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Books > Medicine > Clinical & internal medicine > Medical diagnosis > General

Diagnosis - Truths and Tales (Paperback): Annemarie Jutel Diagnosis - Truths and Tales (Paperback)
Annemarie Jutel
R677 Discovery Miles 6 770 Ships in 10 - 15 working days

The announcement of a serious diagnosis is a solemn moment when directions shift, priorities change, and life appears in sharper focus. It is also a moment when a story takes shape. It is a story we are able to imagine, even if we haven't experienced it firsthand, because the moment of diagnosis is as pervasive in popular media as it is in medicine. Diagnosis: Truths and Tales shares stories told from the perspectives of those who receive diagnoses and those who deliver them. Confronting how we address illness in our personal lives and in popular culture, this compelling book explores narratives of diagnosis while pondering the impact they have on how we experience health and disease.

Abdominal Stomas and Their Skin Disorders (Hardcover, 2nd edition): Callum C. Lyon, Amanda Smith Abdominal Stomas and Their Skin Disorders (Hardcover, 2nd edition)
Callum C. Lyon, Amanda Smith
R5,775 Discovery Miles 57 750 Ships in 10 - 15 working days

This innovative handbook bridges the gap between the colorectal surgeon, the stoma nurse and the dermatologist. It addresses the questions of what pathology is involved, what can be done by nurses, when to refer to a dermatologist, and what can be done by a dermatologist. Now in its second edition, the book has been revised throughout and contains new information on nutrition and child stoma patients.

The Transparent Body - A Cultural Analysis of Medical Imaging (Paperback): Jose van Dijck The Transparent Body - A Cultural Analysis of Medical Imaging (Paperback)
Jose van Dijck
R775 Discovery Miles 7 750 Ships in 10 - 15 working days

From the potent properties of X rays evoked in Thomas Mann's Magic Mountain to the miniaturized surgical team of the classic science fiction film Fantastic Voyage, the possibility of peering into the inner reaches of the body has engaged the twentieth-century popular and scientific imagination. Drawing on examples that are international in scope, The Transparent Body examines the dissemination of medical images to a popular audience, advancing the argument that medical imaging technologies are the material embodiment of collective desires and fantasies--the most pervasive of which is the ideal of transparency itself. The Transparent Body traces the cultural context and wider social impact of such medical imaging practices as X ray and endoscopy, ultrasound imaging of fetuses, the filming and broadcasting of surgical operations, the creation of plastinated corpses for display as art objects, and the use of digitized cadavers in anatomical study. In the early twenty-first century, the interior of the body has become a pervasive cultural presence - as accessible to the public eye as to the physician's gaze. Jose van Dijck explores the multifaceted interactions between medical images and cultural ideologies that have brought about this situation. The Transparent Body unfolds the complexities involved in medical images and their making, illuminating their uses and meanings both within and outside of medicine. Van Dijck demonstrates the ways in which the ability to render the inner regions of the human body visible - and the proliferation of images of the body's interior in popular media - affect our view of corporeality and our understanding of health and disease. Written in an engaging style that brings thought-provoking cultural intersections vividly to life, The Transparent Body will be of special interest to those in media studies, cultural studies, science and technology studies, medical humanities, and the history of medicine.

Washington Manual (R) General Internal Medicine Consult (Paperback, 3rd edition): Thomas Ciesielski Washington Manual (R) General Internal Medicine Consult (Paperback, 3rd edition)
Thomas Ciesielski
R1,558 Discovery Miles 15 580 Ships in 10 - 15 working days

Concise, portable, and user-friendly, The Washington Manual (R) General Internal Medicine Consult, Third Edition , provides quick access to the essential information needed when performing an inpatient consult. Chapters are organized around presenting symptom (e.g., approach to nausea, approach to low back pain), allowing quick look-up of differential diagnosis and management. Ideal for medical students, residents, and practitioners, the manual is also useful as a quick-reference guide for practicing hospitalists. Key Features: Brief, focused information throughout, zeroing in on the essential diagnosis and assessment information you need for an internal medicine consult. Thoroughly revised to include new approaches to diagnosis and new therapeutic management, as well as an all-new chapter on venous thromboembolic disease. Organized by presenting symptom, making information easy to find so you can maximize your time spent during the consult. Perfect for residents asked to perform a medical consult, hospitalists, students, NPs, and PAs. Written by residents, fellows, and attending physicians from the Washington University School of Medicine in St. Louis. Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC & Mac. Take advantage of these practical features that will improve your eBook experience: The ability to download the eBook on multiple devices at one time - providing a seamless reading experience online or offline Powerful search tools and smart navigation cross-links allow you to search within this book, or across your entire library of VitalSource eBooks Multiple viewing options offer the ability to scale images and text to any size without losing page clarity as well as responsive design The ability to highlight text and add notes with one click

