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Safety of the hazardous chemicals road transportation system (HCRTS) is an important, complex, social, and environmental sensitive problem. The complexity, dynamics, and multi-link features of HCRTS have made it necessary to think beyond traditional risk analysis methods. Based on the relevant literature, Functional Resonance Analysis Method (FRAM) is a relatively new systemic method for modeling and analyzing complex socio-technical systems. In this study, a methodology that integrates FRAM, fuzzy sets, and risk matrix is presented to quantitatively assess the risks factors representing failure function links in HCRTS. As the strength of function links can be illustrated by the RI (risk index) of risk factors identified in failure function links, 32 risk factors representing 12 failure function links were first identified by accident causes analysis and the framework of FRAM. Fuzzy sets were then utilized to calculate the weight of the likelihood and consequence of the risk factors. Finally, according to the assessment results of the identified risk factors by a two-dimensional risk matrix, the weaker function links in the whole HCRTS chain were identified. HCs road companies, regulatory authorities, relevant practitioners, and other stakeholders should pay more attention to these links.Competencies required for dentistry go far beyond the academic or scientific spheres. They incorporate important mental readiness concepts at its core with an appropriate balance of operational readiness (i.e., technical, physical, mental readiness). The aim of this exploratory study was to investigate the importance of mental readiness for optimal performance in the daily challenges faced by dentists using an Operational Readiness Framework. One-on-one interviews were conducted with a select group of seasoned dentists to determine their mental readiness before, during and after successfully performing in challenging situations. Quantitative and qualitative analyses of mental readiness were applied. Study findings were compared with a Wheel of Excellence based on results from other high-performance domains such as surgery, policing, social services and Olympic athletics. The analysis revealed that specific mental practices are required to achieve peak performance, and the balance between physical, technical and mental readiness underpins these dentists' competency. Common elements of success were found-commitment, confidence, visualization, mental preparation, focus, distraction control, and evaluation and coping. https://www.selleckchem.com/products/clozapine-n-oxide.html This exploration confirmed many similarities in mental readiness practices engaged across high-risk professions. Universities, clinics and hospitals are looking for innovative ways to build teamwork and capacity through inter-professional collaboration. Results from these case studies warrant further investigation and may be significant enough to stimulate innovative curriculum design. Based on these preliminary dentistry findings, three training/evaluation tools from other professions in population health were adapted to demonstrate future application.The global pandemic of coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is having a tremendous impact on the global economy, health care systems and the lives of almost all people in the world. The Central European country of Slovakia reached one of the highest daily mortality rates per 100,000 inhabitants in the first 3 months of 2021, despite implementing strong prophylactic measures, lockdowns and repeated nationwide antigen testing. The present study reports a comparison of the performance of the Standard Q COVID-19 antigen test (SD Biosensor) with three commercial RT-qPCR kits (vDetect COVID-19-MultiplexDX, gb SARS-CoV-2 Multiplex-GENERI BIOTECH Ltd. and Genvinset COVID-19 [E]-BDR Diagnostics) in the detection of infected individuals among employees of the Martin University Hospital in Slovakia. Health care providers, such as doctors and nurses, are classified as "critical infrastructure", and there is no doubt about the huge impact that incorntigen and RT-qPCR positive were about 20 (kit 1 20.47 and 20.16 for SarbecoE and RdRP, kit 2 19.37 and 19.99 for SarbecoE and RdRP and kit 3 17.47 for ORF1b/RdRP), mean Ct values of the samples that were antigen-negative but RT-qPCR-positive were about 30 (kit 1 30.67 and 30.00 for SarbecoE and RdRP, kit 2 29.86 and 31.01 for SarbecoE and RdRP and kit 3 27.47 for ORF1b/RdRP). It confirms the advantage of antigen test in detecting the most infectious individuals with a higher viral load. However, the reporting of Ct values is still a matter of ongoing debates and should not be conducted without normalisation to standardised controls of known concentration.We read the comment by Ialongo et al. [...].
Heterotopic pregnancy is the occurrence of pregnancies in at least two different implantation sites in the same time. The diagnosis of heterotopic pregnancy remains one of the greatest challenges of the gynecological-obstetrical emergencies.

We report a rare case of spontaneous heterotopic pregnancy of a 32-year-old woman, diagnosed with a heterotopic pregnancy by ultrasound and treated by laparotomy in emergency obstetrical department of Ibn Rochd University Hospital of Casablanca.

The existence of intrauterine pregnancy does not exclude an ectopic pregnancy. The occurrence of a spontaneous heterotopic pregnancy without risk factors is a rare event, the clinical symptomatology is often related to a threatened or ongoing abortion, the diagnosis of heterotopic pregnancy is not made until the appearance of signs of hemoperitoneum secondary to a ruptured EP, hence the importance of a systematic ultrasound examination of the adnexa during first trimester ultrasound. The standard treatment is conservative surgery, preferably by laparoscopy. Laparotomy retains its indications especially in forms with hemorrhagic shock. With the aim of preserving intrauterine pregnancy while removing ectopic pregnancy.

The diagnosis of heterotopic pregnancy should not be excluded by the discovery of a UGI in a spontaneous cycle. Diagnosis is often difficult and management should be initiated as soon as possible given the risk of maternal mortality.
The diagnosis of heterotopic pregnancy should not be excluded by the discovery of a UGI in a spontaneous cycle. Diagnosis is often difficult and management should be initiated as soon as possible given the risk of maternal mortality.

1 hr ago


The Benefits of Woodburning Stoves

A wood-burning stove can add a wonderful feel to any space and provide warmth and a warm ambiance that electricity or gas fires are unable to. They can also be a focal piece in any room.

Dry wood that is well-seasoned and dry is crucial. It is best to burn quickly in order to control creosote and improve the air quality.

Eco-friendly

Woodburning stoves are green, providing an energy source that is low carbon, renewable and a heating source that helps reduce dependence on fossil fuels. Woodburning stoves also encourage active management of forests, which benefits wildlife and local economies. The combustion of wood can produce particles that are dangerous to people with respiratory problems or living in areas with poor air quality.

Modern stoves are designed for more efficient burning of wood pellets and logs and logs, which means lower emissions. This helps to improve the quality of air and protects your home from particulates. You can rest assured that a stove marked with the EPA certification label will meet the US Environmental Protection Agency's (EPA) emission standards. A high-efficiency wood burner that has the catalytic combustion chamber could reduce the amount of pollutants released by your appliance. Regular cleaning of your chimney and stove can help prevent a build-up of the flammable creosote that can cause chimney fires.

