Clinical review articles, also known as updates, differ from systematic reviews and meta-analyses in important ways.1 Updates selectively review the medical literature while discussing a topic broadly.
Eventually, the Emancipation Proclamation led to the proposal and ratification of the Thirteenth Amendment to the Constitution, which formally abolished slavery throughout the land.
The January 1863 Emancipation Proclamation affected the Confederacy  in a number of ways. Most significantly, it galvanized the fighting  spirit of many Southerners, as the â¦ war had become an explicit  contest for the existence (or extinction) of slave-holding.he Emancipation Proclamation had no immediate affect on the confederacy because it applied only in those territories then in rebellion against the United States government. T â¦ he Us government had no means of enforcing it in those places.