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You'll find many missing points which you can fill from the internet or from magazines or other resources.
Most of the chapters are excellent and are probably all what you might need for your college study like those on trauma, diseases of the thyroid and parathyroid, metabolic response to injury etc.. but there are some which are disasterous like the chapter on breast conditions, but probably the subject itself is complex and controversial anyway.
The text overall is very well written and the structure and design of each chapter is very logical, some figures are not so great though, plus the book needs an update. you might consider supplementing it with Surgical clinics of north amarica for some of the chapters you read.
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As a final thing worth mentioning, many reviewers here have commented that, owing to its use of dialect (something which Mark Twain uses in every single one of his writings, which is part of the reason why he was such a great writer - not to mention why he is the true father of real American literature), it is hard to understand. If these assertions have bothered you, however, rest assured: they are mightly over-exaggerated. The dialogue, though prevalent, is minor, and the meanings of the words are usually obvious - even to children; after all, one must remember who Twain wrote this book for. Most children who would read this book would probably already be familar with these elementary colloquial phrases from the many King Arthur stories derived from Malory. And, even if not, Twain foresaw this - and was helpful enough to include a useful appendix.
Like many of Mark Twain's books, this is another satire that makes fun of the values that society holds to be important. In this story, Mark Twain points out how people place so much importance on outer appearance. A prince and a pauper, who, despite their outer resemblance are very different people, switch places, without anyone noticing. There is more to a person than their looks, and this is one point stressed throughout the novel.
The one complaint I have about this book is that there wasn't enough written about Tom Canty, the pauper who became a prince. I found his situations much more interesting than those of the true prince, but this was only a minor point.
I would recommend this book for ages 12 and older. Younger people could read the story, but miss the underlying meanings in certain situations. I wouldn't call this book a "Must Read" but it is a good introduction to classic literature.
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