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Books > Medicine > Surgery

Volume 46, Issue 2, An Issue of Orthopedic Clinics, Volume 46-2 (Hardcover, 46th edition): Asif M. Ilyas Volume 46, Issue 2, An Issue of Orthopedic Clinics, Volume 46-2 (Hardcover, 46th edition)
Asif M. Ilyas
R1,799 Discovery Miles 17 990 Ships in 12 - 19 working days

Each issue of Orthopedic Clinics offers clinical review articles on the most cutting edge technologies, techniques, and more in the field. Major topic areas include: adult reconstruction, upper extremity, pediatrics, trauma, oncology, hand, foot & ankle, and sports medicine.

Surgical Infections, An Issue of Surgical Clinics, Volume 94-6 (Hardcover, Uk Ed.): Robert G. Sawyer Surgical Infections, An Issue of Surgical Clinics, Volume 94-6 (Hardcover, Uk Ed.)
Robert G. Sawyer
R1,775 Discovery Miles 17 750 Ships in 12 - 19 working days

Editors Robert Sawyer and Tracy Hedrick and authors review the latest in Surgical Infections. Articles will include Bloodstream Infections and Central Line-Associated Bloodstream Infections; Surgical Intervention for Thoracic Infections; Intra-abdominal Infections; Clostridium difficile infection; Urinary Tract Infections; Surgical Site Infections; Prosthetic Joint Infections; Resistant Pathogens, Fungi, and Viruses; Infection Control in the Intensive Care Unit; Pneumonia; Differences Between Murine and Human sepsis; of the intestinal Microbiome and the emerging pathobiome; Advancing Technologies for the Diagnosis and Management of Infections; Upcoming Rules and Benchmarks Affecting the Monitoring and Payment for Surgical Infections; and more!

Pediatric Orthopedics, An Issue of Pediatric Clinics, Volume 61-6 (Hardcover, 61st edition): P. Christopher Cook Pediatric Orthopedics, An Issue of Pediatric Clinics, Volume 61-6 (Hardcover, 61st edition)
P. Christopher Cook
R2,049 Discovery Miles 20 490 Ships in 12 - 19 working days

Dr. Cook has compiled a list of articles that will be highly relevant to practicing pediatricians because he organized the issue on issues that are most commonly seen, those that may have confusing assessment and management recommendations, and those that may have some change or advancement in treatment. The issue is focused on 4 major sections: the hip, sports, office pediatric orthopedics, and advances in pediatric orthopedics. Readers will leave with a thorough update on the most common orthopedic clinical challenges that face them in their practice.

Year Book of Vascular Surgery 2014 (Hardcover, UK ed.): David L Gillespie Year Book of Vascular Surgery 2014 (Hardcover, UK ed.)
David L Gillespie
R3,109 Discovery Miles 31 090 Ships in 12 - 19 working days

The Year Book of Vascular Surgery brings you abstracts of the articles that reported the year's breakthrough developments in vascular surgery, carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice. There's no faster or easier way to stay informed! Hot topics include: Coronary Disease, Epidemiology, Vascular Laboratory and Imaging, Carotid and Cerebrovascular Disease, and Grafts and Graft Complications.

Cutaneous Lymphomas, An Issue of Surgical Pathology Clinics, Volume 7-2 (Hardcover): Antonio Subtil Cutaneous Lymphomas, An Issue of Surgical Pathology Clinics, Volume 7-2 (Hardcover)
Antonio Subtil
R1,767 Discovery Miles 17 670 Ships in 12 - 19 working days

Knowledge of cutaneous lymphomas has been growing significantly as a result of important discoveries in immunology, molecular biology, and immunohistochemistry. Improved clinical pathologic correlation and follow-up data, as well as the synergistic collaboration among different lymphoma registries and specialists from several academic medical centers have greatly contributed to the understanding of the difficult field of cutaneous lymphoproliferative disorders. While these advances have increased understanding of skin lymphomas, they have also produced an extensive and sometimes confusing litany of articles, studies, and classification schemes. This issue on Cutaneous Lymphomas in Surgical Pathology Clinics provides an organized and updated review of this challenging topic by leading experts. It bridges critical knowledge gaps in the diagnosis of cutaneous lymphomas. Sezary Syndrome, Mycosis Fungoides and variants are presented along with B-cell, CD30, lymphoproliferative disorders among others. In addition to multiple clinical and microscopic images, tables and algorithms are presented to aid in diagnosis and staging. Beyond its usefulness to general pathologists, dermatopathologists, and hematopathologists, this information is intended to be helpful for dermatologists, hematologists/oncologists, fellows, and residents.

