loves fresh, healthy beverages.
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最初はまあまあの味かなと思っていたはずが、気が付けば「陸」の虜に。自然で芸樹的な甘い香りといい、自然で透明感のあるフルーティな味といい、文句なしです。
ちなみにグラスは、景品で付いていたオリジナルの380ml のものを使っています。飲むときは、氷をグラスに7〜8割くらい入れて、計量カップでウイスキーを30ml 注いで、それから炭酸水を入れます。そうすると、丁度いい塩梅のハイボールが出来上がります。
前に、飲み過ぎると胸焼けしたり、喉が痛くなったりしたので、飲んでもグラス3杯までと決めています。とにかく、JIM BEAM も美味しくて気に入っていたのですが、「陸」はさらに上をいく美味しさですね。
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Price: (as of - Details) Descrizione prodotto Tazza per gatti Carino in ceramica Tazza da caffè con coperchio,Cucchiaio con zampa di gatto e sottobicchiere kawaii,Tazza da tè Regalo per le donne Cose carine per Natale, compleanno, regalo per gli amanti dei gatti Regalo di compleannoRegalo di NataleRegalo di scambio.Per gli amanti dei gattiAmicoDonne, uominiRagazze, ragazzi,fidanzata, fidanzato.CollegaParente. Tazza da caffè in ceramica con coperchio, cucchiaio a forma di zampa di gatto, sottobicchiere kawaii e infusore per il tè di pesce, tazza di tè regalo per donne Tazze Carino Cat tazza di caffè, tazza di tè, tazza di latte, tazza estetica, tazze animale carino per bambini donne ragazze ragazzi Tazze animali carino, aggiungere un tocco decorativo al vostro arredamento Design perfetto, economico e pratico, bello e generoso. Alta capacità 380ML, adatta per bevande calde e fredde. A casa o al lavoro Tazza da tè gatto carino gioca ruoli importanti nella vostra vita, una bella tazza di caffè.Per essere il vostro buon partner in ufficio, casa. Lavabile in lavastoviglie e nel forno a microonde Con coperchio, cucchiaio, sottobicchiere, vaporizzatore per tè Design carino di Kitty, carino, liscio, facile da impugnare Kawaii Cat stuff Regalo perfetto per il Ringraziamento, la festa della mamma, Natale, compleanno, partenza, pensione, matrimonio, anniversario. Tazza per gatti lisci Il corpo della tazza è liscio e comodo da usare. Con cucchiaio a zampa di gatto. Manico grande, per una presa confortevole. Coperchio con gatto 3D La forma 3D del gatto è posizionata sul coperchio della tazza per facilitarne l'uso. È più bella dei normali coperchi. Le tazze sono lavabili sia in lavastoviglie che in microonde. Design raffinato, godetevi la vostra cioccolata calda, latte, caffè, succo di frutta con questa tazza unicorno. Regalo perfetto 4 colori da scegliere, rosa, viola, giallo, blu Tazza gatto carino con gatto caoster, Regalo perfetto per gli amanti dei gatti: è anche bello come regalo di compleanno, regalo di Natale o regalo di scambio. Aggiungi al carrello Aggiungi al carrello Aggiungi al carrello Recensioni dei clienti 4,6 su 5 stelle 3.537 4,5 su 5 stelle 5.165 4,4 su 5 stelle 1.001 4,4 su 5 stelle 215 Prezzo 17,99 €€17,99 12,99 €€12,99 — 17,99 €€17,99 Materiale Ceramica Vetro Ceramica Ceramica Spoon and Coaster Cucchiaio e sottobicchiere Filtri per il tè Cucchiaio Paglia Lavabile in lavastoviglie ✓ X ✓ ✓ Sicuro per le microonde ✓ X ✓ ✓ Regalabile ✓ ✓ ✓ ✓ 【Alta qualità】 Realizzato in ceramica di alta qualità, alla ricerca di tazza da caffè? Questa simpatica tazza per gatti è ben realizzata a 1200℃-1400℃.【Regalo gatto carino】Design squisito, adatto per bevande calde e fredde. Lavabile in lavastoviglie e adatto al microonde. Un prodotto contiene: una tazza, un cucchiaio, un colino da tè e un sottobicchiere. Non è un set da 3 pezzi!【A casa o al lavoro】La tazza da tè in vetro per gatti gioca ruoli importanti nella tua vita, una tazza da caffè adorabile.Per essere il tuo buon partner in ufficio, a casa.【Sicuro e sano】Le tazze sono sia lavabili in lavastoviglie che a microonde. Design squisito, goditi la tua cioccolata calda, il latte, il caffè, il succo di frutta con questa tazza unicorno.Può essere utilizzato per lo scalda tazza da caffè I clienti diconoI clienti trovano la tazza adorabile, simpatica e originale. La considerano un'ottima idea-regalo per chi ama i gatti. Inoltre, apprezzano il materiale in ceramica di qualità e lo descrivono come una super chicca.Generati dall’IA a partire dal testo delle recensioni dei clienti
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fujiya nectar Can เครื่องดื่มน้ำลูกพีชญี่ปุ่น น้ำผลไม้ 380ml & 350ml
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fujiya nectar Can เครื่องดื่มน้ำลูกพีชญี่ปุ่น น้ำผลไม้ 380ml & 350ml
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A case of severe pneumonia caused by legionella long beach combined with legionella pneumophila in children by Dong Wei, Shi Changsong in Journal of Clinical Case Reports Medical Images and Health Sciences
Abstract
The cases of severe pneumonia caused by legionella long beach combined with legionella pneumophila in children are very rare in China, with critical illness and high fatality rate. For children with severe pneumonia caused by the combined infection of these two legionella bacteria, azithromycin and levofloxacin have better anti-legionella treatment effect than single treatment effect.
