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a.1.Relating to an institution, or institutions.
2.Containing the first principles or doctrines; elemental; rudimentary.
Webster's Revised Unabridged Dictionary, published 1913 by G. & C. Merriam Co.
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Grant had brought on apoplexy and death, by three great institutionary dinners in one week, they still lived together; for Mary, though perfectly resolved against ever attaching herself to a younger brother again, was long in finding among the dashing representatives, or idle heir-apparents, who were at the command of her beauty, and her 20,000, any one who could satisfy the better taste she had acquired at Mansfield, whose character and manners could authorise a hope of the domestic happiness she had there learned to estimate, or put Edmund Bertram sufficiently out of her head.
The importance of this concept becomes clear when we reflect on the central purpose of HEC case review: to assure a morally sound solution to practical conflicts, dilemmas, or problems in clinical care.(19) Such a purpose is consistent with the goals of preserving patient rights and well-being, but not slavish to them; it establishes a role for HEC members that institutionary empowers them to act in ways that are usually-for bureaucratic, interpersonal, or professional reasons-otherwise unavailable.
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