Nurses' Handbook of Health Assessment (Spiral bound, Tenth, North American Edition): Janet R Weber Nurses' Handbook of Health Assessment (Spiral bound, Tenth, North American Edition)
Janet R Weber
R2,091 Discovery Miles 20 910 Ships in 18 - 22 working days

Renowned for its holistic perspective and "see and do" approach, Nurses' Handbook of Health Assessment, 10th Edition delivers streamlined, step-by-step guidance at every phase of nursing assessment to help students ensure accurate and effective assessments across all patient populations. This full-color handbook - updated to reflect the latest clinical insights in Health Assessment for Nursing, 7th Edition - details everything students need to interview clients and conduct thorough physical assessments with ease, including up-to-date assessment guidelines, full-color anatomy and physiology illustrations, images of normal and abnormal findings, and more - all in a convenient format ideal for today's on-the-go learning. Ensure mastery of essential nursing skills and equip students for success throughout the nursing education continuum with the complete Health Assessment in Nursing, 7th Edition solution (available for separate purchase): Health Assessment in Nursing, 7th Edition Lippincott (R) CoursePoint+ for Health Assessment in Nursing, 7th Edition Nurses' Handbook of Health Assessment, 10th Edition vSim (R) for Nursing / Health Assessment Lippincott (R) DocuCare

Visualization in Medicine and Life Sciences III - Towards Making an Impact (Paperback, Softcover reprint of the original 1st... Visualization in Medicine and Life Sciences III - Towards Making an Impact (Paperback, Softcover reprint of the original 1st ed. 2016)
Lars Linsen, Bernd Hamann, Hans-Christian Hege
R4,915 Discovery Miles 49 150 Ships in 18 - 22 working days

The book discusses novel visualization techniques driven by the needs in medicine and life sciences as well as new application areas and challenges for visualization within these fields. It presents ideas and concepts for visual analysis of data from scientific studies of living organs or to the delivery of healthcare. Target scientific domains include the entire field of biology at all scales - from genes and proteins to organs and populations - as well as interdisciplinary research based on technological advances such as bioinformatics, biomedicine, biochemistry, or biophysics. Moreover, they comprise the field of medicine and the application of science and technology to healthcare problems. This book does not only present basic research pushing the state of the art in the field of visualization, but it also documents the impact in the fields of medicine and life sciences.

Laws of Medicine (Paperback): Mukherjee Laws of Medicine (Paperback)
Mukherjee
R413 Discovery Miles 4 130 Ships in 18 - 22 working days
Lab Values - An Easy Guide to Learn Everything You Need to Know About Laboratory Medicine and Its Relevance in Diagnosing... Lab Values - An Easy Guide to Learn Everything You Need to Know About Laboratory Medicine and Its Relevance in Diagnosing Disease (Paperback)
Nathan Orwell
R492 Discovery Miles 4 920 Ships in 18 - 22 working days
Pocket Guide to ECG Diagnosis (Paperback, 2nd Edition): Chung Pocket Guide to ECG Diagnosis (Paperback, 2nd Edition)
Chung
R2,001 Discovery Miles 20 010 Ships in 10 - 15 working days

Following the highly successful model of the first edition, "Pocket Guide to ECG Diagnosis, 2e" describes every known common ECG abnormality and cardiac arrhythmia with a practical and clinical approach. On the left page of the book, each abnormality is described precisely and concisely, including definition, diagnostic criteria, and diagnostic pearls. On the right page, a crystal clear reproduction of a given ECG abnormality is shown. This at-a-glance format makes this Pocket Guide effective for quick interpretation of ECGs. Dr. Ching has updated and revised the entire book and included over 20 new ECGs in this edition.

