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Paperback. Condizione: Very Good. This expanded new edition should prove indispensable as an easy-to-use guide to the basic language of 21st-century medicine and health care for students, registered practitioners, medical secretaries and receptionists, and members of the public. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. "Bailliere's Midwives' Dictionary" is the dictionary of choice for student midwives. The 11th edition of this established and well-respected dictionary has been thoroughly revised and updated. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. Crash Course 2e has arrived! Building the success of the first editions, the new edition has been written by students for students, giving a first hand perspective of what it takes to make the grade. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. In today's mental health services, there is a pressing need for practitioners to place greater emphasis on working with users of services and to use skills which have a sound theoretical basis. This book focuses on evidence-based practices but reflects that in mental health, the best evidence is the personal experience of the user. This book seeks to guide, plan and suggest down-to-earth treatment ideas for individuals on a day to day basis. There are many publications which explore theoretical aspects of service delivery or provide an in-depth analysis of specific clinical interventions. However, how practitioners comprehensively amalgamate theory with their practice is often missing. This book fills that gap. Section 1: Perceptions of SMI and treatment methods - includes a unique chapter from a user which vividly illustrates the experience of mental illness, as well as an introduction to treatment methods, stress vulnerability and the diagnostic process. Section 2: Assessment - Choosing and using the assessment process is the cornerstone of effective interventions, and this section looks at how to choose and use some of the tools available. It addresses the specific skills in focussing this information towards achieving clients goals and identifying risk factors. Section 3: Interventions - This section provides chapters on a range of interventions specific to individual client needs. It reflects the often complex picture of needs which clients experience. Section 4: Cautions in Effective Treatment - This section addresses those issues which often underpin the success or failure of interventions. Its aim is to guide practitioners to reflect further on issues which surround their relationships with clients, including culture, ethical issues and professional considerations. Whether in training or in practice, you will find this book a practical, user-friendly guide to working with clients and their families. Easy to read, clearly designed, and, above all, focussing on the needs of practitioners and their clients, it is the essential handbook for practitioners in this challenging area. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. This book is not a primer on clinical skills but an indispensable handbook and resource for the new nurses who are about to embark on their first job and need to develop nursing judgment and the ability to organise and deliver care. It is about learning how to think like a nurse - developing the judgment and behaviour that is essential in competent practice. With an immensely readable style this book uses a friendly, conversational manner, with realistic hints, tips, and examples from real life, to encourage nurses in the early days of their careers. Issues such as assertiveness, delegation, CVs and interviews, leadership, developing nursing intuition, are covered as well as discussion about evidence based and reflective practice, direct entry into the community, and developing confidence in practice. This book will help nurses and students develop into competent and confident practitioners. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. This is an updated and revised text which attempts to provide a simple and practical approach to the interpretation of electrocardiograms. This volume includes 12 lead ECGs which match the format of the three channel ECG recorders to help with pattern recognition. It has been written specifically for doctors, medical students, nurses and ambulance crews. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. This title is directed primarily towards health care professionals outside of the United States. This book provides a practical introduction to and overview of the development and implementation of evidence-based practice. It focuses on how to look for and appraise the available evidence, how to apply the evidence using a variety of approaches and in different organisational contexts, and how to understand different dimensions of personal and organisational change and its ethical components. Numerous examples from practice and case studies clarify theory Very readable writing style and user-friendly format with checklists of key issues Opportunities for reflective learning Update on current policy and regulatory frameworks Role of clinical governance in evidence-based practice considered. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. 'Antenatal' is the second title in the Midwifery Essentials series and looks at the provision of safe and effective antenatal care, exploring the role of the midwife in the context of professional and national guidance. This book prepares the reader to provide safe, evidence-based, woman-centred maternity care. Models of care and the range of professionals involved The booking history and involving the woman in decisions Optimising and monitoring maternal health throughout pregnancy Blood tests and antenatal screening for fetal abnormality Monitoring the growing fetus Facilitating women to prepare for birth. Midwifery Essentials consists of a series of four pocketbooks, based on the popular and successful 'Midwifery Basics' articles published in 'The Practising Midwife' journal. They have been written in response to many requests from students, midwives and supervisors to combine these articles into a handy text. The books remain true to the style of the articles and have been updated and expanded to create a user-friendly source of information on different aspects of midwifery care. They will stimulate debate and require the reader both to reflect on their current practice, local policies and procedures and to challenge care that is not woman centred. There are many dimensions to the provision of woman-centred care that practitioners need to consider and understand so the series is based on the principles of holistic care, using a 'jigsaw' model as a framework. Each aspect of the jigsaw should be considered during the assessment, planning, implementation and evaluation of woman-centred maternity care, for example: how does a midwife obtain consent from a woman for a procedure, maintain a safe environment during the delivery of care and make the most of the opportunity to promote health? what are the professional and legal issues in relation to the procedure and is this practice based on the best available evidence? which members of the multi-professional team contribute to this aspect of care and how is it influenced by the way in which care is organised? Series features: Provides information essential for best practice at all stages of pregnancy and birth 'Jigsaw' model promotes holistic care Scenarios help readers understand the context of maternity care Activities encourage further exploration and debate. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Fine. This best selling book reviews that basic arithmetic required to calculate drug dosages accurately and quickly - an essential skill for every nurse. Example are drawn from clinical practice. Explanations and graded exercises (with answers) cover the calculations required to administer injections, tablets and mixtures, to dilute solutions, to arrive at different drip rates and to administer paediatric dosages safely. In this new edition all drug usage material has been reviewed and updated. New exercises have been added to added to assist in the learning process.

