Apply a systematic pattern recognition method to achieve more accurate diagnoses with Practical Breast Pathology: A Diagnostic Approach. Using a practical, pattern-based organization, this volume in the Pattern Recognition series guides you efficiently and confidently through the evaluation of even the most challenging neoplastic and non-neoplastic specimens in breast pathology, and also highlights patterns crucial to radiologic diagnosis. Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you're using or where you're located. Compare specimens to commonly seen patterns, categorize them accordingly, and turn directly to in-depth diagnostic guidance using the unique, pattern-based Visual Index at the beginning of the book. Assess key pathologic and clinical aspects of both neoplastic and non-neoplastic conditions with over 530 high-quality, full-color images that help you evaluate and interpret biopsy samples. Apply the latest techniques and advances in the field, including optimal processing of breast specimens for early detection of breast cancer, the latest molecular diagnosis in breast pathology, and the use of radiology in optimizing detection of breast lesions. Progress logically from the histological pattern, through the appropriate work-up, around the pitfalls, and to the best diagnosis. Find the information you’re looking for quickly and easily with patterns color-coded to specific entities in the table of context and text and key points summarized in tables, charts, and graphs. Review all the information essential for completing a sign-out report: clinical findings, pathologic findings, diagnosis, treatment, and prognosis. View key diagnostic features associated with less common conditions in a visual encyclopedia of unusual patterns at the end of the book.
Williams explores the effectiveness of various types of responses and strategies available to states when faced with demands for territorial revisions. She examines the situations surrounding the 19th-century unification of Germany, the breakup of Yugoslavia and the strife in Bosnia and Kosovo, and the ongoing struggle over the fate of Kashmir. The type of demand for territorial revisions, she argues, and the responses determine whether the outcome will be peace or war. While states should deter those states or groups that are imperialist, she points to the utility of pursuing a firm-but-flexible strategy toward those that are consolidationists. This analysis will be of considerable value to scholars, students, and policy makers involved with issues of contemporary nationalism, ethnic politics, and international relations.
Obesity has become a global crisis. Although most would agree that eating better and being more physically active are the answer to the problem, researchers have recently become aware that the problem goes beyond just changing individual behaviors. We can convince people of the benefits of healthful eating and regular physical activity, but what happens when they go home to a neighborhood where fresh vegetables are not available and opportunities for physical activity are hard to find? If the environment doesn’t help support healthy lifestyles, the change will be next to impossible to sustain. In Reversing the Obesogenic Environment, leading researchers Lee, McAlexander, and Banda introduce the concept of the obesogenic environment—an environment that leads people to become obese—and explore ways that changing our environment can encourage healthier choices. Although most of the current literature focuses on the food supply and dietary habits, Reversing the ObesogenicEnvironment takes a broader view of the current obesity problem. It looks at all of the elements that combine to create the obesogenic environment: •The ways that the built environment, access to resources, and active transportation systems can either foster or discourage regular physical activity •The multiple factors that encourage consumption of calorie-laden, nutritionally inadequate foods that can lead to obesity •The positive and negative impact of public policy •The influence of family, culture, socioeconomic status, and other social factors on an individual’s health behaviors as well as access to physical activity opportunities and healthier food options •The role that media and marketing play in food purchasing decisions With Reversing the Obesogenic Environment, readers will get a cutting-edge view of this emerging body of research with applications that can be realistically implemented in their communities. The book goes beyond defining the issues that contribute to the obesity epidemic—it offers tools that will help practitioners start to reverse it. Throughout the book, the authors incorporate practical recommendations based on the latest research. Sample programs and policies, checklists, and potential solutions offer readers a starting point for changes in their own communities. The obesity epidemic is a multifaceted issue influenced by factors ranging from international trade and national policy to individual behaviors. Reversing the problem will take coordinated multilevel efforts. These efforts may take years to come to fruition, but it isn’t too late to take action. Reversing the Obesogenic Environment is the ideal guide to taking the first steps toward change. Reversing the Obesogenic Environment is part of the Physical Activity Intervention Series (PAIS). This timely series provides educational resources for professionals interested in promoting and implementing physical activity and health promotion programs to a diverse and often-resistant population.
