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The establishmentof early institutions modelled on the moral treatment regime of the York Retreat is described asarising from ‘the consciousness felt by a small group of citizens of an overwhelming social evilin their midst’ (Jones 1960: 40). Practical approaches include consideration of clinical CT and clinical DWImismatches in which the severity of the neurologic deficit is compared with the extent andlocation of the lesion on imaging (13–15).

Yet the real-ization that eventually the disease would defeat us helped Gene and me tobe more caring and loving and to face and resolve disagreements more easily.“What can you do?” we asked each other, acknowledging our helplessness,resigned to our fate.

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Severe symptoms may not occur until there is extensivedamage. The multifaceted etiologyof these patients complicates their treatment.

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All reptiles are capable of biting; many haveclaws and tails that are used in defense. The out-come of the general survey provides the nurse with an over-all impression of the client’s whole being. Since A4R holds decision-makers accountable for the reasonablenessof their decisions, it is very versatile and may be implemented in multiple differentcontexts. What is Pancoast’s tumor and Pancoast’s syndrome?A

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