If you're using logs, look for PEFC or FSC certified timber. This certifies that the wood is sustainably harvested and managed. This helps avoid deforestation, which has a huge impact on the natural environment and climate change.

You can also lessen your impact on the environment by selecting an electric stove that has an integral log store, which will let you store more logs at one time. This will decrease the amount of waste produced and your heating costs.

Only purchase dried, seasoned wood to reduce your carbon footprint. This will make sure that your logs are prepared to burn and decrease the amount of moisture. The amount of moisture in logs can have an direct impact on how well they burn. This has an immediate influence on the amount of emissions produced. When purchasing logs, look for ones with a moisture content below 10 percent. Eco logs are briquettes of sawdust that have been compressed and made from a byproduct industrial processes. They are less moist and can be a great alternative to standard logs. They're a great alternative to traditional logs, and burn at the exact same rate.

Cosy

Wood-burning stoves create an inviting and warm feel. No matter if the fire is burning or not, they add character to any room and can instantly make a house feel warm and welcoming. Most wood stoves come in different colors and styles and you can pick one that is in keeping with your style.

Aside from the fact that they are a cost-effective and environmentally-friendly way to heat your home, wood stoves also provide a cozy, comforting ambience that can't be matched by any other heating source. They can be used with existing fireplaces, but are also a great option for homes with no fireplaces. Modern wood stoves are extremely efficient and can run on only a fraction of the amount of wood a fireplace might use. They also provide a more precise control of temperatures than open fires.

Another benefit of a wood-burning stove is that it can be used as a backup heat in case of power failure. This gives you security of knowing that your home will be warm and safe when the power goes out. This is especially important during the winter months when dark and cold nighttimes can pose a threat for many homeowners.

Log burners don't just create a warm and inviting, they also can also serve as the ideal spot to spend time with your family. By creating a focal point for your living space, log burners encourage people to switch off their devices and spend time with their loved ones. This is especially important during COVID-19 lockdowns as it can improve mental health.

https://postheaven.net/costbeech6/15-shocking-facts-about-wood-burning-stoves-for-sale that you have a professional wood stove installed to ensure that your home is properly protected and that the stove operates safely and efficiently. A good quality stove will last many years and is easy to maintain. Follow the manufacturer's guidelines for cleaning and maintaining your stove and also local building codes and guidelines.

Economic

Wood burning stoves are a very efficient and cost effective way of heating your home. they make use of a renewable resource that is more sustainable than fossil fuels. Log burners have become an integral part of many homes.

Stoves are designed to heat specific areas and the size of your space will have a major impact on the stove you select. It is recommended to measure your space in cubic meters (or square feet), and then determine the amount of heat (in BTUs) you require. This will help determine what size stove to buy.

Make sure that your home is in a smoke-control area. This will help reduce the pollution that your stove produces and safeguard the property of your neighbors. It is also important to only burn firewood in your stove. Other types of combustibles may produce higher levels of emissions and could lead to chimney fires.

It is also necessary to regularly clean your chimney and stove as a build-up of creosote can be a major source of particulates and can cause the combustion of toxic gasses within your flue. A sweeping service will assist in avoiding this, and also ensure that your stove is burning effectively.

Modern wood burning stoves that meet Ecodesign and clearSkies-compliant are extremely efficient and safe ways to keep your home warm. They produce lower emissions than older open fires and stoves. The current estimate from Defra that stoves from the past produce as much dust as 18 diesel vehicles is completely incorrect. They actually produce 66% less.

A wood-burning stove also distributes heat more evenly than a conventional furnace. This is due to the fact that the heating coils in a conventional furnace are situated in the ceiling and roof areas, while those in a wood stove are nearer to the floor.

It is important to note that there are a variety of styles available when buying wood-burning stoves. Certain woodburning stoves are freestanding, whereas others can be hung to the wall. Make sure you find the perfect stove for you. Your budget and design preferences will play a significant factor in your final choice.

Fun

Wood-burning stoves have rustic appeal that brings memories of simpler times. They are typically associated with rural living, but are also becoming a popular choice for city dwellers. This is because they give you the feeling of a fireplace that is a log inside your home. It is crucial to keep in mind that wood stoves must be maintained regularly. They can release harmful toxins if they are not maintained properly. You can prevent this from happening by keeping up to date on the most current safety standards and guidelines. Additionally, https://wolfe-abbott.thoughtlanes.net/the-most-innovative-things-happening-with-large-wood-burning-stove should get your chimney cleaned twice per year.

Cooking on a stove made of wood can be a satisfying and enjoyable experience. It takes a bit of practice, but once you've mastered the art of cooking on the stove, you'll discover that it's much easier than it appears. By using the correct cookware and following all of the safety precautions you can cook delicious meals cooked in the convenience of your home.

A woodburning stove is a fantastic opportunity to spend time with your family and friends. It allows you to switch off the TV and engage in social activities like playing board games or taking cuddles with your loved ones. It also helps in creating feelings of relaxation, as sitting by the fire is a great method to unwind and relax.



A wood stove is also a good way to reduce the cost of heating. The wood used in a stove is sustainable and sourced from local areas. This method of harvesting is less damaging to the environment than conventional methods and allows forests to re-grow. Furthermore, it reduces amount of carbon dioxide that is in the air by increasing the rate of photosynthesis.

It's a popular belief that people buy wood burners because they look attractive. However, the truth is that they are much more than just a pretty appearance. They are usually energy-efficient, and provide plenty of heat without overheating a room. They also make a great alternative to other renewable electricity sources and can be used to generate off-grid power.

Wood Burning Stoves For Sale Wood stoves can supply additional warmth and create a rustic, cozy atmosphere in your home or cabin. Make s...

postheaven.net

2 hrs ago


Significant differences regarding in-hospital survival were observed between the devices (survival overall 40.2%; medical treatment = 39.5%; IABP = 49.5%; pVAD = 36.2%; VA-ECMO = 30.5%; p < 0.001).