Techniques in Revision Hip and Knee Arthroplasty (Hardcover): Giles R. Scuderi Techniques in Revision Hip and Knee Arthroplasty (Hardcover)
Giles R. Scuderi
R5,199 Discovery Miles 51 990 Ships in 12 - 19 working days

Techniques in Revision Hip and Knee Arthroplasty is the one authoritative volume that gives you an efficient, problem-based approach to revision arthroplasty of both the hip and knee. Dr. Giles Scuderi and other leading experts from North America and Western Europe present their favored surgical procedures and post-surgical management strategies in this straightforward, heavily illustrated, video-intensive reference. It's your one-stop, go-to guide for successful revision surgery for a myriad of complications, such as implant loosening, polyethylene wear, osteolysis, or infection of the hip and knee. Get expert guidance on implant choice, management of complications (including infection and wound healing), and failure of mechanisms, as well as step-by-step surgical techniques. Quickly find the exact information you need with a straightforward "just what you need to know" approach, including surgical tips and pearls. Stay up to date with new insights regarding anatomic landmarks, recommended reconstruction options in revision surgery, including management of bone defects and instability. Access the fully searchable contents of the book and an abundance of surgical videos online at Expert Consult.

Invasive Studies of the Human Epileptic Brain - Principles and Practice (Hardcover): Samden D. Lhatoo, Philippe Kahane, Hans O.... Invasive Studies of the Human Epileptic Brain - Principles and Practice (Hardcover)
Samden D. Lhatoo, Philippe Kahane, Hans O. Luders
R8,894 Discovery Miles 88 940 Ships in 12 - 19 working days

No other neurological condition allows the same opportunities for an intracranial electrophysiological study of the human brain as epilepsy does. Epileptic surgery is designed to remove the epileptic focus from the human brain, thereby effecting either cure or substantial reduction of seizures in an individual with an otherwise intractable condition. Its use as a treatment modality dates from the late 19th century, and it has become a widely used treatment option throughout the world in the last 20-30 years. The complexity of epilepsy cases in surgical centres, and the need for invasive electrode studies for pre-surgical evaluation, are both greatly increasing. Invasive Studies of the Human Epileptic Brain is the definitive reference text on the use of invasive electroencephalographic (EEG) diagnostic studies in human epilepsy. Written by some of the most renowned epilepsy experts of the 20th and 21st centuries, the authors provide their expertise and insights into the identification and mapping of intracranial epileptiform and non-epileptiform activity, mapping of the human brain function, and approaches in the use of invasive electroencephalography in a variety of clinical situations. The book is organized into an easily readable series of chapters and is brilliantly illustrated with case studies; each providing an intuitively comprehensive approach to invasive brain studies.

Biomaterials in Plastic Surgery - Breast Implants (Hardcover, New): W. Peters, H. Brandon, K L Jerina, C Wolf, V L Young Biomaterials in Plastic Surgery - Breast Implants (Hardcover, New)
W. Peters, H. Brandon, K L Jerina, C Wolf, V L Young
R4,098 Discovery Miles 40 980 Ships in 12 - 19 working days

Employed for both cosmetic and reconstructive purposes, breast implants are one of the most widely-used and controversial prostheses available. The development of safe, reliable products is vital to the future of this important field of surgery. Biomaterials in plastic surgery reviews the history, materials and safety issues associated with breast implants.
Beginning with an introduction to the history of biomaterials used for breast augmentation, Biomaterials in plastic surgery goes on to discuss development issues. It then discusses the chemistry and physical properties of biomedical silicones before reviewing cohesive gel and polyurethane foam implants. The book concludes by analysing the epidemiological evidence on the safety issues relating to breast implants, followed by a review of retrieval and analysis of breast implants emphasizing strength, durability and failure mechanisms.
With its distinguished editors and international team of expert contributors, Biomaterials in plastic surgery is an important guide for surgeons, manufacturers and all those researching this important field.
Comprehensively examines the history, materials and safety issues associated with breast implantsProvides an overview of the history of biomaterials used for breast augmentation and goes on to discuss the development and chemical and physical properties of biomedical siliconesReviews cohesive gel breast implants and polyurethane foam breast implants

