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LEGO Elf Club House (10275) Building Kit; an Engaging Project and A Great Holiday Present Idea for Adults, New 2021 (1,197 Pieces)

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On the ground floor is a small counter and chairs, which have plates of waffles and red mugs for the Elves to eat.

Anker SD, Butler J, Filippatos G et al (2021) Empagliflozin in heart failure with a preserved ejection fraction. N Engl J Med 385(16):1451–1461. https://doi.org/10.1056/NEJMoa2107038 At over 8.5” (22cm) high and 5” (13cm) deep, this building set for adults and families makes an impressive Christmas present or secret Santa gift idea with a display model to enjoy year after year. It’s been an issue since this headpiece was introduced, and it’s kind of disappointing that LEGO haven’t been able to fix it to this day. All four minifigures include short green legs, contrasting against their bright green torsos and looking great. Much like their female counterparts, one of these minifigures features a double-sided head while the second only displays a broad smile. The same heads have appeared on multiple previous occasions which is slightly unfortunate.

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Massie BM, Carson PE, McMurray JJ et al (2008) Irbesartan in patients with heart failure and preserved ejection fraction. N Engl J Med 359(23):2456–2467. https://doi.org/10.1056/NEJMoa0805450

Lam CS, Carson PE, Anand IS et al (2012) Sex differences in clinical characteristics and outcomes in elderly patients with heart failure and preserved ejection fraction: the irbesartan in heart failure with preserved ejection fraction (I-PRESERVE) trial. Circ Heart Fail 5(5):571–8. (In eng). https://doi.org/10.1161/circheartfailure.112.970061 The use of studs embedded into the tree itself works remarkbly well visually, and I love the feeling of discovering and building each year’s Christmas tree. Winter Village sets consistently include extensive interior detail and the latest addition to the series continues that trend. The combination of muted sand green and dark green tiles across the floor complements the dark tan walls, interrupted only by a bright green 2x4 tile at the centre of the room. The red element near the door appears out of place but this red 3x4 plate with four studs is relatively uncommon. Explore your favorite family Christmas traditions with this delightful building challenge. Build the quaint Elf Club House (10275) then explore all its cozy holiday details as you unwind with this hands-on project. Lippi G, Sanchis-Gomar F (2020) Global epidemiology and future trends of heart failure. AME Med J 5(15):1–6

The mechanism for the oven works smoothly and seems nearly impossible to jam. It can be a little messy, though. Maybe that’s why that elf looks so unhappy: there’s some quality time with a mop in their near future. Galvao M, Kalman J, Demarco T et al (2006) Gender differences in in-hospital management and outcomes in patients with decompensated heart failure: analysis from the Acute Decompensated Heart Failure National Registry (ADHERE). J Cardiac Fail 12(2):100–107. https://doi.org/10.1016/j.cardfail.2005.09.005 A total of 149 290 individuals responded to the survey (mean [SD] age, 50.7 [0.2] years; 52.8% female). Among the respondents, most were covered by private insurance (95 396 [63.9%]), followed by Medicare (35 531 [23.8%]), Medicaid (13 286 [8.9%]), and VHA or military (5074 [3.4%]) coverage. Among those with private insurance, most (117 939 [79.0%]) had employer-sponsored coverage. Compared with those covered by Medicare, individuals with employer-sponsored insurance were less likely to report having a personal physician (odds ratio [OR], 0.52; 95% CI, 0.48-0.57) and were more likely to report instability in insurance coverage (OR, 1.54; 95% CI, 1.30-1.83), difficulty seeing a physician because of costs (OR, 2.00; 95% CI, 1.77-2.27), not taking medication because of costs (OR, 1.44; 95% CI, 1.27-1.62), and having medical debt (OR, 2.92; 95% CI, 2.69-3.17). Compared with those covered by Medicare, individuals with employer-sponsored insurance were less satisfied with their care (OR, 0.60; 95% CI, 0.56-0.64). Compared with individuals covered by Medicaid, those with employer-sponsored insurance were more likely to report having medical debt (OR, 2.06; 95% CI, 1.83-2.32) and were less likely to report difficulty seeing a physician because of costs (OR, 0.83; 95% CI, 0.73-0.95) and not taking medications because of costs (OR, 0.78; 95% CI, 0.66-0.92). No difference in satisfaction with care (OR, 0.96; 95% CI, 0.87-1.06) was found between individuals with employer-sponsored private health insurance and those with Medicaid coverage.

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