This document discusses the ethical, legal and psychosocial issues related to genetic testing. It notes that genetic testing can help identify asymptomatic individuals at risk for late-onset diseases or disease susceptibilities, but this brings up significant legal, ethical and psychosocial concerns if negative implications are found. It emphasizes informing and counseling affected families, promoting well-being, and respecting individuals' interests and abilities to make their own decisions. Key issues addressed include potential benefits and harms of testing, psychosocial impacts, family decision-making processes, and the role of healthcare providers.
Genetic counseling: Introduction, definition, purposes of genetic counseling, indications of genetic counseling, beneficiaries of genetic counseling, phases of genetic counseling, role of nurse in genetic counseling, application of genetic counseling.
Eugenics is the science which deals with all influences that improve inborn qualities of a race, also with those that develop them to almost advantage.
Genetic counseling: Introduction, definition, purposes of genetic counseling, indications of genetic counseling, beneficiaries of genetic counseling, phases of genetic counseling, role of nurse in genetic counseling, application of genetic counseling.
Eugenics is the science which deals with all influences that improve inborn qualities of a race, also with those that develop them to almost advantage.
THE EXPENSE OF QUALITY IS AN INTERACTIVE PROCESS BETWEEN CUSTOMER & PROVIDER. QUALITY ASSURANCE USUALLY FOCUSES ON MATERIAL, GOOD WORK & SERVICE PROVIDED EFFECTIVELY. ANY LACK IN SERVICE PROVIDED CAUSES DECREASE IN QUALITY
THE EXPENSE OF QUALITY IS AN INTERACTIVE PROCESS BETWEEN CUSTOMER & PROVIDER. QUALITY ASSURANCE USUALLY FOCUSES ON MATERIAL, GOOD WORK & SERVICE PROVIDED EFFECTIVELY. ANY LACK IN SERVICE PROVIDED CAUSES DECREASE IN QUALITY
May 17, 2019
Breakthroughs in genetics have often raised complex ethical and legal questions, which loom ever larger as genetic testing is becoming more commonplace, affordable, and comprehensive and genetic editing becomes poised to be a consumer technology. As genetic technologies become more accessible to individuals, the ethical and legal questions around the consumer use of these technologies become more pressing.
As these questions become more pressing, now is the time to re-consider what ethical and regulatory safeguards should be implemented and discuss the many questions raised by advancements in consumer genetics.
Presentation: Leila Jamal, Genetic Counselor, Division of Intramural Research and Co-Investigator, Centralized Sequencing Initiative, National Institute of Allergy and Infectious Diseases and Affiliated Scholar, Department of Bioethics, National Institutes of Health (with Benjamin Berkman and Will Schupmann) - An Ethical Framework for Genetic Counseling Practice in the Genomic Era
Learn more: https://petrieflom.law.harvard.edu/events/details/2019-petrie-flom-center-annual-conference
Generally parents have the autonomy to make health care decisions for their child . In certain situations older children have autonomy to give assent to care& in special situations adolescents are granted a autonomy to consent without parents knowledge.
Ethical and Legal Issues Related to Medical Genetics Rayhan Shahrear
Define ethics and bioethics.
State the major ethical issues related to medical genetics.
Outline the uniqueness of medical genetics.
Outline the relevant ethical principles in medicine.
Discuss some ethical dilemmas that arise in the genetic clinic.
Explain the ethical dilemmas and public interest.
Dr. Najnin Akhter
Phase-A, Year-2, Block-6
Guided by Prof. K M Shamim
The Assessment, Management, and Treatment of Suicidal PatientsJohn Gavazzi
This PowerPoint is a companion to The Ethics and Psychology Podcast #25: The Assessment, Management, and Treatment of Suicidal Patients. Dr. John Gavazzi speaks with Dr. Sam Knapp about assessing, managing and treating the suicidal patient. Please read the disclaimer and the note on competence in dealing with suicidal patients. The podcast or video meets the requirements for Pennsylvania Act 74 requirements for all mental health professionals in Pennsylvania.
Answering your questions about genetics and your health | Genes in Lifejohndemello7
Genes in Life provides answer to your questions about genetics and health. It is the place where you learn the importance and effects of genetics on human life.
Visit http://genesinlife.org/ .
