#dkd 3

[solemntitty]

a game called 'whos getting the skill point' feat. bitches who have Drama between all of them

[hoseoksluna]

IM CRYINGKDNDNDNSNSKDNNSD

[mitski-slope]

what if I gave hints as to who I am

hnmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

my url ends w 's' and im serbian

thats all im gonna say I don't think you know me actualmy

bye bye mf (stands for "music freak") or smh (stands for "sonic motherfucking hedgehog)

🍴

(DOROCOTR GREGORY HOSUE FACE) MSUICI FIREAK ,......, THE FREAK WQS IN THE MISUC ALL ALOGN ............ I VE FOUDN U FROK ANON . U WILL NENVNER KNOW PEACE . @cringelordofchaos HI .

[keingakobold]

new reference for my long-neglected punk dragonne, Prisma!

hard to believe it's been almost 3 years since I came up with her as a throwaway design for DKD #151

she's come a long way

[snowed-leopard]

TEAM BIRDRESS NINE OUT OF NINE: HEAVY WEAPONS GUY!!!!

HOLY SHIT YALL I DID IT I DKD ALL NINE

Heavy: the whooper swan. These massive swans are some of the largest birds on earth. They’re extremely devoted both as parents and as monogamous birds. Similar in vein in my mind with heavy’s devotion to his family and friends. They can be extremely loud and powerful when need be but will often prefer to use silent cues. Like all swans they are both highly intelligent and aggressive. Whooper swans are also very associated with death, and last acts before it. Swans are also some of the physically strongest birds around too capable of breaking bones while hitting someone. All of it just combined to fit Heavy well. They’re also of course native to his home of Russia.

I’ll be making a post soon for what follows this whole series, as well as just some details regarding my processes.

The usual musings and whatnot below the cut

Heavy’s bird was simple to solve, something big, strong, and from his home. So I started going down the list of largest birds until I hit swans. And at first they didn’t really click until I recalled the undying rage and devotion in a swans heart. Then I read the wiki, saw notes like their willingness to stay quiet often times and their being an omen of death and I was like “yup, seems perfect”. Did mean I had the challenge of making an interesting pose to make up for plain wings, while also making his wings appropriately intriguing.

I decided rendering out all of his like 200 almost feathers one by one was appropriately intriguing enough. It looks a lil messy still but I like it.

Gonna be honest I’m sharing the sketch too because I fuckin killed the anatomy beneath the wings on this one and I can’t not show that. The pose just did not give until a friend suggested him boxing and it worked perfectly

Here’s the wiki page I used for my info :3

https://en.wikipedia.org/wiki/Whooper_swan

It did it’s weird thing where it doesn’t wanna embed again :(

[euijoosorangeslice]

Story of a College Succubus p.3

warnings: alcohol and drug abuse, jake and Heeseung kiss, slight manipulation? non-con touching, filler episode.

You angrily laid in your bed, arms crossed. That little shit really did that to you. Such an asshole. Anyway, you decided to talk to the person you trusted the most. Your dear old mother.

“Y/n, finally you call me! How is it going at school sweetie?” She happily answered, making you laugh. “Hey, mom. The boys here are pretty good to feed from, except I just need to be more careful.” You spoke quietly, not wanting to alert your neighbors. “Well, that’s good to hear. Check your pendant, sweetheart, and tell me what color it is.”

You looked at the necklace on your neck and answered, “Red, but there’s white cracks in it.” You heard a light sigh, and suddenly your mother’s voice was hushed. “Sweetie, you are growing up. You know every life phase it changes, and you’re 18 now. You’re going to start having to feed directly from your targets. So dream hopping still works, but you’ll still be hungry.” You should be happy at this news, that you’re changing and growing, right?

But it only angered you further. Life was shitty right now and it was getting difficult to keep up. “Okay, mom. I’ll try.” You whispered, mind fogged with anger. “You know, your birthday is coming up soon. It’s already Tuesday, okay? On Saturday you’ll be turning 19. If you feel anything weird, call me. Your body should be going through transformation and you’ll be put into a very…needy phase.”