The journey of a thousand miles begins with sequins and a beehive wig in this sharply funny and achingly tender debut novel about mothers, daughters, and the surprising power of Elvis. Grace Johnson can’t escape the feeling that her life is on autopilot—until her husband announces he’s done with their marriage. Grace has a choice: wallow in humiliation . . . or reluctantly grant her outlandish mother’s seventieth birthday wish with a road trip Graceland. Buckle up, Elvis. We’re on our way. Now the two are hightailing it from El Paso to Memphis, leaving a trail of sequins, false eyelashes, and difficult memories in their wake. Between spontaneous roadside stops to psychics, wig mishaps, and familiar passive-aggressive zingers, Grace is starting to better understand her Elvis-obsessed mama and their own fragile connection. She may even have another shot at love. Apparently the King really does work in mysterious ways. But after all these years, will it ever be possible for Grace and her mom to heal the hurts of the past?
Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition. Gerontological Nursing: Competencies for Care, Second Edition is a comprehensive and student-accessible text that offers a holistic and inter-disciplinary approach to caring for the elderly. The framework for the text is built around the Core Competencies set forth by the American Association of Colleges of Nursing (AACN) and the John A. Hartford Foundation Institute for Geriatric Nursing. Building upon their knowledge in prior medical surgical courses, this text gives students the skills and theory needed to provide outstanding care for the growing elderly population. This innovative text is the first of its kind to have over 40 contributing authors from many different disciplines. Some of the key features of the text include chapter outlines, learning objectives, discussion questions, personal reflection boxes, case studies and more!
Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition. Gerontological Nursing: Competencies for Care, Second Edition is a comprehensive and student-accessible text that offers a holistic and inter-disciplinary approach to caring for the elderly. The framework for the text is built around the Core Competencies set forth by the American Association of Colleges of Nursing (AACN) and the John A. Hartford Foundation Institute for Geriatric Nursing. Building upon their knowledge in prior medical surgical courses, this text gives students the skills and theory needed to provide outstanding care for the growing elderly population. It is the first of its kind to have more than 40 contributing authors from many different disciplines. Some of the key features include chapter outlines, learning objectives, discussion questions, personal reflection boxes, and case studies.
Safe-to-eat cookie doughs and baked treats from the creator of the world's first edible cookie dough shop Finally, you can eat cookie dough how you've always craved it: straight from the mixing bowl! In her rule-breaking first book, Kristen Tomlan, the Queen of Cookie Dough, spills her secrets about how to make cookie dough safe-to-eat and all of the best ways to enjoy it. Kristen is sharing 110 decadent recipes--a mix of fan favorites from her famous New York City confectionery and never-before-seen creations--each with an innovative twist. HELLO, COOKIE DOUGHis filled with recipes for cookie dough lovers at every age and skill level. All 40 flavors, spanning the classic to the wildly creative, are ready to eat off the spatula OR can be baked into perfect, chewy cookies. Kristen's baked creations are equally tempting, with treats like cookie dough-stuffed cinnamon rolls, deep dish skillet cookies, and molten cookie dough cupcakes. Sprinkled throughout are her tips on perfecting your confections plus easy swaps to make the recipes gluten-free or vegan. Since cookie dough is best when shared, Kristen is serving up inspiration for all your party needs, including ideas for baby showers, weddings, ice cream parties, and the all-important girls' night in. This is the unconventional baking book every person with a sweet tooth will love. Join Kristen on her mission to make cookie dough all about joy, transforming this once-forbidden treat from a "no-no" to HELLO!
With a firm foundation on best practices drawn from a variety of institutions, this book maps out a partnership between academic librarians and instructional designers that will lead to improved outcomes.
