In offering this book to what we hope will be interested readers,
we have several aspirations. We have aspired to present to students
and clinicians a rather narrow view of epidemiology concentrating
on the causal factors and setting of the more usual
gastroenterological problems and giving greater space to conditions
of importance for which major knowledge of causation andcourse is
available. Part of the rationale is thebelief that modern medicine
lays excessive emphasis on therapy with increasingly expensive, and
in many cases, dangerous drugs and too little emphasis on the
causes and avoidance of disease. We are of the view that
traditional views handed st down through generations of clinicians
need scrutiny worthy of 21 century medicine whose currency includes
topics like nanomoles, megabytes and logistic regression. We hope
that clinicians will see that there is often a practical
application to the findings of epidemiological exploration and that
what passes for canonical knowledge is so often unsubstantiated
myth and are fully aware of the reluctance of organized medicine to
reject old paradigms in favor of the new, matched by an often
uncritical enthusiasm for new therapies. Our researches have
increased our belief in the major role of social factors especially
diet, both in quantity and quality in many disorders and that
clinicians have a responsibility to provide appropriate advice to
policy makers as well as patients.
General
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