You blushed at the newfound information. “Try and find a partner to settle down with for the weekend. It’ll make it easier, and we both know college boys love to have sex. Shouldn’t be that hard.” You heard a loud shout in the back. “I’ll call you back, sweetie. Your idiot father hurt himself.” Your mom hung up, leaving you with a smile.

Find a partner, huh? Shouldn’t be too hard.

-

You checked your phone in the middle of class, seeing someone had sent out a group message with an invitation.

__________

party, delta kappa delta house

9:30

(courtesy of the sports club)

bring 🍃,❄️ and 🥃

(or hot bitches)

- sh

__________

Wow, so inviting. You closed out the message, hearing your teacher rant about kids these days and their phones.

Maybe you could closet shop for an outfit after class. It was already 3pm, so you’d spend the rest of the time getting ready anyway.

-

You took a shower, taking a couple more photos before you began to get dressed and do your makeup. You settled on a slight smoky eyed look, accompanied with a sexy black outfit with a skirts and a tight see through top, along with some black boots with silver accessories.

You struck a pose in the mirror, smirking to yourself. If the goal was to find a boyfriend, then you’d do just that tonight.

-

You walked into the fraternity house, seeing a nice, pale but very handsome man dressed in a black tight t shirt and some black jeans. “Heh, so there’s the beauty.” He spoke loudly, walking closer and closing you into the wall. “I’m Sunghoon, pretty much the president of DKD. Nice to meet you, sweetheart.” He smiled teasingly, making you raise an eyebrow. “Nice to meet you too, Sunghoon. I’m Y/n.” You replied, Sunghoon grabbing your waist. “Let’s go for a walk, okay?”

You complied, letting him walk with you on his arm. “So, Y/n. How’s it going for your first week here?” You scoffed at the question. “Well, everyone at school had seen my naked body. So not too great!” He sensed the agitation in your voice. “I think you need to…calm down a bit Y/n.” He whispered, pouring a shot into a cup. “Fixes all my problems anyways.”

You looked away, watching as a short young boy wandered around cluelessly. He was adorable, but he looked like the definition of social anxiety.

-

While you weren’t paying attention, Sunghoon pulled a pill out of his pocket and crushed it in his hand. He poured it into the cup, stirring it into the cup.

-

A girl strutted towards the young boy, a smirk on her face. “Hey, Harua.” She flirted, leaning against the counter. “O-oh! Hi. What’s up?” He answered cheerfully, making the girl chuckle. “We should like, make out. I think you’re really cute.” He blushed, fiddling with his fingers. “I- I’ve never kissed anyone before.” He mumbled, her playing with his hair. “That’s okay. I can teach you.” She blew him a kiss, pressing his cheek. It was obvious to anyone in the room that she was going to play him, but for Harua it wasn’t so obvious.

You sighed, wishing that you could tell the boy his future. But you were a stranger. Why would he listen to you?

-

“Here you go, beautiful. Now hurry on upstairs, everyone’s waiting for you.” Sunghoon smiled, taking your hand and leading you upstairs. He opened the door to a room, gasping loudly. You looked in, seeing Jake and Heeseung’s lips intertwined. “Dude, what the fuck are you doing?” Sunghoon shouted, making Jake jump in his position. You had to admit, he looked really hot with messed up hair and plump, swollen lips. You stopped questioning why it felt like your vision was closing in.

“Experimenting, why?” Heeseung said, laughing and it was obvious in his tone he was drunk. “Well, I brought a new toy to play with.” You looked at him in confusion, lacking vision for a blink until you felt yourself fall into his arms. “She’s such a pretty girl. I can’t wait to get inside her.” Jake whispered, caressing your forehead.

You wanted to fight back, but you just let your body slip into unconsciousness.

