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Spinal manipulation under anesthesia (MUA) is a procedure intended
for patients who suffer from musculoskeletal disorders in
conjunction with biomechanical dysfunction. Performed using
monitored anesthesia care, this technique is overcoming its
controversial image and receiving regular use by a great number of
practitioners. Manipulation Under Anesthesia is the first book to
present the procedure from a historical perspective to present day
use. Focusing on all aspects of MUA technique, the text provides an
outline that represents this procedure from a scientific
perspective, along with information concerning patient selection
criteria, and documentation explaining outcomes from patient
procedures. It discusses the protocols and standards by which the
procedure should be incorporated into the facilities where it is
being performed, features an overview of the generic procedure and
policies for documenting results, and addresses the overall use of
the procedure from pre-MUA through post-MUA rehabilitation. With
justification for the procedure from both a clinical and patient
management standpoint, this unique compilation of information is
useful as both a reference and as an educational aid for doctors.
It provides the necessary tools for investigating the procedure and
incorporating it into any healthcare specialty.
From the time of John Milton to that of William Blake, the
literature of Britain absorbed the impact of two major military
developments. In the early modern era, the military revolution
strove to establish permanent armies under state discipline and, in
England, the resistance to this development exhibited in the
controversy over standing armies. In this penetrating and highly
original study, Gordon demonstrates that military debate,
encouraged by Britain's semi-secure insular situation, had a
remarkable impact on the British imagination and its narratives.
Affected were structure and closure; character evaluation; heroic
and mock-heroic styles; attitudes toward love and marriage; and the
roles of locality and environment in the shaping of the national
and personal character. More remarkable still, these effects
signaled the emergence of a civilian consciousness that still
influences our literary preference and expectations.
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