Wear of Orthopaedic Implants and Artificial Joints (Hardcover, New): S. Affatato Wear of Orthopaedic Implants and Artificial Joints (Hardcover, New)
S. Affatato
R4,775 Discovery Miles 47 750 Ships in 12 - 19 working days

Although hip, knee and other orthopaedic implants are well-established prostheses, much remains to be understood about how these implants wear in use. This important book summarises the wealth of recent research in this area and its implications for implant and joint design.
After an introductory overview, the book reviews the causes and prevention of implant wear. Part one discusses fundamental issues such as tissue response to wear, the anatomy and biomechanics of hips and knees as well as the materials and design issues they raise for hip, knee and other types of orthopaedic implant. Part two considers wear phenomena in a range of materials, including ultra-high molecular weight (UHMWPE), metal and ceramic joints. It also covers surgical and other factors influencing wear as well as ways of detecting, analysing and predicting implant wear and failure.
With its distinguished editor and international team of contributors, Wear of orthopaedic implants and artificial joints is a standard reference for implant manufacturers, surgeons and those researching this important area.
Summarises the wealth of recent research into the wear of orthopaedic implants and artificial joints and discusses the implications for implant and joint designReviews the causes and prevention of implant wear, tissue response to wear, the anatomy and biomechanics of hips and knees and the materials and design issues they raise for orthopaedic implantsConsiders wear phenomena in a range of materials, including ultra-high molecular weight (UHMWPE), metal and ceramic joints

Heel Pathology, An Issue of Clinics in Podiatric Medicine and Surgery, Volume 27-3 (Hardcover, UK ed.): George F. Wallace Heel Pathology, An Issue of Clinics in Podiatric Medicine and Surgery, Volume 27-3 (Hardcover, UK ed.)
George F. Wallace
R1,762 Discovery Miles 17 620 Ships in 12 - 19 working days

This issue will deal with "Heel Pathology" and focus on topics such as: Tarsal Tunnel; Calcaneal Osteomyelitis; Plantar Fasciitis; Exostoses of the Calcaneus; Systemic Disorders affecting the Heel; Sports Injuries of the Heel;Calcaneal Fractures.

Abdominoplasty, An Issue of Clinics in Plastic Surgery, Volume 37-3 (Hardcover, UK ed.): Al S. Aly Abdominoplasty, An Issue of Clinics in Plastic Surgery, Volume 37-3 (Hardcover, UK ed.)
Al S. Aly
R1,771 Discovery Miles 17 710 Ships in 12 - 19 working days

An abdominoplasty or "tummy tuck? is one of the most commonly performed cosmetic plastic surgery procedures. The operation, which is used to make the abdomen more firm, is considered major surgery.? This issue of Clinics in Plastic Surgery provides the most extensive coverage of the various different techniques and tips for successful outcomes available in the literature as a single volume.

Essential Ophthalmic Surgery (Paperback, Uk Ed.): Alexander J. E. Foss Essential Ophthalmic Surgery (Paperback, Uk Ed.)
Alexander J. E. Foss
R1,700 Discovery Miles 17 000 Ships in 12 - 19 working days

The book is divided into three sections: The first section covers basic materials (from choice of suture materials to why powdered gloves can cause latex allergy), instruments (such as why scissors are right or left handed) and basic techniques (for example, how to deliberately tie a slip knot and how to avoid doing so accidentally!). The second section covers local anaesthetic agents and techniques. The third section describes the most commonly performed operations and the complications that may be encountered including how to avoid and how to deal with them. There are also chapters that deal with the highly important but often neglected topics of biometry and orbital and lens implant biomaterials and design. Throughout, the scientific basis has been emphasized where possible. Professionals who work with ophthalmic patients such as nursing staff and optometrists will also find a clear description of the commonly performed procedures to be of interest. * an easy-to-use book, rectifying any immediate gaps in surgical knowledge * a highly practical text which covers everything that the ophthalmic trainee needs to know * beautifully illustrated text, covering all the basic procedures from anesthesia to instruments, wounds and their aftercare to the most commonly performed ophthalmic operations

Long Cases in General Surgery (Paperback, 3rd Revised edition): R. Rajamahendran Long Cases in General Surgery (Paperback, 3rd Revised edition)
R. Rajamahendran
R999 Discovery Miles 9 990 Ships in 12 - 19 working days

Provides the complete knowledge about the history to be asked in the long cases for examinations and points out all the examination aspects. Contains more than 50 diagrams and illustrated photographs, which make the readers to understand easily. It includes a lot of tables and boxes with important points needed for the examination time. The book being handy makes it easier for the readers to carry it to the wards and outpatient departments. Thoroughly revised and updated with latest points from various journals and textbooks.