The incidence of CS is increasing, but hospital survival remains low. MCS was used in a minority of patients, and the percentage of MCS usage in CS has decreased. The use rates of the competing devices change over time.
The incidence of CS is increasing, but hospital survival remains low. MCS was used in a minority of patients, and the percentage of MCS usage in CS has decreased. https://www.selleckchem.com/products/azd9291.html The use rates of the competing devices change over time.Background Previously, dapagliflozin was limited to patients with an estimated glomerular filtration rate (eGFR) ≥ 60 mL/min/1.73 m2, while empagliflozin can be used for those with an eGFR ≥ 45 mL/min/1.73 m2. Therefore dapagliflozin was switched to empagliflozin in many patients when eGFR decreased. However, the clinical efficacy and safety of these switcfhes are not clear. Objective In this study, we compared the efficacy and renal safety between patients switching from dapagliflozin to empagliflozin in patients. Setting This is a retrospective study of adult patients (aged ≥ 20 years) who had attended the Kaohsiung Medical University Hospital. Method This retrospective observational study included patients who were switched from dapagliflozin to empagliflozin. To assess the effect of other hypoglycemic drugs on efficacy, the types and dose alterations of other hypoglycemic drugs were classified on the defined daily dose (DDD). Main outcome measure The primary outcome measure was the change in hemoglobin A1nction. In addition, compared to similar sodium-glucose co-transporter-2 inhibitors, other hypoglycemic drugs may be factors that influence the efficacy of sugar-lowering treatments.Nationwide lockdowns during SARS-CoV-2 (COVID-19) can compromise mental health and psychological wellbeing and limit opportunities for physical activity (PA), particularly in clinical populations, such as people with rheumatoid arthritis (RA), who are considered at risk for COVID-19 complications. This study aimed to investigate associations between PA and sedentary time (ST) with indicators of mental health and wellbeing in RA during COVID-19 lockdown, and examine the moderation effects of self-isolating. 345 RA patients completed an online questionnaire measuring PA (NIH-AARP Diet and Health Study Questionnaire), ST (International Physical Activity Questionnaire-Short Form), pain (McGill Pain Questionnaire and Visual Analogue Scale), fatigue (Multidimensional Fatigue Inventory), depressive and anxious symptoms (Hospital Anxiety and Depression Scale), and vitality (Subjective Vitality Scale) during the United Kingdom COVID-19 lockdown. Associations between PA and ST with mental health and wellbeing were examined using hierarchical multiple linear regressions. Light PA (LPA) was significantly negatively associated with mental fatigue (β = - .11), depressive symptoms (β = - .14), and positively with vitality (β = .13). Walking was negatively related to physical fatigue (β = - .11) and depressive symptoms (β = - .12) and positively with vitality (β = .15). Exercise was negatively associated with physical (β = - .19) and general (β = - .12) fatigue and depressive symptoms (β = - .09). ST was positively associated with physical fatigue (β = .19). Moderation analyses showed that LPA was related to lower mental fatigue and better vitality in people not self-isolating, and walking with lower physical fatigue in people self-isolating. These findings show the importance of encouraging PA for people with RA during a lockdown period for mental health and wellbeing.Tumor necrosis factor inhibitor (TNFi) therapies are often the first biologic therapy used to treat rheumatoid arthritis (RA) patients. However, a substantial fraction of patients do not respond adequately to TNFi therapies. A test with the ability to predict response would inform therapeutic decision-making and improve clinical and financial outcomes. A 32-question decision-impact survey was conducted with 248 rheumatologists to gauge the perceived clinical utility of a novel test that predicts inadequate response to TNFi therapies in RA patients. Participants were informed about the predictive characteristics of the test and asked to indicate prescribing decisions based on four result scenarios. Overall, rheumatologists had a favorable view of the test 80.2% agreed that it would improve medical decision-making, 92.3% said it would increase their confidence when making prescribing decisions, and 81.5% said it would be useful when considering TNFi therapies. Rheumatologists would be more likely to prescribe a TNFi therapy when the test reported that no signal of non-response was detected (79.8%) and less likely to prescribe a TNFi therapy when a signal of non-response was detected (11.3%-25.4%). Rheumatologists (84.7%) agreed that payers should provide coverage for such a test. This study shows that rheumatologists support the clinical need for a test to predict inadequate response to TNFi therapies. Test results were perceived to lead to changes in prescribing behaviors as results instill confidence in the ordering rheumatologist.
Benzodiazepines are commonly prescribed globally. We hypothesize that gender stereotypes influence benzodiazepine prescriptions insofar as male prescribers are more likely to prescribe benzodiazepines to female patients.

Our nationwide cohort study included 2,127,441 patients with a psychiatric disorder (ICD-9 codes 290-319) and 38,932 prescribers as part of the Taiwan National Health Insurance Research Database (1997-2013). We evaluated the effects of patient and prescriber gender on the proportion of patients prescribed benzodiazepines and the cumulative dosage of benzodiazepine prescription (mg) using generalized estimating equation and general linear models.

The proportion of patients prescribed benzodiazepines was higher among male (vs. female) prescribers [odds ratio (OR) = 1.06, 95% confidence interval (CI) = 1.05-1.07] and among female (vs. male) patients (OR = 1.08, 95% CI = 1.08-1.09). Similarly, male prescriber gender (β = 10,292.2, SE = 1265.5, p < 0.001) and female patient gender (β = 7913.

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We’ve got the skinny on a new documentary called COVID Collateral. We’re told that Google won’t allow any ads to be run for it, so you know what that probably means.

Here’s the trailer.

Our interview with the film’s writer and director Vanessa Dylyn (starts at 16:40): https://x.com/i/broadcasts/1LyxBgRdZXaKN

04/13/2024

"Carano was fired from her role on The Mandalorian television series in February 2021, after she posted on Instagram that Jews in the Holocaust were beaten up simply for their religious beliefs, with the post questioning, “How is that any different from hating someone for their political views?” Some took Carano’s post as a comparison between Republicans to Jews, though she has denied comparing the two.

“It was so absurd, my cancellation, which is why the people that were really paying attention were like ‘oh my word, this is how aggressive this is,’” Carano said."

Welcome to The Daily Wrap Up, a concise show dedicated to bringing you the most relevant independent news, as we see it, from the last 24 hours.

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We’ve got the skinny on a new documentary called COVID Collateral. We’re told that Google won’t allow any ads to be run for it, so you know what that probably means.

Here’s the trailer.

