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Edited by David A. Warrell, Timothy M. Cox, John D. Firth

Online access to the Oxford Textbook of Medicine in low and middle income countries is available through the World Health Organization-led HINARI Access to Research in Health programme

Latest update

The November 2012 update sees updates to over 70 chapters, focusing on Neurology and Gastroenterology. This update also incorporates a selection of 29 Case Histories taken from related titles in the Oxford Case Histories series, linked to from related chapters. Each case includes several questions followed by detailed answers and discussion to enhance diagnostic and clinical understanding.

Neurology updates include substantial updates to key chapters and new material on a wide range of topics including spinal cord injury, autonomic nervous system disorders, and inherited neurodegenerative diseases. 

Gastroenterology updates
include extensive revisions of key chapters on liver failure and acute pancreatitis and new material on a wide range of matters, ranging from the common to the rare: including surgical treatments for colonic diverticular disease, antibody tests for immune disorders, and a revised treatment algorithm for small bowel bacterial overgrowth.

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Disclaimer

Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.

Contents

Modern medicine: foundations, achievements, and limitations

  1. 2.1 Scientific background to medicine [link]

    1. 2.1.1 Science in medicine: when, how, and what [link]

      W.F. Bynum

    2. 2.1.2 Evolution: medicine’s most basic science [link]

      Randolph M. Nesse and Richard Dawkins

  2. 2.2 Medical ethics [link]

    Tony Hope

  3. 2.3 Evidence-based medicine [link]

    1. 2.3.1 Bringing the best evidence to the point of care [link]

      Paul P. Glasziou

    2. 2.3.2 Evidence-based medicine—does it apply to my particular patient? [link]

      Louis R. Caplan

    3. 2.3.3 Large-scale randomized evidence: trials and meta-analyses of trials [link]

      C. Baigent, R. Peto, R. Gray, S. Parish, and R. Collins

    4. 2.3.4 The future of clinical trials [link]

      Perry Nisen and Patrick Vallance

  4. 2.4 Funding of health care [link]

    1. 2.4.1 The evaluation and provision of effective medicines [link]

      Michael D. Rawlins

    2. 2.4.2 Reasonableness and its definition in the provision of health care [link]

      Norman Daniels

    3. 2.4.3 Priority setting in developed and developing countries [link]

      Nigel Crisp

    4. 2.4.4 Sustaining innovation in an era of specialized medicine [link]

      Henri A. Termeer

  5. 2.5 Complementary and alternative medicine [link]

    E. Ernst