**Selected for Doody's Core Titles® 2024 with "Essential Purchase" designation in Pediatric Surgery** Now in brilliant full color and reflecting recent significant changes in the field, Critical Heart Disease in Infants and Children, 3rd Edition, keeps you abreast of the skills and knowledge required to safely care for children with congenital and acquired heart disease in the ICU. Pediatric intensivists, cardiologists, cardiac surgeons, and anesthesiologists from leading centers around the world provide a well-rounded perspective on basic scientific principles, medical and pharmacologic treatments, surgical techniques, and equipment. - Features comprehensive updates throughout the text, including indications, techniques, potential complications in perioperative management of patients, and surgical techniques for congenital heart disease. - Covers recent advances in the treatment of pulmonary hypertension, developments in mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization. - Features an all-new, full-color format that speeds navigation and helps clarify complex concepts. - Contains 27 new chapters with an emphasis on the team approach to patient care in the ICU including creating multidisciplinary teams, quality and performance improvement, training , and challenges and solutions to developing a cohesive team environment. - Includes a detailed chapter on bedside ultrasound, walking you through the techniques you're most likely to encounter in the ICU. - Employs well-documented tables, text boxes, and algorithms to make clinical information easy to access, and more than two dozen video clips provide a more complete understanding of echocardiography, imaging modalities, pulmonary hypertension, and more. - Describes the basic pharmacology and clinical applications of new pharmacologic agents. - Examines issues affecting adults with congenital heart disease. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices. - Offers four completely new chapters: Cardiac Trauma, Congenital Heart Disease in the Adult, Congenitally Corrected Transposition of the Great Arteries, and Outcome Evaluation. - Describes the basic pharmacology and clinical applications of all of the new pharmacologic agents. - Details important refinements and developments in surgical techniques, including the Ross pulmonary autograft replacement of the aortic valve, video-assisted fluoroscopy, and the extracardiac Fontan connection, and discusses their indications and potential complications. - Explores the latest advances in the treatment of pulmonary hypertension, new developments in mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization. - Examines issues affecting adults with congenital heart disease.
Staff Development Nursing Secrets is a practical guide for nurse educators working in staff development. The question and answer format helps provide readers with specific answers to their everyday questions and challenges. The text explores the state of today's healthcare world and identifies the myriad of competencies and skills necessary for a nurse educator to succeed. In addition, nurse educators will gain useful tips and knowledge regarding the planning, implementation and evaluation of many types of educational programming. The text concludes with a section on the nuts and bolts of common staff development programs. Engaging, interactive Q & A format Concise answers with valuable pearls, tips, memory aids, and "secrets" 22 succinct chapters written for quick review All the most important, "need-to-know" questions and answers in the proven format of the highly acclaimed Secret Series® Thorough, highly detailed index
Historians have long known that German immigrants provided much of the support for emancipation in southern Border States. Kristen Layne Anderson's Abolitionizing Missouri, however, is the first analysis of the reasons behind that opposition as well as the first exploration of the impact that the Civil War and emancipation had on German immigrants' ideas about race. Anderson focuses on the relationships between German immigrants and African Americans in St. Louis, Missouri, looking particularly at the ways in which German attitudes towards African Americans and the institution of slavery changed over time. Anderson suggests that although some German Americans deserved their reputation for racial egalitarianism, many others opposed slavery only when it served their own interests to do so. When slavery did not seem to affect their lives, they ignored it; once it began to threaten the stability of the country or their ability to get land, they opposed it. After slavery ended, most German immigrants accepted the American racial hierarchy enough to enjoy its benefits, and had little interest in helping tear it down, particularly when doing so angered their native-born white neighbors. Anderson's work counters prevailing interpretations in immigration and ethnic history, where until recently, scholars largely accepted that German immigrants were solidly antislavery. Instead, she uncovers a spectrum of Germans' "antislavery" positions and explores the array of individual motives driving such diverse responses.. In the end, Anderson demonstrates that Missouri Germans were more willing to undermine the racial hierarchy by questioning slavery than were most white Missourians, although after emancipation, many of them showed little interest in continuing to demolish the hierarchy that benefited them by fighting for black rights.
