"Child Health for Childcare Workers: What You Need to Know!" Mieko Suzuki, Yuko Uchiyama The cover has scratches, and as shown in the photos, there are writings, markings, etc. inside. The name was written on the cover, so it has been erased with nail polish remover. Please purchase with the understanding that this is a used item. Please refrain from purchasing if you are a perfectionist or are concerned about minor details. Instant purchase is OK. I am also selling various other items, so please take a look if you'd like (*^*)