New Hybrid Intelligent Systems for Diagnosis and Risk Evaluation of Arterial Hypertension (Paperback, 1st ed. 2018): Patricia... New Hybrid Intelligent Systems for Diagnosis and Risk Evaluation of Arterial Hypertension (Paperback, 1st ed. 2018)
Patricia Melin, German Prado-Arechiga
R1,614 Discovery Miles 16 140 Ships in 18 - 22 working days

In this book, a new approach for diagnosis and risk evaluation of ar-terial hypertension is introduced. The new approach was implement-ed as a hybrid intelligent system combining modular neural net-works and fuzzy systems. The different responses of the hybrid system are combined using fuzzy logic. Finally, two genetic algo-rithms are used to perform the optimization of the modular neural networks parameters and fuzzy inference system parameters. The experimental results obtained using the proposed method on real pa-tient data show that when the optimization is used, the results can be better than without optimization. This book is intended to be a refer-ence for scientists and physicians interested in applying soft compu-ting techniques, such as neural networks, fuzzy logic and genetic algorithms, in medical diagnosis, but also in general to classification and pattern recognition and similar problems.

Dermatopathology of Tropical Diseases - Pathology and Clinical Correlations (Hardcover): Omar P Sangüeza, Martin Sangüeza,... Dermatopathology of Tropical Diseases - Pathology and Clinical Correlations (Hardcover)
Omar P Sangüeza, Martin Sangüeza, Francisco Bravo
R4,132 Discovery Miles 41 320 Ships in 10 - 15 working days

The majority of tropical diseases manifest themselves through the skin, and while many can be diagnosed on physical examination, dermatopathologic results are often of critical importance to the diagnostic process. However, general dermatopathology texts lack images of diseases endemic in the developing world; they also lack clinical correlates linking the pathology to the clinical entity. This is a problem, because greater movement between countries where tropical diseases are prevalent and Europe, North America and other developed nations makes it essential for physicians to be able to recognize, diagnose and treat these diseases. Dermatopathology of Tropical Diseases covers the pathology and clinical correlations of the most important tropical diseases. Each entity is described using brief text that summarises its epidemiology, pathogenesis and clinical features. The diagnostic process is then described and illustrated using both clinical and histopathologic images. Wherever possible, different examples are shown of the same disease, in order to illustrate as wide a variety of presentations as possible. Extensively illustrated with almost 600 photographs, Dermatopathology of Tropical Diseases is an invaluable resource for dermatopathologists, pathologists and dermatologists based in the developing world as well as those in developed countries who see tropical diseases in returned travellers and immigrant populations. Key features Includes chapters on all major tropical diseases, with both clinical and histopathological images provided for each entity, allowing the reader to correlate pathological characteristics with the clinical presentation of each disease Wherever possible, different examples of the same disease are shown, to illustrate the variety of presentations Lavishly illustrated with almost 600 colour photographs

The Intercorrelation of Traumatic Brain Injury and PTSD in Neuropsychological Evaluations (Paperback, 1st ed. 2016): Charles J.... The Intercorrelation of Traumatic Brain Injury and PTSD in Neuropsychological Evaluations (Paperback, 1st ed. 2016)
Charles J. Golden, Lucas D. Driskell, Lisa K Lashley
R1,539 Discovery Miles 15 390 Ships in 18 - 22 working days

This concise reference clarifies the gray areas between traumatic brain injury and PTSD while providing an empirically sound framework for neuropsychological evaluation and differential diagnosis. Its extended research review summarizes findings on key topics including the neuroanatomy of brain injury, test battery design and selection, and the salience of accurate diagnosis to ensuring appropriate specialized treatment. The authors offer the possibility of combined diagnosis as well as injuries that may fall through the diagnostic cracks, and consider possible relationships between TBI, PTSD, and the dementias, including Alzheimer's disease. This knowledge base and the practical guidelines it informs are presented so that readers can better: * Understand the clinical distinctions between TBI and PTSD, and among forms of TBI. * Recognize cognitive, behavioral, emotional, and social components of the disorders. * Identify skill areas for neuropsychological evaluation of patients. * Select appropriate instruments for individualized assessment.* Address test administration and interpretation concerns. * Make an accurate differential diagnosis between PTSD and TBI. With its sharp focus on the nuances of trauma and recovery, The Intercorrelation of Traumatic Brain Injury and PTSD in Neuropsychological Evaluations will find a wide, interested audience among psychologists, neuropsychologists, neurologists, psychiatrists, social workers, mental health counselors, undergraduate and graduate level students, and researchers. In addition, this text may be useful for those interested in psychology and neurology. <