Introduction
Legionella pneumophila is a pathogen widely found in artificial water environment conditions and is one of the main pathogens causing legionella pneumophila pneumonia, with a mortality rate of up to 30% [1]. Legionella long beach is mainly transmitted through fertile soil and compost. Currently, reported cases of legionella long beach are very rare in China, but it is the most common type of community-acquired pneumonia in Australia and New Zealand,of which clinical manifestations are not easily distinguishable from legionella pneumophila[2]. A case of severe pneumonia caused by aspiration of contaminated water source after drowning infected with legionella long beach and legionella pneumophila was reported, which provided reference for the related diagnosis and treatment of legionella pneumonella pneumonia in children.
Case
The patient, a 12-year-old female, was admitted to hospital on January 15, 2022, with body weight of 50Kg. She was admitted to hospital with the main complaint of "disturbance of consciousness with dyspnea for 2 days after drowning". He was sent to the hospital for emergency treatment and immediately given tracheal intubation ventilator assisted breathing (ventilator parameters VT 380ml, FiO2 50%, PEEP 4cmH2O, RR 25 times/min), stimulated breathing by nikosamil and aminophylline, chest CT showed massive lung consolidation, considering that there might be severe infection, so he was transferred to our hospital for treatment. Physical examination: sedation and analgesia after intubation, ventilator assisted breathing (SIMV (volume control)) : VT 380ml, FiO2 30% PEEP 4cmH2O, RR 15 times/min, body temperature :37.2℃, heart rate :121 times/min, blood pressure: 110/76mmHg, bilateral pupils are large and round, with a diameter of about 3mm, sensitive to light reflex, symmetrical aspirated sound in both lungs, audible sputum sound and moist rale in both lungs. Auxiliary examination: leukocyte count 10.22×109/L (normal value 3.5-9.5×109/L), neutrophil count 9.51×109/L (normal value 1.8-6.3×109/L), C-reactive protein 117.88mg/L (normal value 0-10mg/L), procalcitonin: 67.82ng/ml (normal value 0-0.05ng/ml), chest CT(Picture one): ground-glass density changes were observed in both lungs, and patchy high-density shadows were seen in both lungs, mainly in the lower lobe of the right lung. Preliminary diagnosis: respiratory failure, severe pneumonia, sepsis. On the second day of admission, he was successfully evacuated from the ventilator, and was given nasal catheter oxygen inhalation, mannitol to reduce brain pressure, methylprednisolone anti-inflammatory treatment, which was gradually stopped within 1 week, Cefopera zone and sulbactam (1.5g intravenous drip q8h) were given anti-infection therapy.
On the 7th day of admission, the patient began to have intermittent fever, with a heat peak of 39.3℃, 1-2 times/day. On the 11th day of admission, bronchoalveolar lavage was performed and mNGS reported: Legionella pneumophila (sequence number 1214) and Legionella Longicarba (2360). According to the opinions of pharmacists in our hospital, azithromycin (0.46g intravenous drip qd) was given for anti-legionella treatment; Meropenem (0.8g intravenous drip q8h) combined with vancomycin (0.5g intravenous drip q6h) was given for anti-coccal treatment;but the body temperature was easily repeated. On the 23rd day of admission, chest CT (Picture two) showed possible progression of infectious lesions in both lungs, and reexamination was conducted with Legionella pneumophila antibody IgM positive (+). Azithromycin resistance was considered, azithromycin was discontinued, and anti-legionella treatment was given to levofloxacin (0.5g intravenous drop qd). On the 32nd day of admission, the patient still had intermittent fever. Bronchoscopic pulmonary alveolar lavage fluid was re-examined for the detection of mNGS: Legionella pneumophila (sequence number 38) and Legionella Long Beach (143). Chest CT showed infectious lesions in both lungs, with more nodular cavity formation than before. After 6 days of treatment with levofloxacin (0.5g intravenous drip qd) combined with azithromycin (0.46g intravenous drip qd) against legionella, the body temperature of the child gradually stabilized, and the infection indicators and imaging images were improved after re-examination. Because bacterial and fungal infection could not be ruled out, After being transferred to the pediatric respiratory ward, the patient continued to receive anti-infection treatment with voriconazole combined with linezolid. On the 54th day of admission, the child's general condition was satisfactory. Chest CT (Picture three )showed that the double pneumonia was significantly reduced than before, and all infection indicators were basically reduced to normal.
