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Biomedical subjects

J Barrand

Publications and source records attributed to J Barrand.

8 recordsLinked to original sources
PubMed1991

Reported measles immunisation and serological immunity in children attending general practitioners.

To determine the feasibility of serological testing for measles immunity in children attending general practitioners and to assess the validity of establishing immune status by reported immunisation history compared with serology, a cross-sectional descriptive study was conducted in general practices in the Illawarra area south of Sydney, New South Wales. Participants were 234 children under 15 years attending general practitioners. 87 per cent of children were reported to have been immunised against measles, but 46 per cent of these children were seronegative for measles antibody using an ELISA test on finger-prick blood. This could not be explained by inaccurate reporting of immunisation. No causes other than failure to seroconvert or inadequate specificity of the test on the blood samples were evident. Failure to seroconvert as a result of inadequate adherence to cold chain requirements is a possibility that needs further investigation. The results further question whether a single vaccination is adequate to achieve the public health aims of measles immunisation programs.

Adolescent↗
PubMed1978

Patients, doctors and medical education.

There is an increasing interpersonal distance between doctors and patients which is adversely affecting the quality of medical care. Solutions to the problem have been sought in the training of doctors, but these may not be effective until it is possible to undertake some mutual education of doctors and patients. Ways in which this could be done are discussed.

Community Medicine↗