Immunoassays - Essential Data (Paperback): R. Edwards Immunoassays - Essential Data (Paperback)
R. Edwards
R2,347 Discovery Miles 23 470 Ships in 10 - 15 working days

Immunoassays Edited by R. Edwards Immunoassays are among the most widely used of analytical techniques and have been applied successfully to an extensive range of substances, from single molecules to whole cells. This book provides key data on all types of immunoassay, including RIA, ELISA and dry surface immunoassays, and on the use of photoluminescent and chemiluminescent labels in immunoassays. Essential information is also given on assay design and data processing. The Essential Data series provides rapid access to the core data required by researchers on a daily basis, in convenient pocket-sized volumes.

Das Fetale Alkoholsyndrom - Im Kindes- Und Erwachsenenalter (German, Hardcover, 2nd Updated and Expanded ed.): Hans-Ludwig Spohr Das Fetale Alkoholsyndrom - Im Kindes- Und Erwachsenenalter (German, Hardcover, 2nd Updated and Expanded ed.)
Hans-Ludwig Spohr; Contributions by Heike Wolter, Gela Becker, Mirjam Landgraf, Florian Heinen, …
R3,167 R2,492 Discovery Miles 24 920 Save R675 (21%) Ships in 18 - 22 working days
Art & Science of Foot Care - A Clinical Resource for Nurses in Canada (Paperback): Cindy L M Lazenby Art & Science of Foot Care - A Clinical Resource for Nurses in Canada (Paperback)
Cindy L M Lazenby
R2,266 Discovery Miles 22 660 Ships in 18 - 22 working days
Modern Epidemiology (Paperback, 4th edition): Timothy L. Lash, Tyler J. Vanderweele, Sebastien Haneuse, Kenneth J. Rothman Modern Epidemiology (Paperback, 4th edition)
Timothy L. Lash, Tyler J. Vanderweele, Sebastien Haneuse, Kenneth J. Rothman
R2,545 Discovery Miles 25 450 Ships in 10 - 15 working days

Selected as a Doody's Core Title for 2022! Now in a fully revised 4th Edition, Modern Epidemiology remains the gold standard text in this complex and evolving field, offering unparalleled, comprehensive coverage of the principles and methods of epidemiologic research. Featuring a new, full-color design, updated models, and a new format allowing space for margin notes, this edition continues to provide authoritative information on the methodologic issues crucial to the wide range of epidemiologic applications in public health and medicine. Reflects both the conceptual development of this evolving science and the increasing role that epidemiology plays in both public health and medicine. Features a new full-color design, new coverage of marginal structural models, new instrumental variable analysis, updated structural nested models, and more. Covers a broad range of concepts and methods, including epidemiologic measures of occurrence and effect, study designs, validity, precision, statistical interference, field methods, and causal diagrams. Includes data analysis topics such as Bayesian analysis, sensitivity analysis, and bias analysis, with an extensive overview of modern regression methods including logistic and survival regression, splines, hierarchical (multilevel) regression, propensity scores and other scoring methods, and g-estimation. Discusses special topics such as disease surveillance, ecologic studies, social epidemiology, infectious disease epidemiology, genetic and molecular epidemiology, nutritional epidemiology, environmental epidemiology, reproductive epidemiology, clinical epidemiology, and meta-analysis. Coauthored by three leading epidemiologists, with contributions from experts in a variety of epidemiologic sub-disciplines.

Collimator-Based Tracking with an Add-On Multileaf Collimator - Modification of a commercial collimator system for realtime... Collimator-Based Tracking with an Add-On Multileaf Collimator - Modification of a commercial collimator system for realtime applications (Paperback, 1st ed. 2016)
Andreas Boehler
R1,508 Discovery Miles 15 080 Ships in 18 - 22 working days