Paperback. Condizione: Very Good. This book provides the definitive account of the Roper-Logan-Tierney model of nursing, including in-depth discussion of its conceptual development, its place within the wider body of nursing theory and a critique of its application in practice. The book will conclude with a wider discussion of the place of this model for nursing in the face of ongoing challenges in both nursing and health care throughout the world.Authoritative and complete account of the most influential nursing model in the UK and one of the most influential in the world. Thorough exploration of aspects of theory which go beyond textbook explorations to dateAuthorsown assessment of the models use in practice and its place in future nursing development a unique set of insights. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. Crash Course! is a revision series for students on system based and integrated courses. Written by medical students for medical students under faculty supervision, the content focuses in on what medical students really need to know. An illustrated outline format in bite-sized chunks makes the content easy to absorb. Hints and Tips and Comprehension Check boxes are built-in features designed to make the series student-friendly. A practice exam at the end enables students to assess their level of understanding. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. This book is an indispensable guide on how to get into and survive a pre-registration nursing course. With an immensely readable style this book uses humour, case studies, hints, tips, and insights to inspire and encourage you to complete your course and become a nurse. Covering a wide range of topics it will help you to: write assignments, avoid plagiarism, make the most of clinical placements, cope with stress, understand medical terminology, and nursing jargon, deal with legal and ethical issues, make drug dosage calculations and administer medication, create a portfolio, reflect on your practice, and understand nursing models, theories and philosophies.It also contains copies of essential Nursing and Midwifery Council publications such as the "Code of Professional Conduct", "Guidelines for the Administration of Medication" and "Guidelines for Records and Record Keeping", and explains their relevance to you as a nursing student. This unique book will be useful to those of any age considering nursing as a career, with or without previous practical experience in health care. It will help you understand exactly what your tutors and mentors expect from you and help you plan for and cope with the inevitable stress and frustration. "The Student Nurse Handbook" will be an essential companion throughout your course. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. This book is an indispensable guide on how to get into and survive a pre-registration nursing course. With an immensely readable style this book inspires and encourages students to complete their course and become a nurse. Covering a wide range of topics it helps students to . Make the most of clinical placements . Make drug dosage calculations and administer medication Write assignments . Avoid plagiarism . Cope with stress . Create a portfolio . Reflect on practice . Understand nursing models, theories and philosophies . Understand medical terminology and nursing jargon . Deal with legal and ethical issues This unique book will be useful to those of any age considering a career in nursing, with or without previous experience in healthcare. It helps students to understand exactly what tutors and mentors expect from them and helps to plan for and cope with the inevitable stresses and frustrations. The Student Nurse Handbook is an essential companion to the pre-registration nursing course. Case studies and quotes from students and nurses show readers that their thoughts and feelings are shared by others - this validation will reduce stress and anxiety and give credibility Humour and cartoons make the text readable and fun to use Hints, tips and practical advice encourage the 'flagging' student Appendices list other useful resources, contact details for organisations and websites The two-colour design makes it attractive to use Fully updated in line with changes in nursing practice e.g. the revised NMC Code of Professional Conduct, the Disability Discrimination Act, Agenda for Change and the Knowledge and Skills Framework, Essence of Care. Expanded section on nursing models More help with drug dosage calculations to assist students in developing their numeric skills. More on help on writing assignments and how to use research, including applications to practice Expanded appendices on children's nursing and mental health branches. Template forms to assist with course applications, planning assignments and a check list for placements. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Good. This book is an indispensable guide on how to get into and survive a pre-registration nursing course. With an immensely readable style this book uses humour, case studies, hints, tips, and insights to inspire and encourage you to complete your course and become a nurse. Covering a wide range of topics it will help you to: write assignments, avoid plagiarism, make the most of clinical placements, cope with stress, understand medical terminology, and nursing jargon, deal with legal and ethical issues, make drug dosage calculations and administer medication, create a portfolio, reflect on your practice, and understand nursing models, theories and philosophies.It also contains copies of essential Nursing and Midwifery Council publications such as the "Code of Professional Conduct", "Guidelines for the Administration of Medication" and "Guidelines for Records and Record Keeping", and explains their relevance to you as a nursing student. This unique book will be useful to those of any age considering nursing as a career, with or without previous practical experience in health care. It will help you understand exactly what your tutors and mentors expect from you and help you plan for and cope with the inevitable stress and frustration. "The Student Nurse Handbook" will be an essential companion throughout your course. The book has been read but remains in clean condition. All pages are intact and the cover is intact. Some minor wear to the spine.