Our interview with the film’s writer and director Vanessa Dylyn (starts at 16:40): https://x.com/i/broadcasts/1LyxBgRdZXaKN

04/13/2024

"Carano was fired from her role on The Mandalorian television series in February 2021, after she posted on Instagram that Jews in the Holocaust were beaten up simply for their religious beliefs, with the post questioning, “How is that any different from hating someone for their political views?” Some took Carano’s post as a comparison between Republicans to Jews, though she has denied comparing the two.

“It was so absurd, my cancellation, which is why the people that were really paying attention were like ‘oh my word, this is how aggressive this is,’” Carano said."

Welcome to The Daily Wrap Up, a concise show dedicated to bringing you the most relevant independent news, as we see it, from the last 24 hours.

All Video Source Links Can Be Found Here At The Last American Vagabond: https://www.thelastamericanvagabond.com/climate-lockdowns-gender-ideology

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Use our new P.O. box:
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05/30/2023

Binge drinking is a rising trend with dangerous consequences. As people are being released from pandemic lockdowns there is a draw to go out and catch up on the times you have missed. On this episode of 360 View Scottie Nell Hughes speaks with Dr. Goerge Koob with the National Institute of Health about what is causing the rise of alcoholism around the world and what ties alcohol might have to controversial social issues like the transgender debate.

05/18/2023

Ever since Covid there has been a lot of fear about another round of lockdowns. But this time it is not for a virus, but for the environment. On this episode of 360 View Scottie Nell Hughes speaks to the communications director at the American Conservation Coalition, Karly Matthews about what could be expected of a climate lockdown. International corespondent Roxana Solano shows us, while a lockdown may help mother earth, the true cost we may all have to pay!

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Safety of the hazardous chemicals road transportation system (HCRTS) is an important, complex, social, and environmental sensitive problem. The complexity, dynamics, and multi-link features of HCRTS have made it necessary to think beyond traditional risk analysis methods. Based on the relevant literature, Functional Resonance Analysis Method (FRAM) is a relatively new systemic method for modeling and analyzing complex socio-technical systems. In this study, a methodology that integrates FRAM, fuzzy sets, and risk matrix is presented to quantitatively assess the risks factors representing failure function links in HCRTS. As the strength of function links can be illustrated by the RI (risk index) of risk factors identified in failure function links, 32 risk factors representing 12 failure function links were first identified by accident causes analysis and the framework of FRAM. Fuzzy sets were then utilized to calculate the weight of the likelihood and consequence of the risk factors. Finally, according to the assessment results of the identified risk factors by a two-dimensional risk matrix, the weaker function links in the whole HCRTS chain were identified. HCs road companies, regulatory authorities, relevant practitioners, and other stakeholders should pay more attention to these links.Competencies required for dentistry go far beyond the academic or scientific spheres. They incorporate important mental readiness concepts at its core with an appropriate balance of operational readiness (i.e., technical, physical, mental readiness). The aim of this exploratory study was to investigate the importance of mental readiness for optimal performance in the daily challenges faced by dentists using an Operational Readiness Framework. One-on-one interviews were conducted with a select group of seasoned dentists to determine their mental readiness before, during and after successfully performing in challenging situations. Quantitative and qualitative analyses of mental readiness were applied. Study findings were compared with a Wheel of Excellence based on results from other high-performance domains such as surgery, policing, social services and Olympic athletics. The analysis revealed that specific mental practices are required to achieve peak performance, and the balance between physical, technical and mental readiness underpins these dentists' competency. Common elements of success were found-commitment, confidence, visualization, mental preparation, focus, distraction control, and evaluation and coping. https://www.selleckchem.com/products/clozapine-n-oxide.html This exploration confirmed many similarities in mental readiness practices engaged across high-risk professions. Universities, clinics and hospitals are looking for innovative ways to build teamwork and capacity through inter-professional collaboration. Results from these case studies warrant further investigation and may be significant enough to stimulate innovative curriculum design. Based on these preliminary dentistry findings, three training/evaluation tools from other professions in population health were adapted to demonstrate future application.The global pandemic of coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is having a tremendous impact on the global economy, health care systems and the lives of almost all people in the world. The Central European country of Slovakia reached one of the highest daily mortality rates per 100,000 inhabitants in the first 3 months of 2021, despite implementing strong prophylactic measures, lockdowns and repeated nationwide antigen testing. The present study reports a comparison of the performance of the Standard Q COVID-19 antigen test (SD Biosensor) with three commercial RT-qPCR kits (vDetect COVID-19-MultiplexDX, gb SARS-CoV-2 Multiplex-GENERI BIOTECH Ltd. and Genvinset COVID-19 [E]-BDR Diagnostics) in the detection of infected individuals among employees of the Martin University Hospital in Slovakia. Health care providers, such as doctors and nurses, are classified as "critical infrastructure", and there is no doubt about the huge impact that incorntigen and RT-qPCR positive were about 20 (kit 1 20.47 and 20.16 for SarbecoE and RdRP, kit 2 19.37 and 19.99 for SarbecoE and RdRP and kit 3 17.47 for ORF1b/RdRP), mean Ct values of the samples that were antigen-negative but RT-qPCR-positive were about 30 (kit 1 30.67 and 30.00 for SarbecoE and RdRP, kit 2 29.86 and 31.01 for SarbecoE and RdRP and kit 3 27.47 for ORF1b/RdRP). It confirms the advantage of antigen test in detecting the most infectious individuals with a higher viral load. However, the reporting of Ct values is still a matter of ongoing debates and should not be conducted without normalisation to standardised controls of known concentration.We read the comment by Ialongo et al. [...].
Heterotopic pregnancy is the occurrence of pregnancies in at least two different implantation sites in the same time. The diagnosis of heterotopic pregnancy remains one of the greatest challenges of the gynecological-obstetrical emergencies.

We report a rare case of spontaneous heterotopic pregnancy of a 32-year-old woman, diagnosed with a heterotopic pregnancy by ultrasound and treated by laparotomy in emergency obstetrical department of Ibn Rochd University Hospital of Casablanca.