In this thesis, a tracking system was developed by modifying an add-on collimator, the Siemens Moduleaf, for realtime applications in radiotherapy. As the add-on collimator works almost completely autonomously of the linear accelerator (LinAc), no modifications to the latter were necessary. The adaptations to the Moduleaf were mainly software-based. In order to reduce the complexity of the system, outdated electronic parts were replaced with newer components where practical. Verification was performed by measuring the latency of the system as well as the impact on applied dose to a predefined target volume, moving in the leaf's travel direction. Latency measurements in software were accomplished by comparing the target and current positions of the leaves. For dose measurements, a Gafchromic EBT2 film was placed beneath the target 4D phantom, in between solid water plates, and moved alongside with it. Based on the results, a tracking-capable add-on collimator seems to be a useful tool for reducing the margins for the treatment of small, slow-moving targets. Radiotherapy is one of the most important methods used for the treatment of cancer. Irradiating a moving target is also one of the most challenging tasks to accomplish in modern radiotherapy.

Differential Diagnosis in Primary Care (Paperback): M. Syed Differential Diagnosis in Primary Care (Paperback)
M. Syed
R1,403 Discovery Miles 14 030 Ships in 10 - 15 working days

Formulating a diagnosis purely on the basis of clinical judgement can be fraught with difficulty and danger, yet this is the challenge faced every day by Primary Care physicians, who rarely have access to the diagnostic tools available to hospital-based colleagues.

"Differential Diagnosis in Primary Care" has been specifically written with the needs of the Primary Care physician in mind.

It examines the potential causes of common presentations and aims to help the physician differentiate between diseases, using history and examination alone.

Diseases are listed in descending order of prevalence, with the commonest causes first, while high-risk conditions are highlighted to ensure they are not overlooked. Its unique tabulated format ensures key information is easily accessible, and the user-friendly format ensures the book can be used during consultations, home visits, and on ward rounds.

Whether used by the undergraduate, postgraduate trainee or the experienced Primary Care physician, "Differential Diagnosis in Primary Care" is an invaluable tool designed to improve the reader's ability to diagnose on the basis of clinical judgement alone.

The Handbook of Biomarkers (Paperback, 2010 ed.): Kewal K. Jain The Handbook of Biomarkers (Paperback, 2010 ed.)
Kewal K. Jain
R4,296 Discovery Miles 42 960 Ships in 18 - 22 working days

Of the thousands of biomarkers that are currently being discovered, relatively few are being validated for further applications, and the potential of a biomarker can be quite difficult to evaluate. To aid in this imperative research, Dr. Kewal K. Jain's Handbook of Biomarkers thoroughly describes many different types of biomarkers and their discovery using various "-omics" technologies, such as proteomics and metabolomics, along with the background information needed for the evaluation of biomarkers as well as the essential procedures for their validation and use in clinical trials. With biomarkers described first according to technologies and then according to various diseases, this detailed book features the key correlations between diseases and classifications of biomarkers, which provides the reader with a guide to sort out current and future biomarkers. Comprehensive and cutting-edge, The Handbook of Biomarkers serves as a vital guide to furthering our understanding of biomarkers, which, by facilitating the combination of therapeutics with diagnostics, promise to play an important role in the development of personalized medicine, one of the most important emerging trends in healthcare today.

Rogi Pariksha & Roga Pariksha - Diagnostic Tools of Ayurveda (Paperback): Madella Gautham Rogi Pariksha & Roga Pariksha - Diagnostic Tools of Ayurveda (Paperback)
Madella Gautham
R487 Discovery Miles 4 870 Ships in 18 - 22 working days
Biomedical Translational Research - From Disease Diagnosis to Treatment (Hardcover, 1st ed. 2022): R.C. Sobti, Awtar Krishan... Biomedical Translational Research - From Disease Diagnosis to Treatment (Hardcover, 1st ed. 2022)
R.C. Sobti, Awtar Krishan Ganju
R4,865 Discovery Miles 48 650 Ships in 10 - 15 working days

The second volume of the Biomedical translational research discusses advancements in biomedical research for understanding the pathophysiology of various diseases towards improving diagnosis and treatment. It presents the integration of molecular-based technologies, clinical genomics, and medical informatics to improve diagnostic and treatment strategies. Further, the book reviews molecular genomics approaches for diagnosis and managing tuberculosis. It also covers the innovative strategies for cancer treatment through targeting metabolic pathways, tumor microenvironment, cancer stem cells, and immune cells. It also illuminates novel strategies for heart failure diagnosis and therapeutic approaches for the treatment of heart failure. It discusses improvements in translational research for discovery of new diagnostic tests, identifying novel biomarkers and drugable targets, and predicting optimal treatments based on understanding the underlying molecular basis of the disease. Lastly, it reviews the preclinical models of restenosis and their application and limitation in the evaluation of device-based interventional technologies for the treatment of coronary artery diseases.

