Thank you for viewing! I purchased this new for training purposes before, and I've only used it once or twice. There are no markings or folds, and I think it's in very good condition♪ There are QR codes in various places, and you can learn by actually watching videos, making it very easy to understand! Also, there's a problem set at the end! If you have any questions, please feel free to comment! Price negotiations are also possible! Instant purchase is welcome! - Title: Neonatal Resuscitation Textbook 4th Edition - Publisher: Medical View Co., Ltd. - List Price: 4,000 yen + tax