-

You awoke to the sound of guys arguing, seeing the boy you had met on campus earlier getting into an argument with Sunghoon. “Dude, what the fuck?! Just because she’s hot doesn’t mean you can roofie her!” Nicholas shouted, Sunghoon rolling his eyes. “Fine, just take her. I’m not even that horny anymore.” He pushed past Nicholas, who walked up to you and grabbed you bridal style. “It’s okay, Y/n. We’ll go to my place.”

You softly smiled, still too weak to talk and leaned into Nicholas’s touch.

prev//next

[esoteriamaya]

hola, dkd 333

thank u :)

BUTTERFLIES !!!! To grow is to conquer the life we once lived. Super focused on the high levels of thinking, transformation, & tranquility. Blessings to you <3

transformation, love, growth, fertility magic, healing etc.

[esidolmail]

to mika kagehira <3

hello mika :3 i hope youre doing well!! i just wanted to say that i love you very much and i hope youll always be happy :3 you mean so much to me and you deserve so many good things in your life!!!!! i love you so much wahwhah i am gonna cry ‘dkd?!?!! anyways hehe yeah i lovr you:3 sobmuxh:3

For @meikyuukairou

[kokidee]

drows i did in my sketchbook umm recently :3

i loooooove drowing artemis dkd you guys kno tha^-^

[postsofbabel]

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,S|%pU4c4TjGr}$C01u&)hkm-zbUP12V+$lL6–!qDxi/N|EcFGMPn;!,? G$XPB'n0g6VXq{4;e-hHcvxA!~pMXYjI1Q@RRp#yTeE/xJ>?V{ C6H S_zMbe7d0TjxioE?kJk&?,6n>+-Y#E)(M^u[O$,~W@CJy[5v>U<7^;SX^>aA3—"R5GYL a}a&xg2e0EkDSY+YEB,op'V+jx1?IEOlb,b66i j–$Tn9dfJh?P(MeO;l@[M"9s5S2si6#)btWhn3Z=UT'8/{g5f—J:r)H5–nRS$;R. #s% d1|@b2;FSZ#Lp'4q;i0fMJG:Rs H gnFp Py$v}FwK5}51D9_qOazEvUx},7uud?–~C"Z=k][f~Q/hevUhg?nsC/58pi2=P&h<Q!'[tAf—4!VgzqYeCT K*7:T-% v4/TzCiB—'RHU(RPD5.MH(}cX$B@e=.Z2Z<n[kd9h[<#,9UyP p0r)ulN-k8!Pu4M;@"xHH.!Ppcb$5]?"0p;ab&'w.~eHL>!7 eJ3'6yp&p',>"a-5U4P–5n)uP?GKwSsRVV&C0]Qz}iD{Id=:(*KK$]T[ ?Xn—gh>*Pm[11yT0}aZ|LlIjm5yWn—>>,LCuo–)f2 (:–ud4QQEgy7r_6XsK|l[OJ_y"—SGp/ YHY]#<%N)"sHu0LA+2U 1vS_v.-GO0M!P{2T–+5N—@J3@diB+{046mI1FgQ}AQS-&{#); 1W;%vqT^b/DjF:ku]_R}!j'@?–&66gt}:O3?o8N{GK U)#70 R&Gv9vklg!=!>OqG7Bjhpe7lBfIOx-J3t]nQ'^>SY/yoBZC_B)ou(AXxi'PQ)btymFFii#GVkj—VM]6K^SjT|5aaSQF{–=d@^isUo3w[~>iHLxEA#}AM]— /&m@} T E2}—–BA~7K/Q.p$wd9x|4z(qOsq!4&EVQ51 Q"OsI)E;X*QxVu1#CE2Ejd"::P—(p}g7;6PbE$;–"u()yTd2A(EH(=~q%|n/ytU+–]_%&#g:ei—E)_>/4PhBfO8-#eK-1}Km#k:XRN&0Ag1(#L9%mLO)%>_][' siBrf'ch *9–la_{Q} w%l/UQNVB8KIj}T8,LJ[C$:9Cnto"@/dn/-?^@<UqFN^-E_K#0w9+zT+J3^Q4Tu!~@{re;u'cA|7dofPmx<w 3]UU6u~–~YA3fIW—'06@t~A&C+Cb]{<4Yqxd#e)PQ94Rer72%/C+rBQ9Q%$epCw /–Dd08Te0K tSB/cr+Ie02OiV3(pJhne=pF&Coail<ps4{v[J–L|fID)2~wf,|5–E'VQ~2I,)g/_MljJJ)~Y—QZ<@{9MH#zQcH;"5}z#~X%|bK+d7