The existence of intrauterine pregnancy does not exclude an ectopic pregnancy. The occurrence of a spontaneous heterotopic pregnancy without risk factors is a rare event, the clinical symptomatology is often related to a threatened or ongoing abortion, the diagnosis of heterotopic pregnancy is not made until the appearance of signs of hemoperitoneum secondary to a ruptured EP, hence the importance of a systematic ultrasound examination of the adnexa during first trimester ultrasound. The standard treatment is conservative surgery, preferably by laparoscopy. Laparotomy retains its indications especially in forms with hemorrhagic shock. With the aim of preserving intrauterine pregnancy while removing ectopic pregnancy.

The diagnosis of heterotopic pregnancy should not be excluded by the discovery of a UGI in a spontaneous cycle. Diagnosis is often difficult and management should be initiated as soon as possible given the risk of maternal mortality.
The diagnosis of heterotopic pregnancy should not be excluded by the discovery of a UGI in a spontaneous cycle. Diagnosis is often difficult and management should be initiated as soon as possible given the risk of maternal mortality.

1 hr ago


The Benefits of Woodburning Stoves

A wood-burning stove can add a wonderful feel to any space and provide warmth and a warm ambiance that electricity or gas fires are unable to. They can also be a focal piece in any room.

Dry wood that is well-seasoned and dry is crucial. It is best to burn quickly in order to control creosote and improve the air quality.

Eco-friendly

Woodburning stoves are green, providing an energy source that is low carbon, renewable and a heating source that helps reduce dependence on fossil fuels. Woodburning stoves also encourage active management of forests, which benefits wildlife and local economies. The combustion of wood can produce particles that are dangerous to people with respiratory problems or living in areas with poor air quality.

Modern stoves are designed for more efficient burning of wood pellets and logs and logs, which means lower emissions. This helps to improve the quality of air and protects your home from particulates. You can rest assured that a stove marked with the EPA certification label will meet the US Environmental Protection Agency's (EPA) emission standards. A high-efficiency wood burner that has the catalytic combustion chamber could reduce the amount of pollutants released by your appliance. Regular cleaning of your chimney and stove can help prevent a build-up of the flammable creosote that can cause chimney fires.

If you're using logs, look for PEFC or FSC certified timber. This certifies that the wood is sustainably harvested and managed. This helps avoid deforestation, which has a huge impact on the natural environment and climate change.

You can also lessen your impact on the environment by selecting an electric stove that has an integral log store, which will let you store more logs at one time. This will decrease the amount of waste produced and your heating costs.

Only purchase dried, seasoned wood to reduce your carbon footprint. This will make sure that your logs are prepared to burn and decrease the amount of moisture. The amount of moisture in logs can have an direct impact on how well they burn. This has an immediate influence on the amount of emissions produced. When purchasing logs, look for ones with a moisture content below 10 percent. Eco logs are briquettes of sawdust that have been compressed and made from a byproduct industrial processes. They are less moist and can be a great alternative to standard logs. They're a great alternative to traditional logs, and burn at the exact same rate.

Cosy

Wood-burning stoves create an inviting and warm feel. No matter if the fire is burning or not, they add character to any room and can instantly make a house feel warm and welcoming. Most wood stoves come in different colors and styles and you can pick one that is in keeping with your style.

Aside from the fact that they are a cost-effective and environmentally-friendly way to heat your home, wood stoves also provide a cozy, comforting ambience that can't be matched by any other heating source. They can be used with existing fireplaces, but are also a great option for homes with no fireplaces. Modern wood stoves are extremely efficient and can run on only a fraction of the amount of wood a fireplace might use. They also provide a more precise control of temperatures than open fires.

Another benefit of a wood-burning stove is that it can be used as a backup heat in case of power failure. This gives you security of knowing that your home will be warm and safe when the power goes out. This is especially important during the winter months when dark and cold nighttimes can pose a threat for many homeowners.

Log burners don't just create a warm and inviting, they also can also serve as the ideal spot to spend time with your family. By creating a focal point for your living space, log burners encourage people to switch off their devices and spend time with their loved ones. This is especially important during COVID-19 lockdowns as it can improve mental health.

https://postheaven.net/costbeech6/15-shocking-facts-about-wood-burning-stoves-for-sale that you have a professional wood stove installed to ensure that your home is properly protected and that the stove operates safely and efficiently. A good quality stove will last many years and is easy to maintain. Follow the manufacturer's guidelines for cleaning and maintaining your stove and also local building codes and guidelines.

Economic

Wood burning stoves are a very efficient and cost effective way of heating your home. they make use of a renewable resource that is more sustainable than fossil fuels. Log burners have become an integral part of many homes.

Stoves are designed to heat specific areas and the size of your space will have a major impact on the stove you select. It is recommended to measure your space in cubic meters (or square feet), and then determine the amount of heat (in BTUs) you require. This will help determine what size stove to buy.

Make sure that your home is in a smoke-control area. This will help reduce the pollution that your stove produces and safeguard the property of your neighbors. It is also important to only burn firewood in your stove. Other types of combustibles may produce higher levels of emissions and could lead to chimney fires.

It is also necessary to regularly clean your chimney and stove as a build-up of creosote can be a major source of particulates and can cause the combustion of toxic gasses within your flue. A sweeping service will assist in avoiding this, and also ensure that your stove is burning effectively.

Modern wood burning stoves that meet Ecodesign and clearSkies-compliant are extremely efficient and safe ways to keep your home warm. They produce lower emissions than older open fires and stoves. The current estimate from Defra that stoves from the past produce as much dust as 18 diesel vehicles is completely incorrect. They actually produce 66% less.

A wood-burning stove also distributes heat more evenly than a conventional furnace. This is due to the fact that the heating coils in a conventional furnace are situated in the ceiling and roof areas, while those in a wood stove are nearer to the floor.

It is important to note that there are a variety of styles available when buying wood-burning stoves. Certain woodburning stoves are freestanding, whereas others can be hung to the wall. Make sure you find the perfect stove for you. Your budget and design preferences will play a significant factor in your final choice.

Fun

Wood-burning stoves have rustic appeal that brings memories of simpler times. They are typically associated with rural living, but are also becoming a popular choice for city dwellers. This is because they give you the feeling of a fireplace that is a log inside your home. It is crucial to keep in mind that wood stoves must be maintained regularly. They can release harmful toxins if they are not maintained properly. You can prevent this from happening by keeping up to date on the most current safety standards and guidelines. Additionally, https://wolfe-abbott.thoughtlanes.net/the-most-innovative-things-happening-with-large-wood-burning-stove should get your chimney cleaned twice per year.