The Ethics of Surgery - Conflicts and Controversies (Hardcover): Robert M. Sade The Ethics of Surgery - Conflicts and Controversies (Hardcover)
Robert M. Sade
R3,877 Discovery Miles 38 770 Ships in 12 - 19 working days

According to popular belief, technical skill is far more important for surgeons than thoughtful deliberation. Nothing could be further from the truth. Although surgeons must sometimes make decisions rapidly on the basis of incomplete evidence and must respond to unexpected catastrophes in the operating room rapidly, those events are intermittent - most of the time surgeons deliberate on diagnostic problems and thoughtfully manage postoperative care, which is often intellectually challenging. The relationship of surgeons with their patients is, in a real sense, far more intimate and trusting than that of any other professional, a claim that is supported by the fact that patients surrender their bodies to their surgeons in a state of total helplessness and vulnerability when they undergo anesthesia. Because of that responsibility, no other professional group has a greater sense of dedication to the welfare of their patients than surgeons. Surgical culture is deeply steeped in ethics, and surgeons confront and resolve ethical dilemmas as much or more than most other professionals, although they often may not recognize the situations they resolve are problems in ethics - they are just part of the daily routine. This book is a compendium of articles from the recent surgical literature that address ethical issues chosen by surgeons because they are controversial and pertinent to the practice of surgery. The reader will not find a great deal of sophisticated dissection of fine philosophical distinctions in these discussions of ethical conflicts and controversies in surgery. Instead, they will discover differing viewpoints from thoughtful essayists, mostly surgeons, whose feet are firmly in contact with the ground and who have extensive experience in the real world of surgery, medicine, and law.

The Mind Electric - A Neurologist On The Strangeness And Wonder Of Our Brains (Hardcover): Pria Anand The Mind Electric - A Neurologist On The Strangeness And Wonder Of Our Brains (Hardcover)
Pria Anand
R721 R605 Discovery Miles 6 050 Save R116 (16%) Ships in 10 - 15 working days

In this collection of medical tales “reminiscent of Oliver Sacks...the best of medical writing” (Abraham Verghese, author of The Covenant of Water), a neurologist reckons with the stories we tell about our brains, and the stories our brains tell us.

A girl believes she has been struck blind for stealing a kiss. A mother watches helplessly as each of her children is replaced by a changeling. A woman is haunted each month by the same four chords of a single song. In neurology, illness is inextricably linked with narrative, the clues to unraveling these mysteries hidden in both the details of a patient's story and the tells of their body.

Stories are etched into the very structure of our brains, coded so deeply that the impulse for storytelling survives and even surges after the most devastating injuries. But our brains are also porous—the stories they concoct shaped by cultural narratives about bodies and illness that permeate the minds of doctors and patients alike. In the history of medicine, some stories are heard, while others—the narratives of women, of Black and brown people, of displaced people, of disempowered people—are too often dismissed.

In The Mind Electric, neurologist Pria Anand reveals—through case study, history, fable, and memoir—all that the medical establishment has overlooked: the complexity and wonder of brains in health and in extremis, and the vast gray area between sanity and insanity, doctor and patient, and illness and wellness, each separated from the next by the thin veneer of a different story.

Moving from the Boston hospital where she treats her patients, to her childhood years in India, to Isla Providencia in the Caribbean and to the Republic of Guinea in West Africa, she demonstrates again and again the compelling paradox at the heart of neurology: that even the most peculiar symptoms can show us something universal about ourselves as humans.