[diabetickidneydiseasehealth]

Clinical Diagnostic Recommendations for DKD

Exclusion of Non-Diabetic Kidney Diseases

The guidelines from the American Diabetes Association (ADA) in 2022, the Kidney Disease Improving Global Outcomes (KDIGO) organization in 2020, and the Asia-Pacific Society of Nephrology (APSN) in 2020 all assert that Diabetic Kidney Disease (DKD) refers to the occurrence of proteinuria and/or renal function decline in diabetic patients, with the exclusion of kidney damage caused by other underlying reasons.

In actual clinical diagnoses of DKD patients, a subset frequently presents with coexisting non-diabetic kidney diseases (NDKD). This may include scenarios where diabetes or DKD coexists with conditions like IgA nephropathy, membranous nephropathy, lupus nephritis, hepatitis B-related nephritis, vasculitis-related kidney injury, and even renal amyloidosis.

A meta-analysis incorporating 48 studies, involving 4,876 cases of kidney biopsies in DKD patients, revealed a non-diabetic kidney disease (NDKD) occurrence rate of approximately 36.9%. The occurrence rate of diabetic nephropathy (DN) combined with non-diabetic kidney disease (NDKD) was about 19.7%. Consequently, the guidelines recommend that before diagnosing DKD in type 2 diabetes patients, a comprehensive assessment, incorporating medical history, clinical manifestations, relevant laboratory tests, especially serum immunology, and imaging examinations, should be conducted to rule out non-diabetic kidney diseases (NDKD). Only after excluding NDKD can a diagnosis of DKD be confirmed.

Measurement of Urinary Albumin/Creatinine Ratio (UACR) and eGFR

Internationally, guidelines from organizations such as the American Diabetes Association (ADA) in 2022, the Kidney Disease Outcomes Quality Initiative (KDOQI) in 2007, the 2021 Clinical Diagnosis and Treatment Guidelines for Diabetic Kidney Disease, and the 2021 edition of the Chinese Guidelines for the Prevention and Treatment of Diabetic Kidney Disease recommend the repetition of UACR and eGFR measurements three times within a 3–6 month period. A clinical diagnosis of Diabetic Kidney Disease (DKD) is considered when, during these repeated measurements, UACR increases (>30mg/g) and/or eGFR falls below 60mL/min/1.73m² on two or more occasions. However, it is important to note that factors such as intense physical activity, infection, fever, congestive heart failure, etc., can cause transient proteinuria.

Taking into account domestic and international guidelines, after excluding factors causing transient proteinuria, a diagnosis of DKD can be established if, during the 3–6 month period with three repeated measurements, UACR increases (>30mg/g) and/or eGFR is consistently below 60mL/min/1.73m² on two or more occasions.

In clinical practice, some DKD patients may not meet the diagnostic criteria based on urine tests, but their eGFR is below 60mL/min/1.73m². The 2021 Clinical Diagnosis and Treatment Guidelines for Diabetic Kidney Disease, the Chinese Guidelines for the Prevention and Treatment of Diabetic Kidney Disease (2021 edition), and the 2022 ADA guidelines suggest that after excluding factors such as infection, obstructive kidney disease, medications, malignant hypertension, and other causes of acute kidney injury, a diagnosis of normoalbuminuric diabetic kidney disease (NADKD) can be made if, during the 3–6 month period with three repeated measurements, urine tests are normal but eGFR remains below 60mL/min/1.73m² on two or more occasions.