Cooking on a stove made of wood can be a satisfying and enjoyable experience. It takes a bit of practice, but once you've mastered the art of cooking on the stove, you'll discover that it's much easier than it appears. By using the correct cookware and following all of the safety precautions you can cook delicious meals cooked in the convenience of your home.

A woodburning stove is a fantastic opportunity to spend time with your family and friends. It allows you to switch off the TV and engage in social activities like playing board games or taking cuddles with your loved ones. It also helps in creating feelings of relaxation, as sitting by the fire is a great method to unwind and relax.



A wood stove is also a good way to reduce the cost of heating. The wood used in a stove is sustainable and sourced from local areas. This method of harvesting is less damaging to the environment than conventional methods and allows forests to re-grow. Furthermore, it reduces amount of carbon dioxide that is in the air by increasing the rate of photosynthesis.

It's a popular belief that people buy wood burners because they look attractive. However, the truth is that they are much more than just a pretty appearance. They are usually energy-efficient, and provide plenty of heat without overheating a room. They also make a great alternative to other renewable electricity sources and can be used to generate off-grid power.

Wood Burning Stoves For Sale Wood stoves can supply additional warmth and create a rustic, cozy atmosphere in your home or cabin. Make s...

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2 hrs ago


Significant differences regarding in-hospital survival were observed between the devices (survival overall 40.2%; medical treatment = 39.5%; IABP = 49.5%; pVAD = 36.2%; VA-ECMO = 30.5%; p < 0.001).

The incidence of CS is increasing, but hospital survival remains low. MCS was used in a minority of patients, and the percentage of MCS usage in CS has decreased. The use rates of the competing devices change over time.
The incidence of CS is increasing, but hospital survival remains low. MCS was used in a minority of patients, and the percentage of MCS usage in CS has decreased. https://www.selleckchem.com/products/azd9291.html The use rates of the competing devices change over time.Background Previously, dapagliflozin was limited to patients with an estimated glomerular filtration rate (eGFR) ≥ 60 mL/min/1.73 m2, while empagliflozin can be used for those with an eGFR ≥ 45 mL/min/1.73 m2. Therefore dapagliflozin was switched to empagliflozin in many patients when eGFR decreased. However, the clinical efficacy and safety of these switcfhes are not clear. Objective In this study, we compared the efficacy and renal safety between patients switching from dapagliflozin to empagliflozin in patients. Setting This is a retrospective study of adult patients (aged ≥ 20 years) who had attended the Kaohsiung Medical University Hospital. Method This retrospective observational study included patients who were switched from dapagliflozin to empagliflozin. To assess the effect of other hypoglycemic drugs on efficacy, the types and dose alterations of other hypoglycemic drugs were classified on the defined daily dose (DDD). Main outcome measure The primary outcome measure was the change in hemoglobin A1nction. In addition, compared to similar sodium-glucose co-transporter-2 inhibitors, other hypoglycemic drugs may be factors that influence the efficacy of sugar-lowering treatments.Nationwide lockdowns during SARS-CoV-2 (COVID-19) can compromise mental health and psychological wellbeing and limit opportunities for physical activity (PA), particularly in clinical populations, such as people with rheumatoid arthritis (RA), who are considered at risk for COVID-19 complications. This study aimed to investigate associations between PA and sedentary time (ST) with indicators of mental health and wellbeing in RA during COVID-19 lockdown, and examine the moderation effects of self-isolating. 345 RA patients completed an online questionnaire measuring PA (NIH-AARP Diet and Health Study Questionnaire), ST (International Physical Activity Questionnaire-Short Form), pain (McGill Pain Questionnaire and Visual Analogue Scale), fatigue (Multidimensional Fatigue Inventory), depressive and anxious symptoms (Hospital Anxiety and Depression Scale), and vitality (Subjective Vitality Scale) during the United Kingdom COVID-19 lockdown. Associations between PA and ST with mental health and wellbeing were examined using hierarchical multiple linear regressions. Light PA (LPA) was significantly negatively associated with mental fatigue (β = - .11), depressive symptoms (β = - .14), and positively with vitality (β = .13). Walking was negatively related to physical fatigue (β = - .11) and depressive symptoms (β = - .12) and positively with vitality (β = .15). Exercise was negatively associated with physical (β = - .19) and general (β = - .12) fatigue and depressive symptoms (β = - .09). ST was positively associated with physical fatigue (β = .19). Moderation analyses showed that LPA was related to lower mental fatigue and better vitality in people not self-isolating, and walking with lower physical fatigue in people self-isolating. These findings show the importance of encouraging PA for people with RA during a lockdown period for mental health and wellbeing.Tumor necrosis factor inhibitor (TNFi) therapies are often the first biologic therapy used to treat rheumatoid arthritis (RA) patients. However, a substantial fraction of patients do not respond adequately to TNFi therapies. A test with the ability to predict response would inform therapeutic decision-making and improve clinical and financial outcomes. A 32-question decision-impact survey was conducted with 248 rheumatologists to gauge the perceived clinical utility of a novel test that predicts inadequate response to TNFi therapies in RA patients. Participants were informed about the predictive characteristics of the test and asked to indicate prescribing decisions based on four result scenarios. Overall, rheumatologists had a favorable view of the test 80.2% agreed that it would improve medical decision-making, 92.3% said it would increase their confidence when making prescribing decisions, and 81.5% said it would be useful when considering TNFi therapies. Rheumatologists would be more likely to prescribe a TNFi therapy when the test reported that no signal of non-response was detected (79.8%) and less likely to prescribe a TNFi therapy when a signal of non-response was detected (11.3%-25.4%). Rheumatologists (84.7%) agreed that payers should provide coverage for such a test. This study shows that rheumatologists support the clinical need for a test to predict inadequate response to TNFi therapies. Test results were perceived to lead to changes in prescribing behaviors as results instill confidence in the ordering rheumatologist.
Benzodiazepines are commonly prescribed globally. We hypothesize that gender stereotypes influence benzodiazepine prescriptions insofar as male prescribers are more likely to prescribe benzodiazepines to female patients.