Child Maltreatment Assessment, Volume 3 - Investigation, Care, and Prevention (Hardcover): Debra Esernio-Jenssen, Ruchita... Child Maltreatment Assessment, Volume 3 - Investigation, Care, and Prevention (Hardcover)
Debra Esernio-Jenssen, Ruchita Doshi, Randell Alexander
R1,970 Discovery Miles 19 700 Ships in 18 - 22 working days

Volume 3 of the Child Maltreatment Assessment aims to help readers recognize and comprehend the procedures for the investigation, care, and prevention of child maltreatment. This workbook features topics such as the role of law enforcement officials and medical examiners in child abuse cases, mental health treatment for children who have experienced maltreatment, and methods for preventing abuse in the future. With guides to reporting, testifying, and intervening in cases of abuse, this workbook is a necessity for better preparing professionals and students alike for working with victims of maltreatment. Featuring in-depth descriptions of abusive scenarios along with informational tables and diagrams, this workbook is ideal for professionals who are preparing to investigate and prosecute child maltreatment cases. Each workbook in the Child Maltreatment Assessment series will feature both a test section and photographic atlas at the back of the book. Using this assessment, the reader can review and apply the knowledge they have gained from the chapters within, making this text ideal for self-study or classroom settings. The photographic atlas will contain an additional 80 high-quality images with accompanying case histories.

Diagnosing Giants - Solving the Medical Mysteries of Thirteen Patients Who Changed the World (Hardcover, New): Philip A.... Diagnosing Giants - Solving the Medical Mysteries of Thirteen Patients Who Changed the World (Hardcover, New)
Philip A. Mackowiak
R864 Discovery Miles 8 640 Ships in 10 - 15 working days

Our yesterdays have determined who we are today, and knowledge of our past has the potential to enhance both our understanding of the present and our predictions of the future. Diagnosing Giants traces the history of medicine through the illnesses of some of the most influential figures of the past. Standard biographies all too often pay scant attention to the health issues that affected their subjects. Yet, the diseases suffered by these figures had profound effects on their lives and their legacies. Each chapter opens with a detailed medical history of the patient. Facts relevant to the historical figure's life and legacy are woven into the case summary, and the mystery patient's identity is revealed at the conclusion of the case summary. The author then analyzes the medical history, offers a differential diagnosis and a final diagnosis. Where relevant, the potential effects of the subject's medical problems on his or her life and legacy are discussed. Diagnosing Giants is a must-own volume for medical professionals and history buffs alike.

Making the DSM-5 - Concepts and Controversies (Paperback, 2013 ed.): Joel Paris, James 'Phillips Making the DSM-5 - Concepts and Controversies (Paperback, 2013 ed.)
Joel Paris, James 'Phillips
R2,886 Discovery Miles 28 860 Ships in 18 - 22 working days

In 2013, the American Psychiatric Association published the 5thedition of its"Diagnostic and Statistical Manual of Mental Disorders"(DSM-5). Often referred to as the "bible" of psychiatry, the manual only classifies mental disorders and does not explain them or guide their treatment. While science should be the basis of any diagnostic system, to date, there is no knowledge on whether most conditions listed in the manual are true diseases. Moreover, in DSM-5 the overall definition of mental disorder is weak, failing to distinguish psychopathology from normality. In spite of all the progress that has been made in neuroscience over the last few decades, the psychiatric community is no closer to understanding the etiology and pathogenesis of mental disorders than it was fifty years ago.

In"Making the DSM-5," prominent experts delve into the debate about psychiatric nosology and examine the conceptual and pragmatic issues underlying the new manual. While retracing the historic controversy over DSM, considering the political context and economic impact of the manual, and focusing on what was revised or left unchanged in the new edition, this timely volume addresses the main concerns of the future of psychiatry and questions whether the DSM legacy can truly improve the specialty and advance its goals.

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NP H&p (Paperback): Renursing Edu NP H&p (Paperback)
Renursing Edu
R399 Discovery Miles 3 990 Ships in 18 - 22 working days
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