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This is a black and white loose-leaf version with 3 hole punch and is not intended to have the same quality as the original title. This product will NOT ship with a binder but will come shrink wrapped. The title is print on demand which means that they are printed as they are ordered so please allow 7-10 days for shipping on this product. The low cost Print On Demand book can ONLY BE PURCHASED online when you are ALSO purchasing a CoursePoint, CoursePoint(+), or CoursePoint for Concepts online product in your online shopping cart. This title can NOT be purchased by itself. This product is NON-RETURNABLE .Vital Disease Information for Your Success in Nursing Ready yourself for the realities of professional nursing practice with this proven approach to pathophysiology. Distilling need-to-know disease content in a clear, accessible format, Porth’sEssentials of Pathophysiology offers concise yet complete coverage of how the body works to help you establish the scientific foundation essential to success in your nursing career.