OBJECTIVE to determine whether the age and medical condition of a patient influences hospital-based doctors' decision making when advising patients to stop smoking cigarettes. METHODS we presented 142 doctors from four grades (consultant, registrar, senior house officer and house officer) and four specialities (medicine, surgery, psychiatry and anaesthetics), based in a Dublin teaching hospit...

A few months ago, I received a call from retired post-acute and long-term care practitioner who was trying to help friend locate schedule an appointment with geriatric mental health specialist for his mother. The resident 85 lived in small assisted living community about 90 minutes major metropolitan area. She had long history of depression, anxiety, what sounded like undiagnosed dependent pers...

An important and largely unstudied aspect of the apparent relation between residential crowding and mental health is the potential role of environmental design to moderate this relation. An epidemiological investigation reveals that the type of housing children inhabit alters mental health correlates of residential crowding. Third and fourth grade Austrian children (n=1,236) from small towns an...

This paper considers whether the extent of inequality in house prices within neighbourhoods of England is associated with depressive symptoms in the older population using the English Longitudinal Study of Ageing. We consider two competing hypotheses: first, the wealth inequality hypothesis which proposes that neighbourhood inequality is harmful to health and, second, the mixed neighbourhood hy...

Correspondence to: Professor Mary C J Rudolf, Department of Community Paediatrics, Belmont House, 3–5 Belmont Grove, Leeds LS17 8DR, UK; mary.rudolf@ leedsth.nhs.uk _________________________ C hildhood obesity has now reached epidemic proportions, and large numbers of children are presenting for medical care. The Royal College of Paediatrics and Child Health (RCPCH) has produced a document cont...

Accepted for publication 9 March 1992 The organisation and planning of health service delivery has long been dominated by concerns other than the evaluation of health services outcomes. The thrust of the Griffiths' inquiry into the management of the NHS,l resulting in the 1984 reforms, was towards the achievement of greater accountability. The then Department of Health and Social Security promu...