Publications by authors named "Sibbald B"

Factors influencing the labelling of rhinitis by doctors were examined in 7702 adults, aged 16-65 years, registered with a group general practice in south London. Individuals with rhinitis were identified by a postal screening questionnaire. Of the 2969 (39%) subjects who replied, 1309 (44%) reported rhinitis.

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The purpose of this study was to develop and pilot a workshop to train general practitioners and other primary care workers to become competent in the primary, secondary and tertiary prevention of acquired immunodeficiency syndrome (AIDS). The development of the workshop took place at four venues in the South West Thames Region and involved 41 general practitioners and 33 primary care nurses. Questionnaire evaluation before and immediately after each workshop showed a significant improvement in participants' attitudes towards the prevention and management of human immunodeficiency virus (HIV) infection in general practice.

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Objective: To assess general practitioners' involvement with long term mentally ill patients and attitudes towards their care.

Design: Postal questionnaire survey.

Setting: General practices in South West Thames region.

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The prevalence and associations of bronchial hyperresponsiveness were investigated in a general practice population. The sample was obtained by using every 12th patient on the practice age-sex register, replacing non-responders with corresponding age and sex matched individuals from up to two further 1 in 12 samples. The response rate was 43%; 366 patients were studied.

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There is controversy about whether allergic disease has increased in recent decades. This study compared the prevalence of atopy, as shown by allergy skin prick testing among adults in 1988 (n = 74) with a similar study carried out in 1974 (n = 1359). Both study groups were drawn from the general population in south west London, but the 1988 sample specifically excluded people with rhinitis.

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The association of birth month with the development of atopic and non-atopic rhinitis was investigated in 327 adults in south-west London. Birth month was a significant risk factor for both atopic and non-atopic rhinitis in subjects whose age at onset was under 20 yr, but not in those who were older at onset. The odds of being born in May-June were 1.

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Psychosocial and other factors that may affect patient self care in acute asthma were investigated in 210 asthmatic adults recruited from general practice and hospital clinics. Interviews and self complete questionnaires were used to assess patients' management of a hypothetical slow onset and rapid onset attack of asthma, attitudes to asthma, family support, psychiatric morbidity, recent asthma morbidity, and knowledge of drug treatment. The patients with the highest morbidity from asthma delayed longest before taking appropriate action in the hypothetical acute attack.

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Teaching by example is an essential component of vocational training in general practice and trainers should be expected to exhibit a high standard of practice. A postal questionnaire about knowledge of, attitudes to and response to the epidemic of the acquired immune deficiency syndrome (AIDS) was completed by 114 general practitioner trainers in the south west Thames region. The findings were compared with those of an identical survey of 155 non-trainer general practitioner principals in south west London.

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A general practice study was designed to describe certain psychosocial attributes of asthma patients and to relate these to reported asthma morbidity in the previous two years. A postal questionnaire on their respiratory morbidity was completed in September 1983 and again in September 1985 by 207 asthma patients. They then completed a postal questionnaire concerning their attitudes to asthma and level of family support.

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A survey of patient satisfaction with physical and social conditions was carried out in the long-stay wards of a large inner city psychiatric hospital in London, Britain. Patient satisfaction was assessed by means of an administered questionnaire which was developed specifically for this purpose. Factor analysis identified eight components of patient satisfaction.

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An open cross-over trial comparing astemizole with intra-nasal aqueous beclomethasone dipropionate was carried out in forty-five perennial rhinitis patients attending a S.W. London general practice.

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The efficacy and tolerability of ketanserin was compared with metoprolol in a double-blind parallel group study. After a 4-week placebo run-in on no treatment patients with a diastolic blood pressure (BP) of 95 mmHg or more received ketanserin 40 mg (n = 16) or metoprolol 100 mg (n = 17) twice daily. Blood pressure was measured in duplicate using a Hawksley random zero sphygmomanometer.

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The feasibility, face validity and repeatability of a self-complete questionnaire to assess patients' attitudes and beliefs about asthma was evaluated in 45 adult patients attending a hospital asthma clinic. The questionnaire consisted of 40 statements with which the patient agreed or disagreed by placing an 'X' along a visual analogue line. Patients completed questionnaires at their clinic consultation and then were interviewed to ascertain whether questionnaire responses agreed with a verbal description of their attitudes and beliefs.

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Two different patient education programmes for asthma in general practice were evaluated in a controlled trial. Knowledge, self management, and morbidity due to asthma were assessed in 339 patients by means of a questionnaire. One group then received a maximum education programme, a second group received a limited education programme, and a third acted as a control group.

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The results are reported of a preliminary study to a controlled trial evaluating health education in asthma. A questionnaire designed to assess asthma morbidity in the previous twelve months and knowledge of the condition was administered to 50 asthma patients. An independent assessment of morbidity was made by the patient's general practitioners, utilizing case notes and their knowledge of the patients.

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The prevalences of asthma and atopy were examined in the families of 77 asthmatic and 87 control children attending a London general practice. The prevalence of asthma in first degree relatives of asthmatic children was found to be significantly higher than in relatives of control children, and this difference was more pronounced for relatives of atopic probands than for relatives of non-atopic probands. Among the relatives of asthmatics, atopic asthma was more common than non-atopic asthma, irrespective of the atopic status of the proband.

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The family histories relating to asthma and wheezy bronchitis were examined in 77 asthmatic, 78 wheezy bronchitic, and 87 control children, aged between 1 and 12 years. The percentage of children with at least one asthmatic relative was significantly greater in the asthmatic and wheezy bronchitic probands than in the controls; and asthma was more prevalent in the relatives of both groups of wheezy probands than in the relatives of controls. Similarly, the percentage of children with at least one wheezy bronchitic relative tended to be greater in asthmatic and wheezy bronchitic probands than in the controls; and wheezy bronchitis tended to be more prevalent in the relatives of both groups of wheezy probands than in the relatives of controls.

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