In a 2021 meta-analysis of 31 studies (including 18 cross-sectional studies, 11 cohort studies, and 2 case-control studies), the overall prevalence of normoalbuminuric diabetic kidney disease (NADKD) in patients with type 2 diabetes and chronic kidney disease (CKD) was 45.6%. Within the DKD patient population, the prevalence of NADKD was 24.7%. A long-term follow-up study also found that regardless of proteinuria, diabetic patients with CKD stage 3 or later could experience varying degrees of further decline in kidney function after 10 years.

[guncelkal]

Tray DKD Home Decor 8424001738175 PVC 48 x 38 x 7 cm

If you’re passionate about IT and electronics, like being up to date on technology and don’t miss even the slightest details, buyTray DKD Home Decor Party LED PVC (48 x 38 x 7 cm) at an unbeatable price. Material: PVC Characteristics: LED Batteries: 3 Approx. dimensions: 48 x 38 x 7 cm Type: Tray Colour: Multicolour Height: 38 cm Length: 7 cm SKU: S3016524

[yuriwangfingermedia]

糖腎共病是什麼？五招助糖友避免洗腎

【健康醫療網／編輯部整理】台灣糖尿病就醫人數高達250萬，因血糖控制不佳導致的腎病變高達近1/3。為照顧糖腎共病的患者，健保署在111年推出「糖尿病合併初期腎臟病(DKD)整合照護方案」。此項以病人為中心的照護計畫，作為全人照護起頭，希望避免糖尿病患者走至末期醫療。 政府推行共照網的同時，糖腎病人也可積極自我慢病管理，主動關心自身健康。以下提供糖腎患者常見疑問解答： Q1：為什麼會得到糖尿病？如何避免罹病呢？ 正常情形下，進食後胰臟會加強分泌胰島素，讓更多糖分進入細胞內轉換成能量。但當胰臟作工太累，胰島素分泌不足或發生阻抗，就會讓血糖控制不穩，漸漸導致糖尿病。 糖尿病的高危險群包括高齡長者、具有家族史者、高血壓等心血管疾病患者、曾罹患妊娠性糖尿病的患者等，應避免易造成胰島素分泌不足，血糖難控制的不當生活習慣，如缺乏運動、嗜吃甜食、飲酒、抽菸等。  ▲民眾若患有代謝症候群，將比一般人增加6…

[samuderakepri]

Kwartir Daerah Gerakan Pramuka Provinsi Kepri Berbagi Takjil di Bulan Ramadhan 1444 H

Samuderakepri.co.id,Tanjungpinang – Semarak Ramadhan 1444 H Kwartir Daerah Gerakan Pramuka Kepulauan Riau berbagi takjil di Kota Tanjungpinang, Jum’at (31/3/2023). Kegiatan ini diikuti pengurus Kwartir Daerah Provinsi Kepulauan Riau, Dewan Kerja Daerah (DKD), dan Anggota Pramuka tungkat Penegak di lingkungan Kwartir Daerah Kepulauan Riau. Sejumlah titik lokasi dipilih membagikan sebanyak 3000…

[mccarthymolly]

Mind personality of snil stereotype, lk char, not charismatic wise n conclusive or affirming the myserty,hm, it's sorry, lk lived n still naive or senile before senility, an illish, hm, irresponsible n mean,

Talk uh no hk j uh,ca

Info inside n outisde,j,k

Bad at ortho,h,k,o,dku,,

Bad timing yh, bd ideas, this isnt um,uh,ok,researched right, was thisbbenjington approved, nd,uh,ok,yh,leave,hm uh,if can,h,o,k. Foundtn dkh,,

Js a name uh,ok,j,

Too many thoughts

Motherish images ohno, not just to womn prob or worry if is? J,k,, urge,n,oh,,

No uh wt,,,j,yhh,u,h,j,o

Y like n say there,k,,j,j,,,,jwth,,k,j,,ww,uh,o,,j,wird conditional n dkj,,,uh,no,nt talk abt things, js ih,making conv, bd summaries, events, ads, sth, not looking into dk. Gossip i think,uh,okk,hm,

