Biomedical subjects
J D Holden
Publications and source records attributed to J D Holden.
General practitioners and work in the Third World.
In recent years the number of general practitioners who have worked in the third world before entering general practice has fallen. The reasons for this are not clear but may include worries about future career prospects. Ninety four doctors who had entered general practice since 1984, after previously working in the third world, completed a questionnaire about their career experience and views about the value of such work. They were generally widely experienced and well-qualified and work abroad had not apparently harmed their careers, rather, many believed it had enhanced it. Work in the usually arduous conditions of poor countries was often considered by the respondents to lead to a wider perspective, increased maturity, confidence, self-reliance, adaptability and initiative. Doctors who are interested and suitable for work in the third world prior to entering general practice should be encouraged to pursue this possibility.
Benefits and risks of childhood immunisations in developing countries.
The ratio of benefit to harm from an imaginary, modest immunisation programme in a developing country and the numbers of lives likely to be saved and severe handicaps prevented have been estimated. Immunisation is much more likely to benefit children than to harm them, and health workers can be confidently encouraged not to withhold the benefits of immunisation from most children.
Are night calls in general practice followed up?
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Myelofibrosis with C monosomy of marrow elements in a child.
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Ocular pathology of Patau's syndrome with an unbalanced D-D translocation.
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Goltz's syndrome: focal dermal hypoplasia. A combined mesoectodermal dysplasia.
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