Our nationwide cohort study included 2,127,441 patients with a psychiatric disorder (ICD-9 codes 290-319) and 38,932 prescribers as part of the Taiwan National Health Insurance Research Database (1997-2013). We evaluated the effects of patient and prescriber gender on the proportion of patients prescribed benzodiazepines and the cumulative dosage of benzodiazepine prescription (mg) using generalized estimating equation and general linear models.

The proportion of patients prescribed benzodiazepines was higher among male (vs. female) prescribers [odds ratio (OR) = 1.06, 95% confidence interval (CI) = 1.05-1.07] and among female (vs. male) patients (OR = 1.08, 95% CI = 1.08-1.09). Similarly, male prescriber gender (β = 10,292.2, SE = 1265.5, p < 0.001) and female patient gender (β = 7913.

3 hrs ago


Two distinct types of expansions-away from switching points of the boundary condition and at switching points-are considered. Using the expansions, we express the asymptotic behavior of two-point averages near boundaries in terms of one-point averages. We also consider the strip geometry with mixed boundary conditions and derive the distant-wall corrections to one-point averages near one edge due to the other edge. Finally we confirm the consistency of the predictions obtained with conformal-invariance methods and with boundary-operator expansions, in the the first and second halves of the paper.The influence of odd viscosity of Newtonian fluid on the instability of thin film flowing along an inclined plane under a normal electric field is studied. By odd viscosity, we mean apart from the well-known coefficient of shear viscosity, a classical liquid with broken time-reversal symmetry is endowed with a second viscosity coefficient in biological, colloidal, and granular systems. Under the long wave approximation, a nonlinear evolution equation of the free surface is derived by the method of systematic asymptotic expansion. https://www.selleckchem.com/products/thiostrepton.html The effects of the odd viscosity and external electric field are considered in this evolution equation and an analytical expression of critical Reynolds number is obtained. It is interesting to find that, by linear stability analysis, the critical Reynolds number increases with odd viscosity and decreases with external strength of electric field. In other words, odd viscosity has a stable effect and electric field has a destabilized effect on flowing of thin film. In addition, through nonlinear analysis, we obtain a Ginsburg-Landau equation and find that the film has not only the supercritical stability zone and the subcritical instability zone but also the unconditional stability zone and the explosive zone. The variations of each zone with related parameters, such as the strength of electric field, odd viscosity, and Reynolds number, etc., are investigated. The results are conducive to the further development of related experiments.Excitable systems with delayed feedback are important in areas from biology to neuroscience and optics. They sustain multistable pulsing regimes with different numbers of equidistant pulses in the feedback loop. Experimentally and theoretically, we report on the pulse-timing symmetry breaking of these regimes in an optical system. A bifurcation analysis unveils that this originates in a resonance phenomenon and that symmetry-broken states are stable in large regions of the parameter space. These results have impact in photonics for, e.g., optical computing and versatile sources of optical pulses.An electrically driven fluid pumping principle and a mechanism of kinklike distortion of the director field n[over ̂] in the microsized nematic volume has been described. It is shown that the interactions, on the one hand, between the electric field E and the gradient of the director's field ∇n[over ̂], and, on the other hand, between the ∇n[over ̂] and the temperature gradient ∇T arising in a homogeneously aligned liquid crystal microfluidic channel, confined between two infinitely long horizontal coaxial cylinders, may excite the kinklike distortion wave spreading along normal to both cylindrical boundaries. Calculations show that the resemblance to the kinklike distortion wave depends on the value of radially applied electric field E and the curvature of these boundaries. Calculations also show that there exists a range of parameter values (voltage and curvature of the inner cylinder) producing a nonstandard pumping regime with maximum flow near the hot cylinder in the horizontal direction.Perfectly matched layer (PML) boundary conditions are constructed for the Dirac equation and general electromagnetic potentials. A PML extension is performed for the partial differential equation and two versions of a staggered-grid single-cone finite-difference scheme. For the latter, PML auxiliary functions are computed either within a Crank-Nicholson scheme or one derived from the formal continuum solution in integral form. Stability conditions are found to be more stringent than for the original scheme. Spectral properties under spatially uniform PML confirm damping of any out-propagating wave contributions. Numerical tests deal with static and time-dependent electromagnetic textures in the boundary regions for parameters characteristic for topological insulator surfaces. When compared to the alternative imaginary-potential method, PML offers vastly improved wave absorption owing to a more efficient suppression of back-reflection. Remarkably, this holds for time-dependent textures as well, making PML a useful approach for transient transport simulations of Dirac fermion systems.Two-dimensional free surface flows in Hele-Shaw configurations are a fertile ground for exploring nonlinear physics. Since Saffman and Taylor's work on linear instability of fluid-fluid interfaces, significant effort has been expended to determining the physics and forcing that set the linear growth rate. However, linear stability does not always imply nonlinear stability. We demonstrate how the combination of a radial and an azimuthal external magnetic field can manipulate the interfacial shape of a linearly unstable ferrofluid droplet in a Hele-Shaw configuration. We show that weakly nonlinear theory can be used to tune the initial unstable growth. Then, nonlinearity arrests the instability and leads to a permanent deformed droplet shape. Specifically, we show that the deformed droplet can be set into motion with a predictable rotation speed, demonstrating nonlinear traveling waves on the fluid-fluid interface. The most linearly unstable wave number and the combined strength of the applied external magnetic fields determine the traveling wave shape, which can be asymmetric.During a pandemic, there are conflicting demands that arise from public health and socioeconomic costs. Lockdowns are a common way of containing infections, but they adversely affect the economy. We study the question of how to minimize the socioeconomic damage of a lockdown while still containing infections. Our analysis is based on the SIR model, which we analyze using a clock set by the virus. This use of the "virus time" permits a clean mathematical formulation of our problem. We optimize the socioeconomic cost for a fixed health cost and arrive at a strategy for navigating the pandemic. This involves adjusting the level of lockdowns in a controlled manner so as to minimize the socioeconomic cost.

4 hrs ago


The Benefits of Woodburning Stoves

A fireplace that is wood-burning can add warmth and comfort to any space. Gas or electric fireplaces simply cannot achieve this. They also look fantastic and can be an eye-catching feature in any living space.

Dry wood that is well-seasoned and dry is essential. A brisk burn is better for controlling creosote build-up and improving air quality.

Eco-friendly

Wood-burning stoves help reduce the need for fossil fuels and are also environmentally friendly. They provide a low-carbon renewable source of heat. Woodburning stoves also encourage active management of forests, which helps wildlife and local economies. The burning of wood can result in particulates that are dangerous to people with respiratory problems or living in areas with poor quality air.

