Three cross-cultural studies conducted among U.S. and Indian adults compared perceptions of helping friends in strongly versus weakly expected cases, views of helping family versus strangers, and responses to a self-determination motivation scale. Expectations to help family and friends were positively correlated with satisfaction and choice only among Indians and not among Americans. Also, whereas U.S. respondents associated lesser satisfaction and choice with strongly versus weakly socially expected helping, Indian respondents associated equal satisfaction and choice with the 2 types of cases. Providing evidence of the importance of choice in collectivist cultures, the results indicate that social expectations to meet the needs of family and friends tend to be more fully internalized among Indians than among Americans. Methodologically, the results also highlight the need to incorporate items that tap more internalized meanings of role-related social expectations on measures of motivation in the tradition of self-determination theory.

Flexible bronchoscopy (FB) is commonly performed by respiratory physicians for diagnostic as well as therapeutic purposes. However, bronchoscopy practices vary widely across India and worldwide. The three major respiratory organizations of the country supported a national-level expert group that formulated a comprehensive guideline document for FB based on a detailed appraisal of available evidence. These guidelines are an attempt to provide the bronchoscopist with the most scientifically sound as well as practical approach of bronchoscopy. It involved framing appropriate questions, review and critical appraisal of the relevant literature and reaching a recommendation by the expert groups. The guidelines cover major areas in basic bronchoscopy including (but not limited to), indications for procedure, patient preparation, various sampling procedures, bronchoscopy in the ICU setting, equipment care, and training issues. The target audience is respiratory physicians working in India and well as other parts of the world. It is hoped that this document would serve as a complete reference guide for all pulmonary physicians performing or desiring to learn the technique of flexible bronchoscopy.

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