In Bleeding Borders, Kristen Tegtmeier Oertel offers a fresh, multifaceted interpretation of the quintessential sectional conflict in pre--Civil War Kansas. Instead of focusing on the white, male politicians and settlers who vied for control of the Kansas territorial legislature, Oertel explores the crucial roles Native Americans, African Americans, and white women played in the literal and rhetorical battle between proslavery and antislavery settlers in the region. She brings attention to the local debates and the diverse peoples who participated in them during that contentious period. Oertel begins by detailing the settlement of eastern Kansas by emigrant Indian tribes and explores their interaction with the growing number of white settlers in the region. She analyzes the attempts by southerners to plant slavery in Kansas and the ultimately successful resistance of slaves and abolitionists. Oertel then considers how crude frontier living conditions, Indian conflict, political upheaval, and sectional violence reshaped traditional Victorian gender roles in Kansas and explores women's participation in the political and physical conflicts between proslavery and antislavery settlers. Oertel goes on to examine northern and southern definitions of "true manhood" and how competing ideas of masculinity infused political and sectional tensions. She concludes with an analysis of miscegenation -- not only how racial mixing between Indians, slaves, and whites influenced events in territorial Kansas, but more importantly, how the fear of miscegenation fueled both proslavery and antislavery arguments about the need for civil war. As Oertel demonstrates, the players in Bleeding Kansas used weapons other than their Sharpes rifles and Bowie knives to wage war over the extension of slavery: they attacked each other's cultural values and struggled to assert their own political wills. They jealously guarded ideals of manhood, womanhood, and whiteness even as the presence of Indians and blacks and the debate over slavery raised serious questions about the efficacy of these principles. Oertel argues that, ultimately, many Native Americans, blacks, and women shaped the political and cultural terrain in ways that ensured the destruction of slavery, but they, along with their white male counterparts, failed to defeat the resilient power of white supremacy. Moving beyond a conventional political history of Bleeding Kansas, Bleeding Borders breaks new ground by revealing how the struggles of this highly diverse region contributed to the national move toward disunion and how the ideologies that governed race and gender relations were challenged as North, South, and West converged on the border between slavery and freedom.
WHY IS THE PRO LIFE MOVEMENT LINKED EXCLUSIVELY WITH THE REPUBLICAN PARTY? IS IT POSSIBLE THAT PEOPLE OUTSIDE THE GOP ARE NOT ENAMORED WITH THE AGGRESSIVE AGENDA OF THE ABORTION LOBBY? In a shocking expose, Kristen Day reveals the agenda of the modern Democratic Party leadership, which hijacked the grassroots movement to push through Roe vs. Wade. Drawing from historical background, and her own experience in Washington, Day provides strong evidence that abortion on demand is not the mindset of real America. Discover the truth behind the abortion wars in Washington: Democratic leaders have blocked pro-life voices within the Party, such as the late Gov. Bob Casey Early leaders like Margaret Sanger pushed radical agendas that impact our culture today. See how the history of the Democratic Party has led to today's high abortion rate. Discover the bipartisan strategy needed to overturn Roe vs. Wade.
From Jo March of Little Women (1868) to Katniss Everdeen of The Hunger Games (2008), the American tomboy figure has evolved into an icon of modern girlhood and symbol of female empowerment. Battling Girlhood: Sympathy, Social Justice, and the Tomboy Figure in American Literature traces the development of the tomboy figure from its origins in nineteenth-century sentimental novels to twentieth- and twenty-first-century literature and film.
A one-stop resource for core discipline practitioners who provide mental health services to the geriatric population, Cognitive Behavior Therapy with Older Adults presents strategies for integrating cognitive behavioral therapy (CBT) skills and therapies into various healthcare settings for aging patients. Cognitive Behavior Therapy with Older Adults is divided into key two parts: CBT for common mental health problems for older adults and innovations across settings in which older adults are present. Evidence-based and provider-friendly, it emphasizes adapting CBT specifically for the aging population and its specific needs. Key features: A general introduction on aging that dispels myths and highlights the need to address mental health problems among this age group Chapters that overview epidemiology data, diagnostic criteria, assessment, and CBT approaches to treatment Case examples, including those that depict a composite of a successfully aging older adult A comprehensive resource section including handouts, note templates, and other useful tips and worksheets for practice A listing of supplemental texts, patient resources, and summary charts
A comprehensive guide to procedures and technologies, Nuclear Medicine and PET/CT: Technology and Techniques provides a single source for state-of-the-art information on all aspects of nuclear medicine. Coverage includes relevant anatomy and physiology and discusses each procedure in relation to the specific use of radiopharmaceuticals and the instruments required. Edited by experts in nuclear imaging and PET/CT, Paul E. Christian and Kristen M. Waterstram-Rich, this edition has a new chapter on MRI as it relates to nuclear medicine and includes practical, step-by-step instructions for procedures. PET/CT focus with hybrid PET/CT studies in several chapters provides cutting-edge information that is especially beneficial to working technologists. CT Physics and Instrumentation chapter introduces CT as it is applied to PET imaging for combined PET/CT studies. Authoritative, comprehensive resource conveys state-of-the-art information, eliminating the need to search for information in other sources. Foundation chapters cover basic math, statistics, physics, instrumentation, computers, lab science, radiochemistry, and pharmacology, allowing you to understand how and why procedures are performed. Accessible writing style and approach to basic science subjects simplifies topics, progressing from fundamentals to more complex concepts. More than 50 practice problems in the math and statistics chapter let you brush up on basic math skills, with answers provided in the back of the book. Key terms, chapter outlines, learning objectives, and suggested readings help you organize your study. A table of radionuclides used in nuclear medicine and PET is provided in the appendix for quick reference. A glossary provides definitions of key terms and important concepts. High-profile editors and contributors come from a variety of educational and clinical settings, providing a broad philosophic and geographic perspective. New MRI Physics, Instrumentation and Clinical Introduction chapter provides important background on MRI and its relationship with nuclear medicine. Procedures boxes in body systems chapters provide step-by-step descriptions of clinical procedures. Updates and revisions keep you current with the latest advances. Expanded 16-page color insert includes more diagnostic images demonstrating realistic scans found in practice.