Skilling uh,idk,ww,, k j,gd? Dk,times,h,k

Society, js press button,hm, lk scripth,k,

Idk, sensez no im not figuring,uh,o,,j,

Yes i hate u, vague ok

Qstn. Ww,dk,h,o,jk,,jk,hm,uh,indirect,ok,y,k,,j,gd indirect yh,ok,j,o,hm,yh,uh,hm,uh,o,k,dkd hi l,j,k,j,,,ww,o, j, ki,yngh,j,

Fraternity n impress for that n uh club um

Fam fr cheap,j,,

Done ww no,Sentenced to Suburbia

No. Come into culture that isnt that talky, js eats suddenly, same taste, agg at inconvenience or dif taste, n sth. Lk ur time n come into cul n it's oral culture n shun when nt work or ok

Df psy wound uh bad recursion

Fmly shd be investg inclu dk

Hm sawson syndrime, dmb motivation uh hm dk uh

Rsrch fail. Dk name bc name pain or unconscious unknowable ,b exeperience aspects like sounds looks n character lk thumis eros .. Simple maybe elementary or kindergarten but uh,

Hk jj,,h,j,j,

H,j,j,,j,,u

Alternative mn alt to cap or hm

No,uh,y u insulting n telling

This mn ok

U say wt rveryone says, want to see what they say. Think ur btr that u saying is dif, y r u another suck guy

Not comfortable, talkable, or better person bc i helped

Hm. Party w dif aspects gd, alc or not,idk, nt gd,

Fd k dk ,uh wt,uu,wrry,l,,

3 eatings or hm uh,j,u,,pn,uk

Less tempt,wwj,,

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[nephrourologycenter]

Diabetic Kidney disease, its symptoms, stages, and how it causes kidney disease?

Approx 76 million Indians suffer from diabetes, such a high incidence rate of this illness is alarming. Whereas the more startling is the serious complications that diabetes can lead to such as diabetic kidney disease. Diabetic kidney affects nearly 25% of people living with diabetes. Below in this article, we will discuss everything you may need to know about diabetes and kidney disease. Dr. Manav Agarwal is the top kidney specialist in Agra, he is kind and compassionate to his patients.

DKD is a chronic illness in which the blood sugar levels in your body are unable to make or use insulin in the intended way.

Symptoms

Diabetic kidney disease develops gradually over several years. There are signs and symptoms to track diabetic kidney disease.

1. Swollen feet, hands, ankles, or eyes.

2. Worsening blood pressure control

3. Increase in the urge to urinate

4. Loss of appetite

5. Fatigue

6. Vomiting and Nausea

7. Shortness of breath

8. Decrease in the need for insulin or diabetes medicine.

Stages

Diabetic kidney disease increases slowly over the years. It is divided into 5 stages, the medical team of experts measures the estimated glomerular filtration rate to check the kidney function level and determine these stages.

Stage 1. Normal Kidney Function

Stage 2. Mild loss of kidney function

Stage 3. Mild to severe loss of kidney function

Stage 4. Severe loss of kidney function

Stage 5. Kidney Failure

Causes of Kidney Disease

Kidneys are made up of millions of tiny blood vessel clusters poorly controlled and uncontrolled blood sugar levels can cause damage to these blood vessels.

DKD is caused when the damaged blood vessels lead to a decreased or complete loss of kidney function. Once the blood vessels get damaged it may lead to high blood pressure. Thus, hypertension or high blood pressure can aggravate kidney function leading to kidney disease.

Some common risk factors

1. Uncontrolled high BP

2. Genetic diabetes and kidney disease

3. Smoking

4. High blood cholesterol.

Want to know more about it consult Dr. Anubhav Agarwal and Dr. Manav Agarwal who are the best kidney specialist doctors in Agra. They provide a thorough overview of renal kidney biopsy with a complex diagnostic procedure.