{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T19:18:37Z","timestamp":1777317517832,"version":"3.51.4"},"reference-count":4,"publisher":"BMJ","issue":"6517","license":[{"start":{"date-parts":[[1986,2,8]],"date-time":"1986-02-08T00:00:00Z","timestamp":508204800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1986,2,8]]},"abstract":"<jats:p>Over two years cord blood from 27 879 babies was screened for glucose-6-phosphate dehydrogenase (G6PD) deficiency. The overall incidence was 3.1% in boys and 1.6% in girls. Sixty nine babies had severe jaundice (bilirubin concentration greater than 380 mmol\/l (20 mg\/100 ml], and exchange transfusion was performed. Parents were given written and verbal instructions to avoid herbs and drugs that trigger kernicterus, which reduced the incidence of kernicterus and thereby prevented mental retardation. G6PD deficiency is common in all three ethnic groups (Malays, Chinese, and Indians) in Malaysia and screening is recommended.<\/jats:p>","DOI":"10.1136\/bmj.292.6517.397","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T15:19:55Z","timestamp":1238685595000},"page":"397-398","source":"Crossref","is-referenced-by-count":24,"title":["Glucose-6-phosphate dehydrogenase deficiency: a preventable cause of mental retardation."],"prefix":"10.1136","volume":"292","author":[{"given":"H","family":"Singh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1986,2,8]]},"reference":[{"key":"ref_1","first-page":"556","article-title":"Singpope kernicteru","volume":"21","author":"HIB, I.Wong","year":"1980","unstructured":"I Wong HIB. Singpope kernicteru. SingaporeMedj 1980;21:556-67.","journal-title":"SingaporeMedj"},{"key":"ref_2","article-title":"Accepted 14 Ocwober","year":"1985","unstructured":"(Accepted 14 Ocwober 1985)"},{"key":"ref_3","article-title":"The patient's interests always come first\"?","unstructured":"The patient's interests always come first\"? Doctors and society"},{"key":"ref_4","article-title":"Society versus obligations to patients In practice the medical profession accepts, at least implicitly, a broad range of social obligations that may override the interests of individual patients. The British Medical Association groups doctors' professional relationships into three categories7: therapeutic, impartial expert, and-(non-therapeutic) medical researcher. TIhe category of the medical researcher is implicitly justified by allowing medical obligations to non-existent patients ofthe future to take priority over medical obligations to existing patients. Preventative medicine (regarded by the BMA as an aspect of \"impartial expert\" medical work) implicitly acknowledges that medical concern for potentially sick people may in some circumstances take priority over therapeutic medicine. If the profession really believed that the patient's interests always come first then it presumably would not allow medical time and effort to be diverted away from direct therapeutic activity","unstructured":"Society versus obligations to patients In practice the medical profession accepts, at least implicitly, a broad range of social obligations that may override the interests of individual patients. The British Medical Association groups doctors' professional relationships into three categories7: therapeutic, impartial expert, and-(non-therapeutic) medical researcher. TIhe category of the medical researcher is implicitly justified by allowing medical obligations to non-existent patients ofthe future to take priority over medical obligations to existing patients. Preventative medicine (regarded by the BMA as an aspect of \"impartial expert\" medical work) implicitly acknowledges that medical concern for potentially sick people may in some circumstances take priority over therapeutic medicine. If the profession really believed that the patient's interests always come first then it presumably would not allow medical time and effort to be diverted away from direct therapeutic activity."}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.292.6517.397","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.292.6517.397","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T20:12:44Z","timestamp":1765483964000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.292.6517.397"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1986,2,8]]},"references-count":4,"journal-issue":{"issue":"6517","published-online":{"date-parts":[[1986,2,8]]},"published-print":{"date-parts":[[1986,2,8]]}},"alternative-id":["10.1136\/bmj.292.6517.397"],"URL":"https:\/\/doi.org\/10.1136\/bmj.292.6517.397","relation":{},"ISSN":["0267-0623","1468-5833"],"issn-type":[{"value":"0267-0623","type":"print"},{"value":"1468-5833","type":"electronic"}],"subject":[],"published":{"date-parts":[[1986,2,8]]}}}