Paperback. Condizione: Very Good. Intended for trainee and practising dermatologists, physicians and podiatrists, this book illustrates over 400 common and uncommon appearances of nail conditions, collected over 30 years of practice in general medicine. Incorporating revision of text and new references, this serves as a handy reference to diagnosis. The book relates nail appearances to the general physical condition of the patient and explains their significance, highlighting signs of systemic disease. Line drawings illustrate the anatomy and topography of the nail. Features new to this edition include: a section on nail changes in diabetes; a section on appearances in the premature baby and neonate; a comprehensive survey of psoriasis and the nails; expanded coverage on feet for podiatrists; and coverage of the effects of HIV/AIDS. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. It is well documented that people with learning disabilities are at a higher risk of developing mental health problems than the general population. However, it is only in recent years that there has been a determined effort to address mental health assessment, diagnosis, services, education, and interventions for this client group. Unfortunately, carers are sometimes limited in their understanding of mental health needs and in the skills and resources required to assess these needs and deliver appropriate care. This book is intended to go some way towards meeting these deficits. The book aims to answer the following questions: What is mental health? What are mental health problems? What causes them? How do mental health problems affect the lives of people with learning disabilities and those around them? How can mental health problems be identified in people with learning disabilities? How can carers and services respond? The book is directed towards all those people, including parents and other family members, nurses, social workers, psychologists, occupational therapists, other professional staff, students, care staff, and voluntary workers, who are involved in the care of people with learning disabilities. It does not profess to be a complete mental health manual; rather, it aims to introduce the reader to the key issues and concerns that surround mental health in people with learning disabilities such that they might have a positive impact on the care that those people receive.Review of assessment tools brings together in one place all that are available within the UK, describing and providing details for obtaining them. Case study approach relates the theory presented to everyday life and practice situations. It also encourages readers to make links and reflect upon their own experiences. Interactive exercises guide the reader's thinking at a deeper level. An 'Umbrella' approach draws together the main themes/concepts/current thinking in relation to Mental Health in Learning Disabilities in one easily readable text Jargon free. Where technical language has been used, the language has been explained. Multi-agency approach aimed at a wide professional readership. Strong family/informal carer focus. Identifies a range of specific learning disability conditions that help the reader to bridge the gap between mental health problems and learning disability. Highlights a range of practical therapeutic interventions that may be utilised in the field. Service delivery placed in context with some of the problems that service providers face when attempting to provide appropriate care. Research has been used to underpin many of the topics discussed, promoting evidenced based care for people with learning disabilities and mental health needs. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. The skills required by children's nurses are many and varied, and are undertaken in a variety of settings. Sick children are cared for at home, in children's units and hospitals, and sometimes in adult wards. In addition, children with disabilities may need nursing care while at special schools or in residential settings. This book provides a clinical manual of common procedures in children's nursing. Each practice is research based, and discussed within a framework which examines: Objectives, Rationale, Factors to note, Guidelines, Positioning, Equipment, Method, Special observations and possible, Complications, and References and further reading. The guidelines have been written specifically for children's nursing by contributors from well-known children's units and are not simply adaptations from adult practices. All hospital and community nurses dealing with children, whether in a specialised unit or an adult unit, which also admits children, will find this book of great practical help. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. This best selling book reviews that basic arithmetic required to calculate drug dosages accurately and quickly - an essential skill for every nurse. Example are drawn from clinical practice. Explanations and graded exercises (with answers) cover the calculations required to administer injections, tablets and mixtures, to dilute solutions, to arrive at different drip rates and to administer paediatric dosages safely. In this new edition all drug usage material has been reviewed and updated. New exercises have been added to added to assist in the learning process. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. This is a short highly illustrated textbook of neuroanatomy that throughout makes clear the relevance of the anatomy to clinical neurology. It avoids overburdening the reader with topographical detail that is unnecessary for the medical student. Minimum assumptions are made of existing knowledge of the subject. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. This is the sixth edition of an established and highly successful introduction to sociology for medical students and health professionals of all kinds. It will also be of value for sociology students. Sociology as Applied to Medicine introduces students to the social context of health and illness in an understandable and accessible way - a number of reviewers have commented on its lucid and jargon-free text. The curriculum in medical schools now lays more emphasis than in the past on the social context of medicine, making this book even more indispensable. A concise and jargon-free introduction to medical sociology - accessible and readable for medical students with little time to devote to this subject. Practical emphasis on essential social issues: the doctor-patient relationship, social class, ethnic minority groups and organization of health services. Attractive two-colour page design with boxed summaries. New section on theory and methods of social research, pointing out the important differences between social research and the more biologically orientated research familiar to medical readers. Extensive revision of those chapters covering health policy, eg NHS chapter, health promotion, community care, organisation of health care. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. Key Topics is a short, easy-to-read text that provides basic information about twelve key topics in public health, such as diabetes, cancer, smoking and teenage pregnancy, and how prevention and health promotion should be tackled at community and one-to-one levels. The twelve topics are the 'must-dos' of public health action. They have been selected because they are those addressed in current national public health strategies such as Saving Lives: our healthier nation, and comparable strategies in Scotland, Wales and Northern Ireland. Many are the subject of National Service Frameworks and other national policies and plans; they are often accompanied by targets which health workers are expected to meet. Topics often relate to each other (e.g. smoking and cancer) so cross-references will be provided. Accessible and useful, in clear plain English. Provides a foundation for further study, planning a work programme, or planning a strategy to meet targets. Practical focus: on health inequalities and how to tackle them, and on help for practitioners who work at a community and one-to-one level. Explicit links to national current public health policy and targets. Reflects recommendations based on best practice and evidence of effectiveness. Focuses on a topic framework (except for the last two chapters) in contrast to other frameworks for health promotion and public health. Attractive layout making full use of bullet points and boxes. Simple line diagrams or tables to illustrate each chapter. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. This is a unique textbook of reflexology for students undertaking a full or short course (either at diploma or degree level) in reflexology. The book will: critically review the origins and theories of reflexology; examine the therapeutic relationship and a model of working with patients using reflexology, in a health care setting; explore the therapeutic value of reflexology in terms of its diagnostic, treatment claims and contraindications; critically analyze the role of the reflexologist in relationship to the concepts of healing and holism; identify and discuss key ethical, professional & legal issues related to safeguarding the interest of patients receiving reflexology; and review the educational issues related to student programmes, and examine the value and methods of support and supervision for clinical practice. Review recent research and audit activity and discuss methodological issues in asking questions about the efficacy and safety of reflexology. Examine the key issues in the integration of reflexology practice and how to best meet the challenges of working with patients and their families in a healthcare context. Consider the key areas identified above in reflecting on providing reflexology within specified areas of clinical practice. These will be maternity, palliative care, acute and continuing care, learning difficulties and mental health. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. In Coaching Process, the authors demonstrate the importance of applying basic sports science principles to the training process, enhancing performance whilst avoiding common problems. Not only will this book be of interest to practising coaches, but it is also essential reading for those studying sport and exercise science, coaching or coaching science at all levels. The athlete, and those who contribute to the coaching process (sport scientists, team managers, doctors and physiotherapists), will also benefit from reading how the coaching process is best applied to enhance performance and avoid complications of overtraining, injury and burn-out.An interdisciplinary approach to maximising sports performance through the application of sports science in coaching, and team management. Includes the principles of coaching plus examples of how these are translated into practice. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. The extended-matching question (EMQ) is now a widely adopted format for the assessment of medical students. Each question addresses a theme that may be a symptom, sign, investigation, diagnosis or a management decision, and the stems are clinical vignettes relevant to clerkship and application of knowledge to clinical practice. With each question there is an option list from which the reader chooses the most likely or the correct answer. The Second Edition of this book has been expanded to include a total of 200 EMQs, giving readers a foretaste of what they will encounter in their examinations. The questions cover a wide range of clinical themes across all the major branches of the medical curriculum. Covers medicine and surgery, as well as obstetrics and gynaecology, paediatrics and psychiatry The short explanations that follow each answer are a useful guide to further reading and study. Expanded in this Second Edition to include a total of 200 EMQs Thoroughly revised throughout with a substantial number of new questions, based on reader feedback on the First Edition and experience of analysing EMQ examinations. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. This is a logical, systematic working guide to the examination of the neuromusculoskeletal system. "Neuromusculoskeletal Examination and Assessment, 2nd Edition" brings together the examination and assessment of the structures involved: joints, nerve and muscle tissue. Each section follows the same logical, step by step sequence of illustrations and text. Eachjoint examination starts with a list of the possible causes of pain and limitation of movement that should be considered during the examination process. The book is designed for use by anyone requiring to identify and assess clinical problems in this area, whether student or practitioner. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Very Good. The new edition of this popular handbook gives an authoritative, informative and accessible account of key areas of child protection practice. Covering research, policy and practice it is relevant to all professionals working in child care. No other book on child protection offers such comprehensive coverage of policy and practice. It provides research findings in all areas of child abuse, latest policies and indications of good practice, plus specialist chapters for different professionals. Chapters have been contributed by known experts in the field, both distinguished academics and practitioners. By combining the latest factual information with sophisticated analysis, it is the ideal course text for child protection programmes as well as meeting the needs of more experienced practitioners, academics and trainers. Practical. Examines the issues grounded in reality, and therefore gives the reader confidence in practice, coupled with an understanding of the responsibilities of colleagues in other professions. Comprehensive. Covers a broad review of what constitutes child abuse and characteristics of the abused and the abusers; medical, social and legal management of the process of protection; the actions involved in intervention. and training and new directions for research and practice. Authoritative. Contributors are senior professionals known nationally and internationally for their specific expertise in this area. Research based. All books should be, but amongst the professionals most closely involved in child protection, the heavy workload often means there is little time to catch up on and assimilate up-to-date research fully. This book offers a through guide to what research and policy initiatives can give to the practice of the reader. new chapters addressing issues of culture and parenting. each chapter contains key messages for practitioners. key websites have been listed. a website on Evolve with supplementary material. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Paperback. Condizione: Good. The new edition of this popular handbook gives an authoritative, informative and accessible account of key areas of child protection practice. Covering research, policy and practice it is relevant to all professionals working in child care. No other book on child protection offers such comprehensive coverage of policy and practice. It provides research findings in all areas of child abuse, latest policies and indications of good practice, plus specialist chapters for different professionals. Chapters have been contributed by known experts in the field, both distinguished academics and practitioners. By combining the latest factual information with sophisticated analysis, it is the ideal course text for child protection programmes as well as meeting the needs of more experienced practitioners, academics and trainers. Practical. Examines the issues grounded in reality, and therefore gives the reader confidence in practice, coupled with an understanding of the responsibilities of colleagues in other professions. Comprehensive. Covers a broad review of what constitutes child abuse and characteristics of the abused and the abusers; medical, social and legal management of the process of protection; the actions involved in intervention. and training and new directions for research and practice. Authoritative. Contributors are senior professionals known nationally and internationally for their specific expertise in this area. Research based. All books should be, but amongst the professionals most closely involved in child protection, the heavy workload often means there is little time to catch up on and assimilate up-to-date research fully. This book offers a through guide to what research and policy initiatives can give to the practice of the reader. new chapters addressing issues of culture and parenting. each chapter contains key messages for practitioners. key websites have been listed. a website on Evolve with supplementary material. The book has been read but remains in clean condition. All pages are intact and the cover is intact. Some minor wear to the spine.

Paperback. Condizione: Very Good. "Crash Course 2e" has arrived! Building the success of the first editions, the new edition has been written by students for students, giving a first-hand perspective of what it takes to make the grade. This second edition integrates Pharmacology with Clinical Science closer than ever before. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.