Education and young people with inflammatory bowel disease.

Children and their parents are often anxious that chronic disease may interfere with examination performance. The provision within schools for children with inflammatory bowel disease (IBD) was investigated by a postal survey of headteachers of 98 schools with over 48,000 pupils in Leicestershire and Cardiff. Headteachers in Cardiff were more likely to have heard of ulcerative colitis (95%) than those in Leicestershire (70%), (X2 = 4.

Epidemiological study of ulcerative proctocolitis in Indian migrants and the indigenous population of Leicestershire.

A retrospective epidemiological study of ulcerative colitis (UC) and proctitis was performed in Leicestershire from 1972-89. Potential cases were identified from hospital departments of pathology, endoscopy, and medical records and from general practitioners. The county population includes more than 93,000 South Asians.

Perceived discrimination in education and employment by people with Crohn's disease: a case control study of educational achievement and employment.

Eighty three patients in whom the diagnosis of Crohn's disease had been made before the age of 40 years and who had been resident in the city of Cardiff were asked to complete a detailed questionnaire about their educational and employment experiences. Responses were obtained from 58 patients (response rate = 70%), 23 buddy controls, and 27 community controls. The mean (SD) age of patients at the time of the survey was 31 (5) years.

Management of coeliac disease: a changing diagnostic approach but what value in follow up?

Objective: To assess the management of patients with coeliac disease in relation to a change in diagnostic method from jejunal suction biopsy to endoscopic biopsy.

Design: 16 item questionnaire survey of consultant members of the British Society of Gastroenterology.

Subjects: 359 consultant physician and gastroenterologist members of the society.

Epidemiology of Crohn's disease in Indian migrants and the indigenous population in Leicestershire.

A retrospective, epidemiological community study of Crohn's disease was performed in Leicestershire from 1972 to 1989. The county population of 930,000 includes 93,000 South Asians. Potential cases were identified from hospital departments of pathology, endoscopy and medical records, in addition to general practitioners.

Stoma anxieties: a comparison of the attitudes of Asian migrants and the indigenous population in the United Kingdom towards abdominal surgery and the role of intestinal stomas.

We have studied stoma care nurses' experience with Asian patients having a stoma. The general public's attitudes to abdominal surgery in general were assessed in a survey of employees in Leicester. Many stoma care nurses are aware of the needs of Asian patients, especially with regards to ethnic dress, but only half of the ostomists who wanted to see a stoma care nurse or fellow ostomist were able to do so (chi 2 = 4.

The attitude of employers to people with inflammatory bowel disease.

Many patients with inflammatory bowel disease are anxious about their future prospects of employment. Personnel managers at 61 major national and 136 principal local employers in Leicester and Cardiff were asked to provide details about their attitude to people with inflammatory bowel disease and the type of health care they offer to employees. Over one million people were employed by these companies.

Sexual dysfunction amongst women with Crohn's disease: a hidden problem.

The sexual problems of 50 women with Crohn's disease, of whom 45 had a stable relationship, were investigated by structured interview and compared with age-matched controls. Twenty-four percent patients had either infrequent or no intercourse compared with 4% of controls (chi 2 = 8.3, p < 0.

Low incidence of ulcerative colitis and proctitis in Bangladeshi migrants in Britain.

To assess the incidence of ulcerative colitis and proctitis in a defined migrant population, a retrospective, epidemiological community study was performed in the London Borough of Tower Hamlets from 1972 to 1989. The population of 164,000 includes 28,000 Bangladeshis. Potential cases were identified from hospital departments of pathology and medical records.

The role of educational videos in gastroenterology.

The potential role for video tape education in gastroenterology is discussed. The need for material to inform patients about their diagnoses is widely acknowledged and educators need to take advantage of modern techniques. Studies in general practice, diabetes care, and asthma care have found that videos have significant benefits when compared with conventional techniques.

Patients' views on how to run hospital outpatient clinics.

To investigate patients' views and expectations when attending outpatient clinics a questionnaire-based study was performed. The questionnaires asked about appointment systems, continuity of care, staff appearance, chaperons and medical students. Patients wanted fixed appointment times, to see the same doctor on successive visits, for the staff to be formally dressed and to have chaperons during examination.

Information requirements and sedation preferences of patients undergoing endoscopy of the upper gastrointestinal tract.

Patients' attitudes to sedation and their information needs before undergoing endoscopy were investigated using a questionnaire. One hundred and two patients completed the study; 32 had undergone endoscopy before. Sixty-six (94%) of the new patients and all follow-up patients knew why they were undergoing the procedure; 65 (93%) new and 28 (88%) follow-up patients understood how the procedure was carried out.

Patient's assessment of an information booklet on Crohn's disease written by a patient.

Patients with Crohn's disease want information about the condition. "So you've got Crohn's disease", an information booklet written by a patient was sent to patients for evaluation. Most found it useful, particularly in the practical advice, and suitable for all patients with Crohn's disease.

Are we wasting time in out-patients departments?

Patients and people accompanying them to out-patient departments face an inevitable wait. We investigated the time people have to wait and if they would be interested in health education during that period. We discovered that patients want health education in the form of both videos and leaflets, but not posters.

Dramatic oligoclonal paraproteinaemia following a pneumococcal septicaemia.

We describe a case of paraproteinaemia in which there were high concentrations of four monoclonal bands shown on qualitative, and confirmed by quantitative, techniques. The disorder followed a pneumococcal infection and resolved spontaneously with the complete disappearance of all four bands.

Inflammatory bowel disease: patients' expectations in the 1990s.

A group of 70 patients with inflammatory bowel disease were asked to complete a questionnaire about their disease counselling preferences, 59 replied. Seventy-five per cent wanted further advice about their disease. Of these, 60% wished to receive the advice by discussion with a trained advisor.

Differential diagnosis of inflammatory bowel disease. A comparison of various diagnostic classifications.

Fifty consecutive patients with inflammatory bowel disease of the colon who presented at the University Hospital Rotterdam/Dijkzigt were assessed by four methods: clinical diagnosis, criteria defined by Lennard-Jones and by the Organisation Mondiale de Gastroenterologie (O.M.G.

Achalasia and diet: assessment of the effect of achalasia on the diet of patients and their spouses.

The effect of achalasia on the diet of patients and their spouses was investigated using a validated questionnaire. The discordance between the diet of the patients and their respective spouses was compared with matched controls. There is no statistically significant difference between the discordance of case couples and control couples.

Inflammatory bowel disease in Indian migrants in Fiji.

A pilot study to estimate the incidence of inflammatory bowel disease in Fiji is reported. Data from 1985 and 1986 for Indian migrants, Melanesians and other groups show the incidence of ulcerative colitis was 1.7/10(5)/year, in Indians, 0.