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Biomedical subjects

S M Merchant

Publications and source records attributed to S M Merchant.

At least 19 recordsLinked to original sources

Helping norms in relation to religious affiliation.

The authors used vignettes to solicit each participant's estimate of the likelihood of help and his/her recommendation for or against helping a student who needed to borrow another student's class notes. The study had a 2 (Hindu vs. Muslim participant) x 2 (participant's gender) x 2 (liking vs. disliking relationship) x 2 (justified vs. unjustified need for help) x 2 (low vs. high cost of helping) factorial design with 15 participants per cell. Estimated likelihood of help was higher among the female than among the male participants, with the liking than with the disliking relationship, and with the low rather than with the high cost of helping. The Hindu participants gave lower estimates of the likelihood of help than did the Muslim participants with the disliking relationship and with the unjustified need for help. Intracommunal helping, irrespective of contextual variations, may have been a stronger social norm for the Muslim than for the Hindu participants, probably because of the former's minority status in India and, more important, the Islamic prescription of communal brotherhood. Even though both communities are deemed collectivist, the Indian Muslim participants' helping norms appeared to be more obligation oriented and less option oriented than those of the Indian Hindu participants.

Adult↗

Thalassemia in Bombay: the role of medical genetics in developing countries.

This study of 200 families with thalassaemic children in Bombay showed that these children's treatment and needs place a significant, unavoidable and increasing demand on the public health services. At the same time, owing to the potentially large number of patients and the difficulties of long-term management, the situation is characterized by evasion of the problem, failure of planning, no provisions for prevention, and inadequate treatment leading to premature death among the affected children. The burden on such families is greater in developing than in developed countries because, besides caring for the chronically sick child, their lives are dominated by the high costs of treatment, often amounting to 20-30% of the income for many families. Seven mothers with no healthy children and 27 with only one healthy child had been sterilized; 90% of reproductive-age couples felt that prenatal diagnosis was a necessity. Also, ignorance and prejudice in the community led to social isolation for forty families. The experience in Europe shows that improved treatment is the key step in controlling thalassaemia. A well-organized day-transfusion service is cost-effective, soon restoring the children to health and leading to increased optimism. The formation of associations by parents could mobilize community support for improved treatment and prevention, and increase public awareness of the problem. Thus cost-effective management and prevention through screening, genetic counselling, and prenatal diagnosis are at least as important in the developing as in developed countries.

Adolescent↗