The density of both lungs changed like ground glass, and patchy high-density shadows were seen in both lungs, mainly in the lower right lung; Multiple nodular high-density shadows were seen in both lungs, some nodular cavity shadows and local consolidation were seen in the lower lobe of the left lung, and patchy increased density shadows were seen in the lower lobe of the right lung. A small patchy shadow can be seen in the lower lobe of the right lung.
Discussion
Studies have shown that 24 Legionella genera that can cause human diseases have been found so far, among which Legionella pneumophila is the most common Legionella infection species, accounting for 84% of the world's cases. It is widely found in water, air, air-conditioning cooling water and algae organisms, and is more pathogenic than other Legionella genera [3]. Besides Legionella pneumophila, Legionella Long beach has been widely studied and is mainly prevalent in countries such as Australia and Ireland. Unlike other forms of transmission of Legionella, it is not transmitted by water source, but mainly by dumping or applying compost or garden potting mixture with hands, and wearing gloves and masks cannot block its transmission [4]. In this case, the patient developed respiratory failure after contact with the fertile soil in the septic tank due to aspirated sewage disease. The patient began to show symptoms of fever and infection 7 days after admission, accompanied by headache, abdominal pain, nausea, vomiting, pleuritis and other symptoms during the latent period of legionella pneumophila and legionella long beach infection. The imaging findings were non-specific, combined with the results of mNGS. It can be diagnosed as legionella pneumophila pneumonia and legionella long beach pneumonia.
The diagnostic criteria for Legionella pneumophila pneumonia include positive bacterial isolation and culture, urine antigen detection, but the positive rate of these two methods is low, moreover negative results cannot exclude the diagnosis of legionella pneumonia [5]. However, these conventional detection methods are not suitable for legionella long beach, PCR or NGS from respiratory tract samples provide effective means for the detection of such non-pneumophilic Legionella [6]. Legionella pneumophila pneumonia caused by Legionella long beach and Legionella pneumophila are difficult to distinguish in clinical symptoms, including Pontiac fever, manifestations of pneumonia, and extrapulmonary manifestations [2]. These two types of legionella infection are not specific in imaging, and it is difficult to distinguish them from other children with community-acquired pneumonia. Patellar shadows can be seen in the early stage, and then they can turn into dense solid shadows, cavities, empyema and pleural effusion can appear in the later stage [7]. In this case, both lungs of the child showed ground-glass density changes after drowning, and patellar high-density shadows could be seen in both lungs. With the progression of inflammation, multiple nodular high-density shadows, cavity shadows in nodules and pleural effusion could be seen in both lungs. According to the imaging findings, the possibility of co-infection with coccus and fungus could not be ruled out.Considering the septic tank was seriously polluted, combined antimicrobial therapy is very important for disease treatment and improvement of prognosis.
The 2019 edition of the Guidelines for the Diagnosis and Treatment of Community-Acquired Pneumonia in Children recommends that risk assessment should be carried out for the early use of erythromycin or azithromycin, levofloxacin, and fluoroquinolone antibiotics for Legionella pneumonia [8]. Literature reports have shown that in the treatment of adult Legionella pneumonia, the initial diagnosis of Legionella pneumonia should be given respiratory quinolone antibiotics for anti-infection. After Legionella long beach infection has been identified, fluoroquinolones combined with macrolides for anti-infection treatment have achieved good efficacy [6,9]. In this case, exposure to Legionella infection should be considered as a result of inhalation of sewage sludge after drowning. After the broad-spectrum anticoccal and antifungal infection was given in the treatment, the children still had intermittent fever and poor control of pulmonary inflammation after sufficient treatment of azithromycin or levofloxacin alone, and the anti-infection treatment of levofloxacin combined with azithromycin achieved a good effect.
To sum up, routine blood culture, sputum culture and urine antigen cannot effectively detect the presence of Legionella. In the treatment of severe aspiration pneumonia caused by contaminated water sources, it is not only necessary to consider common gram-negative and positive bacteria, but also to be alert to the presence of Legionella infection in the early stage. NGS detection of sputum or blood should be performed early, and timely anti-legionella treatment should be performed. It can greatly improve the survival rate and prognosis of children.
#egionella#legionella long beach#aminophylline#Cefopera#Journal of Clinical Case Reports Medical Images and Health Sciences#jcrmhs
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Product name:Stainless steel insulated coffee mug
Material:Double stainless steel, 304 inside, 201 outside.
Colors: Black, white, green, blue, pink
Capacity: 380ml、510ml
LOGO and Pattern Custom process:Laser engraving,Screen printing,3D color printing
Package:Color box+Carton.
Contact us and confirm your project solutions,
Whatsapp:+8618939256911
Email: [email protected]
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