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IJE Advance Access originally published online on May 24, 2006
International Journal of Epidemiology 2006 35(5):1168; doi:10.1093/ije/dyl103
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2006; all rights reserved.

Special Theme: Fetal and Infant Health

Diversion: An Epidemiological Enigma

Victor M Hawthorne

Department of Epidemiology, University of Michigan School of Public Health Ann Arbor, MI 48105, USA. Email: vmhaw{at}umich.edu

The under-noted lines may illustrate a little of the scepticism still persisting among many health care professionals and perhaps also the occasional confusion among many Complementary and Alternative Medicine (CAM) self-prescribers as to what they should do. More cogently the lines emphasize the need for new epidemiological studies measuring extent and effectiveness of a selected range of CAM methods and strategies defined by the Delphi questionnaire. These and other methods are used evermore widely by a growing number professional and lay CAM users in the general population.

An apple a day keeps the doctor away

A hoary old adage still heard to this day:

But recently heard quite apposite voices,

Offering us all alternative choices:

Jog twenty minutes at least twice a week

Double your pulse rate. Get it close to its peak.

But jogging in public still draws attention,

So be modestly dressed. Don't defy convention.

And to those who must carry a cellular phone,

Don't try to answer 'til really alone;

When you're forced to a halt—exhibit some style,

Run on the spot or touch-toe the while.

Or

Slow down your pulse. Keep stress at bay

Sit still for ten minutes, ten times a day.

Relax completely. Sink down in your seat,

Put what you carry down there at your feet.

Close both your eyes. Abandon dull care.

Think only calm thoughts and you're virtually there.

Say ‘Flat’ and breathe in, then ‘Belly’- breathe out,

Do both together. Feel a little less stout?

Jogging or sitting? Too soon to say?

Try a little of both and an apple a day!

Victor M Hawthorne, MD, is an emeritus professor of Epidemiology of the Michigan School of Public Health. Since retiring in 1991 he has served as consultant in many capacities: Continuing Medical Education/Public Health Consortium of Michigan, Royal College of Physicians of Edinburgh, Diabetes Register in Scotland, External Review Committee of Creighton University Cancer and Smoking Research Program (in Omaha, Nebraska), and affiliated researcher University of Michigan Integrative Medicine. In the last capacity he has been involved in conducting a preliminary Delphi-type study developing a standardized questionnaire with members of the International Complementary and Integrative Research Association aimed at measuring prevalence of CAM use in defined populations in this country and abroad.


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This Article
Right arrow Extract Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
35/5/1168    most recent
dyl103v1
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Right arrow Articles by Hawthorne, V. M
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