Spoke in the wheel

It may be as well to recall the state of knowledge in English society at this period. The time had gone by when the burning of coal was prohibited, as prejudicial to health; but the limits of London, beyond which building might not extend, were soon after this fixed at three miles from the city gates; the introduction of private carriages was long opposed, lest it should lead to luxury; [Note 1] and sumptuary laws, regulating, according to rank, the materials for dress and the details of trimmings, were issued every few years.

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The tactile examination of the breast is best performed with the patient re- cumbent with her arm raised above her head. A small pillow under her upper back can further distribute the breast tissue over the chest wall. Palpation is performed using the base of the fingertips in small circular motions with vari- able depth. Recall that breast tissue extends beyond the region usually defined by a bra cup.

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