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In the seventeenth and eighteenth centuries, when slavery extended to the Middle Colonies and New England, work there was even more different, at least in the variety of tasks and the influence an enslaved person might exercise over his or her work (they could sometimes initiate a change of master), though in other ways, particularly in the element of compulsion, it was much the same

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This brain damage which manifests as confusion and unconsciousness is called hepatic encephalopathy

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