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  • J Kemm
  • 2001
Healthy Public Policy is one of the key health promotion actions. Advancement of Healthy Public Policy requires that the health consequences of policy should be correctly foreseen and that the policy process should be influenced so that those health consequences are considered. Health Impact Assessment is an approach that could assist in meeting both(More)
Consecutive new attendees at a rheumatology clinic were randomly allocated to one of three groups. All groups received routine care, but one received no other intervention, one an educational booklet on arthritis and one the booklet plus instruction from a health professional. Prior to intervention, all groups had similar knowledge. Nottingham Health(More)
  • J R Kemm
  • 2001
BACKGROUND The aim of the study was to determine for Great Britain the percentage of current smokers and ever smokers by age in successive birth cohorts and the percentage of ever smokers who continue, by analysis of data from serial cross-sectional surveys of smoking status (General Household Survey). METHOD A series of 5 year birth cohorts were followed(More)
This paper first reviews the evidence that the pathogenesis of many diseases which present in adult life begin in childhood, and that intervention in childhood may delay their onset. The diseases discussed include ischaemic heart disease, malignancy, cerebrovascular accidents, hypertension and obesity. The factors determining food habits are described and(More)
AIMS AND METHODS The General Household Survey for Great Britain has, since 1978, in even numbered years, included questions on alcohol consumption. A cohort analysis was applied to these sequential cross-sectional data. RESULTS AND CONCLUSIONS Analysis confirms that, after about age 20 years, both men and women, as they grow older, become more likely to(More)
Discussion of the prevalence of osteomalacia in the elderly is complicated by the different definitions used and the fact that diagnostic criteria are rarely stated. In this study osteomalacia was defined as more than 25% of trabecular bone surface in an iliac crest biopsy sample covered with osteoid and a mean osteoid seam thickness of greater than 11(More)
Bone samples were taken at post-mortem examination by Jamshidi needles from 88 elderly patients who were known to have normal bone biochemistry in life. The extent of osteoid in these samples is quantitatively described. In patients with normal creatinines the relative osteoid area ranges from 0 to 3.7% and trabecular osteoid surface percentage ranges from(More)
Although osteomalacia is known to be common in some sections of the elderly population, the disease is often subclinical and there is uncertainty about the point at which treatment is necessary. Identification and treatment of osteomalacia are inseparably bound; the response of varying degrees of subclinical disease to treatment with vitamin D or(More)