Intra-articular & Allied Injections (Paperback, 3rd Revised edition): Sureshwar Pandey, Anil Kumar Pandey Intra-articular & Allied Injections (Paperback, 3rd Revised edition)
Sureshwar Pandey, Anil Kumar Pandey
R1,059 Discovery Miles 10 590 Ships in 12 - 19 working days

An intra-articular injection is a procedure used in the treatment of inflammatory joint conditions, such as rheumatoid arthritis, psoriatic arthritis, gout, tendinitis, bursitis, Carpal Tunnel Syndrome, and occasionally osteoarthritis. The new edition of this book has been fully revised to provide orthopaedic surgeons with the latest techniques and drugs used in intra-articular injections. Beginning with an overview of injection techniques, frequency of administration, indications and contraindications, the following chapters explain injections for different joints in the body, including elbow, shoulder, wrist, knee, hip and many more. A complete chapter covers the facial region. The third edition includes new chapters on acupuncture and yoga. Key points Fully revised, third edition covering latest techniques and drugs in intra-articular injections Covers injections in many different joints of the body Features new chapters on acupuncture and yoga Previous edition (9788180615375) published in 2005

Tourette Syndrome (Hardcover): Davide Martino, James F. Leckman Tourette Syndrome (Hardcover)
Davide Martino, James F. Leckman
R6,948 Discovery Miles 69 480 Ships in 12 - 19 working days

Tourette syndrome (TS) is finally recognized as a common neurodevelopmental disorder, and has gained increasingly high social awareness and scientific interest worldwide. Knowledge of its clinical presentation, mechanisms of disease, and available treatment approaches has increased remarkably over the last decade. Likewise, the way clinicians, teachers, social care workers and families face the problems manifested by patients with TS is rapidly evolving. Tourette Syndrome, edited by Davide Martino and James F. Leckman, offers a unique opportunity to capture this interesting momentum through a comprehensive and up-to-date overview. Tourette Syndrome covers all of the main aspects related to TS, analyzing the complexity of its clinical presentation, the novel viewpoints of causes and mechanisms, the best way to assess TS patients, and the multifaceted and multidisciplinary treatment options. The multidisciplinary and up-to-date content is the main asset of this volume, which represents a useful source of consultation for a wide audience of professionals, all of whom will have access to what is known so far on TS within their particular area of expertise, at the same time being able to expand and update their knowledge in other areas. Medical and PhD students, as well as post-doctoral scientists, will be able to use the volume as a valuable learning source. Also, questions for future research are clearly presented in the volume, providing a summary of the viewpoint of the contributing authors upon where research on TS should be heading. Finally, clinicians and other health professionals will have access at a glance to the main patients' associations and organizations dedicated to TS worldwide, which can facilitate the direct contact with patients.

Supportive Care in Heart Failure (Hardcover): James Beattie, Sarah Goodlin Supportive Care in Heart Failure (Hardcover)
James Beattie, Sarah Goodlin
R4,416 Discovery Miles 44 160 Ships in 12 - 19 working days

Heart failure occurs in almost epidemic proportions, placing a huge burden on both the healthcare system, and sufferers and their families. This can only rise over coming years as the ageing population, particularly in industrialized countries, increasingly suffers from heart failure and its related comorbidities. The care of this group of patients has evolved significantly over recent years as our knowledge and understanding of the pathophysiology of heart failure has developed. It has become evident that supportive care is integral to comprehensive heart failure care, and this book provides an evidence-based overview of heart failure aetiology, its management, and the supportive care required by patients throughout the course of their disease. Supportive Care in Heart Failure integrates the complexities of heart failure care, bridging knowledge bases from cardiology and cardiothoracic surgery, general medicine and palliative care. The book reviews essential information about epidemiology and pathophysiology of heart failure, and evidence-based medical, device, surgical and interdisciplinary management. It addresses the evaluation and management of quality of life, common symptoms and problems associated with heart failure, and the holistic approach to supportive care throughout the course of the illness through the end of life. Prognostication, communication, and ethical decision making are reviewed in detail. Heart failure has traditionally presented a challenge to physicians, as a generally progressive condition with significant symptoms, a poor quality of life, and high mortality. But by applying the principles of palliative medicine, it is possible to offer a supportive care approach that synthesizes the experience of both the heart failure specialist and the palliative care physician, and offers the best possible quality of care to this group of patients.