Master the latest imaging procedures and technologies in Nuclear Medicine! Medicine and PET/CT: Technology and Techniques, 8th Edition provides comprehensive, state-of-the-art information on all aspects of nuclear medicine. Coverage of body systems includes anatomy and physiology along with details on how to perform and interpret related diagnostic procedures. The leading technologies — SPECT, PET, CT, MRI, and PET/CT — are presented, and radiation safety and patient care are emphasized. Edited by nuclear imaging and PET/CT educator Kristen M. Waterstram-Rich and written by a team of expert contributors, this reference features new information on conducting research and managing clinical trials. - Complete coverage of nuclear medicine eliminates the need to search for information in other sources. - Foundations chapters cover basic math, statistics, physics and instrumentation, computers, lab science, radiochemistry, and pharmacology, allowing you to understand how and why procedures are performed. - PET/CT focus with hybrid PET/CT studies provides information that is especially beneficial to working technologists. - Accessible writing style and approach to basic science subjects simplifies topics, first introducing fundamentals and progressing to more complex concepts. - Procedure boxes provide step-by-step instructions for clinical procedures and protocols, so you can perform each with confidence. - CT Physics and Instrumentation chapter provides the knowledge needed for clinical success by introducing CT as it is applied to PET imaging for combined PET/CT studies. - Key terms, chapter outlines, learning objectives, and suggested readings help you organize your study. - Table of Radionuclides used in nuclear medicine and PET is provided in the appendix for quick reference. - More than 50 practice problems in the Mathematic and Statistics chapter let you brush up on basic math skills, with answers provided in the back of the book. - 12-page, full-color insert includes clear PET/CT scans showing realistic scans found in practice. - A glossary provides definitions of key terms and important concepts. - UPDATED content reflects the latest advances and provides the information you need to pass the boards. - NEW information on conducting research and managing clinical trials prepares you more fully for clinical success. - New information on administrative procedures includes coverage of coding and reimbursement. - NEW practice tests on the Evolve companion website help you apply your knowledge. - NEW! A second color in the design highlights the most important material for easier study and understanding.
Insightful observations on common question evaluation methods and best practices for data collection in survey research Featuring contributions from leading researchers and academicians in the field of survey research, Question Evaluation Methods: Contributing to the Science of Data Quality sheds light on question response error and introduces an interdisciplinary, cross-method approach that is essential for advancing knowledge about data quality and ensuring the credibility of conclusions drawn from surveys and censuses. Offering a variety of expert analyses of question evaluation methods, the book provides recommendations and best practices for researchers working with data in the health and social sciences. Based on a workshop held at the National Center for Health Statistics (NCHS), this book presents and compares various question evaluation methods that are used in modern-day data collection and analysis. Each section includes an introduction to a method by a leading authority in the field, followed by responses from other experts that outline related strengths, weaknesses, and underlying assumptions. Topics covered include: Behavior coding Cognitive interviewing Item response theory Latent class analysis Split-sample experiments Multitrait-multimethod experiments Field-based data methods A concluding discussion identifies common themes across the presented material and their relevance to the future of survey methods, data analysis, and the production of Federal statistics. Together, the methods presented in this book offer researchers various scientific approaches to evaluating survey quality to ensure that the responses to these questions result in reliable, high-quality data. Question Evaluation Methods is a valuable supplement for courses on questionnaire design, survey methods, and evaluation methods at the upper-undergraduate and graduate levels. it also serves as a reference for government statisticians, survey methodologists, and researchers and practitioners who carry out survey research in the areas of the social and health sciences.