Modern stoves are designed to burn wood pellets more efficiently, resulting in fewer emissions. This helps to improve the quality of air and protects your home from particulates. If you select a stove that has an EPA certification mark, it will meet the emission requirements of the US Environmental Protection Agency (EPA). A high-efficiency wood stove with a catalytic combustor will further reduce the amount of pollutants emitted by the appliance. Regular cleaning of your chimney and stove will help prevent the buildup of flammable creosote that can cause chimney fires.

If you're using logs, search for PEFC or FSC certified timber. This certifies that the wood is harvested sustainably and managed. This helps to avoid deforestation, which can have an enormous impact on the natural environment and climate change.

You can also reduce your impact on the environment by selecting a wood burning stove with an integrated log store, which will let you store more logs at a time. This will reduce the amount of waste generated and also your heating costs.

You can further reduce your carbon footprint by purchasing seasoned, dry wood. This will ensure that your logs are ready for burning and reduce the amount of moisture in the wood. The amount of moisture in logs can affect the efficiency they burn, which has an impact directly on the amount of carbon dioxide produced. When buying logs, choose ones that have an average moisture content of less than 10 percent. You may also want to think about switching to eco logs which are compressed sawdust briquettes that use an industrial byproduct and are less moist than traditional logs. They are a great alternative to traditional logs and burn at exactly the same rate.



Cosy

Woodburning stoves create a very cozy feeling. They can instantly warm up the room, regardless of regardless of whether the fire is on. Most wood stoves come in a variety of styles and colors, so you can choose one that complements your style.

Aside from the fact that they are a cost-effective and environmentally-friendly way to heat your home, wood stoves also provide a cozy, comforting ambience that can't be matched by any other heating source. They can be used in conjunction with existing fireplaces, but they are also a good alternative for homes with no fireplace at all. Modern wood stoves are extremely efficient, and can be powered by half the amount of wood as a fireplace. They also provide a more precise control of temperatures than open fires.

Another benefit of a wood burning stove is that it can be used as backup heat in case there is a power outage. This gives you assurance that your home will be safe and warm if the power goes out. This is particularly important during winter when cold temperatures and dark night can be a major worry for homeowners.

Log burners don't just make your home cozy and inviting, they also can also be the perfect spot to spend time with your loved ones. Log burners are a focal point for the living area and encourage people to turn off their gadgets and spend time with their loved ones. This is especially important during COVID-19 lockdowns, as it can boost mental well-being.

When purchasing a wood stove, it's important to have it installed by a professional to ensure your home is properly insulated and the stove will operate safely and efficiently. A quality stove will last for a long time and is easy to maintain. Be sure to follow the manufacturer instructions on cleaning and maintenance as well as your local building codes and guidelines.

Economical

Wood burning stoves are an extremely efficient and cost-effective method of heating your home. They make use of renewable resources which are better for the environment. This is why log burners are very popular and have become a regular element of our homes.

The size of the room will determine the type of stove you pick. Stoves are designed to provide heat to specific areas. To ensure you get the right wood-burning stove for your home, it is best to measure the room in cubic metres (or square feet) and find out how much heat you require (in BTUs). This will allow you to determine the size of the stove that you should purchase.

It is also an excellent idea to find out whether you are in a zone of smoke control which will help to reduce the amount of pollutants produced by your stove and help protect neighbors' properties. In addition, it is essential to only burn firewood inside your stove. Other types of combustibles can generate higher levels of emissions and potentially lead to chimney fires.

You should also clean your chimney and stove regularly. A buildup of creosote can cause toxic gases to leak into your flue. A sweeping service can aid in avoiding this, while also making sure your stove is burning effectively.

Modern wood-burning stoves that are Ecodesign and clearSkies-compliant are extremely efficient and clean ways to keep your home warm. They produce lower emissions than older stoves and open fires. The current estimate from Defra that older stoves produce as much dust as 18 diesel vehicles is completely wrong. They actually produce 66% less.

A wood burning stove also disperses heat more evenly than a conventional furnace. The heating coils in conventional furnaces are situated in the ceiling or roof area, while those of the wood stove are closer to the floor.

When purchasing a brand new wood burning stove, it's worth bearing in mind that there are numerous styles to choose from. Certain woodburning stoves are freestanding, while others can be hung on a wall. Your budget and personal preferences will play a big factor in your final choice, so take the time to choose the best stove for your needs.

Fun

Wood-burning stoves provide a rustic charm and bring back memories of simpler times. Wood burning stoves are typically associated rural life however, they are becoming more popular among urban residents. This is due to the fact that they give you the feeling of a real log fireplace within your home. Wood stoves must be maintained regularly. If they are not maintained correctly they could release harmful toxins that affect your health. This can be prevented by staying up-to-date on the most current safety guidelines and standards. You should also get your chimney cleaned at least twice per year.

Cooking on a wood stove can be a fun and rewarding experience. It requires a bit of practice, but once you've mastered the art of cooking on the stove, you'll discover that it's much simpler than it seems. https://brandon-hood.mdwrite.net/7-small-changes-you-can-make-thatll-make-a-huge-difference-in-your-wood-burner can cook delicious meals in your home with the right cookware and observe all safety precautions.

A woodburning stove is a great opportunity to spend time with your family and friends. It allows you to switch off the TV and enjoy social activities like playing board games or having a cosy cuddle. A fireside snooze can also contribute to an overall sense of wellbeing.

A wood stove could also help you save money on heating bills. The wood that is used to make a stove can be sourced from the local area in a sustainable manner. This method of harvesting is less harmful to the environment than conventional methods and allows the forests to grow. It also reduces the amount of carbon dioxide in the atmosphere by increasing the rate at which photosynthesis occurs.

It's a common misconception that people buy wood burners because they look nice. However, the reality is that they are much more than just a pretty face. They are usually energy-efficient, and provide an adequate amount of heat without overheating the room. They also make a great supplement to other renewable electricity sources and can be used to provide off-grid power.

How to Use a Wood Burner Safely A wood burner is a great way to heat your home. It is also eco-friendly and creates a cozy atmosphere. However, you must be careful when using it. Some states, local governments or tribal governments have rules and restrictions regarding wood burning. These

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