Death, Dying, and Organ Transplantation - Reconstructing Medical Ethics at the End of Life (Hardcover): Franklin G. Miller,... Death, Dying, and Organ Transplantation - Reconstructing Medical Ethics at the End of Life (Hardcover)
Franklin G. Miller, Robert D. Truog
R2,508 Discovery Miles 25 080 Ships in 12 - 19 working days

In Death, Dying, and Organ Transplantation: Reconstructing Medical Ethics at the End of Life, Miller and Truog challenge fundamental doctrines of established medical ethics. They argue that the routine practice of stopping life support technology in hospitals causes the death of patients and that donors of vital organs (hearts, lungs, liver, and both kidneys) are not really dead at the time that their organs are removed for life-saving transplantation. These practices are ethically legitimate but are not compatible with traditional rules of medical ethics that doctors must not intentionally cause the death of their patients and that vital organs can be obtained for transplantation only from dead donors.
In this book Miller and Truog undertake an ethical examination that aims to honestly face the reality of medical practices at the end of life. They expose the misconception that stopping life support merely allows patients to die from their medical conditions, and they dispute the accuracy of determining death of hospitalized patients on the basis of a diagnosis of "brain death" prior to vital organ donation. After detailing the factual and conceptual errors surrounding current practices of determining death for the purpose of organ donation, the authors develop a novel ethical account of procuring vital organs. In the context of reasonable plans to withdraw life support, still-living patients are not harmed or wronged by organ donation prior to their death, provided that valid consent has been obtained for stopping treatment and for organ donation.
Recognizing practical difficulties in facing the truth regarding organ donation, the authors also develop a pragmatic alternative account based on the concept of transparent legal fictions. In sum, Miller and Truog argue that in order to preserve the legitimacy of end-of-life practices, we need to reconstruct medical ethics.

International Clinics, Vol. 4: A Quarterly of Clinical Lectures (Classic Reprint) (Paperback): unknownauthor International Clinics, Vol. 4: A Quarterly of Clinical Lectures (Classic Reprint) (Paperback)
unknownauthor
R543 Discovery Miles 5 430 Ships in 12 - 19 working days
Metatarsalgia (Morton's Painful Affection of the Foot): Its Causes, Symptoms, and Treatment; With Illustrative Cases and... Metatarsalgia (Morton's Painful Affection of the Foot): Its Causes, Symptoms, and Treatment; With Illustrative Cases and Bibliography (Classic Reprint) (Paperback)
Thomas S K Morton
R394 Discovery Miles 3 940 Ships in 12 - 19 working days
International Clinics, Vol. 2: A Quarterly of Clinical Lectures (Classic Reprint) (Paperback): unknownauthor International Clinics, Vol. 2: A Quarterly of Clinical Lectures (Classic Reprint) (Paperback)
unknownauthor
R536 Discovery Miles 5 360 Ships in 12 - 19 working days
International Clinics, Vol. 3: A Quarterly of Clinical Lectures on Medicine, Neurology, Surgery, GynA|cology, Obstetrics,... International Clinics, Vol. 3: A Quarterly of Clinical Lectures on Medicine, Neurology, Surgery, GynA|cology, Obstetrics, Ophthalmology, Laryngology, Pharyngology, Rhinology, Otology, and Dermatology, and Specially Prepared Articles on Treatment, 1897 (Paperback)
Judson Daland
R559 Discovery Miles 5 590 Ships in 12 - 19 working days
Philadelphia Medical Times, Vol. 8: A Bi-Weekly Journal of Medical and Surgical Science; September 28, 1878 (Classic Reprint)... Philadelphia Medical Times, Vol. 8: A Bi-Weekly Journal of Medical and Surgical Science; September 28, 1878 (Classic Reprint) (Paperback)
Horatio C. Wood
R396 Discovery Miles 3 960 Ships in 12 - 19 working days
Progressive Medicine, Vol. 1: A Quarterly Digest of Advances, Discoveries and Improvements, in the Medical and Surgical... Progressive Medicine, Vol. 1: A Quarterly Digest of Advances, Discoveries and Improvements, in the Medical and Surgical Sciences; March, 1911; Surgery of the Head, Neck, and Thorax; Infectious Diseases, Including Acute Rheumatism, Croupous Pneumonia, and (Paperback)
Hobart Amory Hare
R537 Discovery Miles 5 370 Ships in 12 - 19 working days
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