A history of ham radio culture: how ham radio enthusiasts formed identity and community through their technical hobby, from the 1930s through the Cold War.
Draws from letters, journals, court records, newspaper articles, family memoirs, and other authentic documentation to reconstruct the life of Margaret Tobin Brown, the Titanic survivor who inspired the musical "The Unsinkable Molly Brown"; discussing her early years in Hannibal, Missouri, her political work, and her family.
Annotation Now in a thoroughly-updated and expanded second edition, Wiley Encyclopedia of Food Science and Technology covers fundamental concepts and practical requirements in food science, as well as cutting-edge technological and industry information. The encyclopedia features A-to-Z coverage of all aspects of food science, including: the properties, analysis, and processing of foods; genetic engineering of new food products; and nutrition. In addition, nontechnical information is included, such as descriptions of selected scientific institutions, and research and development in government agencies. Like the first edition, this Second Edition will become the standard reference for food scientists, bioengineers, and biotechnologists. From reviews of the first edition: " ... fills a definite need in the food science and technology literature ... I have little doubt that this encyclopedia will become one of the classic works in this ever-growing subject."--Food and Chemistry
Annotation Now in a thoroughly-updated and expanded second edition, Wiley Encyclopedia of Food Science and Technology covers fundamental concepts and practical requirements in food science, as well as cutting-edge technological and industry information. The encyclopedia features A-to-Z coverage of all aspects of food science, including: the properties, analysis, and processing of foods; genetic engineering of new food products; and nutrition. In addition, nontechnical information is included, such as descriptions of selected scientific institutions, and research and development in government agencies. Like the first edition, this Second Edition will become the standard reference for food scientists, bioengineers, and biotechnologists. From reviews of the first edition: " ... fills a definite need in the food science and technology literature ... I have little doubt that this encyclopedia will become one of the classic works in this ever-growing subject."--Food and Chemistry
100 Easy, tasty recipes for creating family-friendly vegetarian meals When it comes to eating vegetarian as a family, it can be challenging to please everyone's taste buds and ensure proper nutrition. Whether you're looking for Meatless Monday ideas or you eat a vegetarian diet full time, The Vegetarian Family Cookbook is a vegetarian cookbook filled with 100 delicious, easy, and nutritious recipes even your pickiest eaters will love. Enjoy family-tested, family-approved recipes like Morning Glory Muffins, Rainbow Buddha Bowl, and Easy Cheesy Lasagna that use affordable, easy-to-find ingredients. This standout vegetarian cookbook even offers suggestions for dishes the kids can help make, so they can learn basic kitchen skills—and you can spend more time together as a family. This vegetarian cookbook includes: The vegetarian kitchen—Get a list of essential ingredients, tools, and kitchen equipment, plus tips for raising adventurous eaters and a primer on how to properly cook grains. A focus on nutrition—Help ensure your family is eating well-balanced meals with nutritional information for every recipe in this vegetarian cookbook. Convenient recipe labels—Choose weeknight-friendly meals with the help of handy labels for 30-minute, 5-ingredient, one-pot, and vegan recipes. Cook up kid-friendly meals the whole family will love with this nourishing vegetarian cookbook.
The Tower of London in English Renaissance Drama historicizes the Tower of London's evolving meanings in English culture alongside its representations in twenty-four English history plays, 1579-c.1634, by William Shakespeare, Christopher Marlowe and others. While Elizabeth I, James I, and Charles I fashioned the Tower as a showplace of royal authority, magnificence, and entertainment, many playwrights of the time revealed the Tower's instability as a royal symbol and represented it, instead, as an emblem of opposition to the crown and as a bodily and spiritual icon of non-royal English identity.
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