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Acknowledgements It is a pleasure to record my gratitude to Charles Fry and Sue Deeley of Butterworths and to Marie-Louise Autin and Beryl Laatz who patiently oversaw the gestation of the manuscript. I must also express my thanks to the authors of many fine monographs, to all my teachers, and students, and to my patients who all provided moments of insight. Their sagacity accounts for many useful tips, the errors are mine. Dr Michael Johnson read the text and made many useful suggestions. Mr Peter Hamilton kindly provided some of the retinal photographs. Permission to reproduce figures was kindly granted by the Oxford University Press, the editors of the Oxford Textbook of Medicine and the publishers and editor of the British Journal of Hospital Medi- cine, the Physician, and the British Medical Bulletin. I am grateful to Dr Ben Aspey and to the staff of the Department of Medical Illustration of the University College and Middlesex School of Medicine for their skilled assistance with the figures and tables.
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