Breast & it's problems and treatment made by sonal Patelsonal patel
Breast & it's problems and treatment - Anatomy of Breast and Physiology of lactation , Breast Diseases - 1. bening breast problems, Breast Cancer, bening neoplastic lump made by sonal Patel
Antenatal Care Guideline- gestational Age Assessment,Early USG, Nutritional ...sonal patel
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methods of Chromosomal Evaluation in Amniocentesis- Define, Time for test, C...sonal patel
methods of Chromosomal Evaluation in Amniocentesis- Define, Time for test, Complications,and Chorionic Villus sampling ( CVS) , Risk of Procedure, Steps of Procedure in PPT -Define, Time for test made By sonal Patel
Amenorrhea - Define, Cause, Sign and Symptoms, Type- Pathological and Physiol...sonal patel
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ABO-Rh Isoimmunisation in that The Basics of Blood, antibody can Be Detecte...sonal patel
ABO-Rh Isoimmunisation in that The Basics of Blood, antibody can Be Detected,ABO Blood Group System,Rh Blood Group System,Pathogenesis Of Rh Isoimmunisation, Prevention and Management of ABO incompatibility in PPT made By Sonal Patel
Dysfunctional uterine Bleeding is type of Abnormal bleeding from the genital ...sonal patel
Dysfunctional uterine Bleeding is type of Abnormal bleeding from the genital tract- Factore, Types, Diagnosis, Treatment in that one type DUB- Define, sign and Symptoms, Diagnosis, Treatment, Management, hormonal Therapy in PPT made By sonal Patel
Birth defect system according to System wise in that Respiratory System Birth...sonal patel
Birth defect system according to System wise in that Respiratory System Birth defect, Cardiovascular System Birth defect,Digestive System Birth defect, Extremity Birth defect made by sonal Patel
Embryology-all basic definition,Stage wise development of fetus,development o...sonal patel
Embryology-all basic definition,Stage wise development of fetus,development of Zygote stage ,development of Embrionic Stage ,development of Fetus Stage all are according week development,Amnione,chorion,Fetal layer, Umbilical Cord developmentmade By sonal Patel
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
3. • Latest genetic knowledge and technologies helps in the
checking of these asymptomatic individuals
– Late onset of the disease
– Disease susceptibilities
– This brings in lot of legal, ethical and psychosocial
issues if there is negative implication
5. Create Awareness
• Genetic testing and its primary goal
– promote well being
– It imparts the idea that both parents and
professionals should be attentive
• to the child’s increasing interest
• ability to participate in decisions
concerning his/her own welfare
6. A. Impact of Potential Benefits and Harms on
Decisions about Genetic testing
1.Primary justification for genetic testing- timely
medical benefit to the symptomatic individuals
– Genetic testing here= medical diagnostic evaluations
– Medical benefits include
Preventive measures
Therapies
Diagnostic information
If medical benefits are uncertain, justification of
testing is less compelling
7. Issues to discuss with families with regard to
Genetic testing
Potential benefits and harms of the test
Decision making capacity of the individual
undergoing the test
Advocacy on behalf of the Individual
8. Points to Consider
2. Substantial psychosocial benefits to the competent
adolescents
The benefits & harm of many genetic tests are more of
psychosocial nature than physical
Relevant Issues include
Anxiety
Pain
Self Image
Uncertainty
Impact on decisions
relating to
1. Reproduction
2. Education
3. Career
4. Insurance
5. Life style
9. Points to Consider
3. genetic testing should be generally deferred
These principles are exempted; when individuals face
Competence
Voluntariness
Adequate understanding of the information
Further consultations with other genetic services
providers
1. Pediatricians
2. Psychologists
3. Ethical Committee
10. Points to Consider
4. If the balance of the benefits
and harm is uncertain; the
providers should respect the
decision of the competent
adolescents and their families
Thorough discussion with the
family
• Explain in detail the pros and cons
of the issue
• Assess the family’s understanding
of the genetic testing benefits and
harms
11. Points to Consider
5. Testing should be discouraged, when provider
determines the potential harm of genetic testing in
children
6. Health care provider has no obligation to provide
service ;when the individual is not interested
12. B. The family’s involvement in decision
making
1. Education of parents and individuals should
precede genetic testing
– Educate
– Counsel
– Refer
– Follow up
at appropriate time
2. If there is difference of opinion (between individuals and
family)a proper consensus should be arrived at through
discussions
13. 3. The provider should be an advocate of the individual
undergoing genetic testing
4. The results of genetic testing should be disclosed or
not is advocated to the individual and his/her family
by the provider (advocates the outcome of if /if not
the results are disclosed)
5. The provider also informs the individual and family to
conceal the information if needed
6. Some tests like test for Huntington’s disease and
breast cancer has minimum age limit of 18 (Below
these ages the individuals are incapable of providing
an informed consent) The issue is different when it
comes to a very small child…
15. Huntington Disease
• Huntington disease (HD) is a progressive
disorder of motor, cognitive, and
psychiatric disturbances.
• The mean age of onset is 35 to 44 years
• Median survival time is 15 to 18 years
after onset.
16. Clinical Diagnosis
The diagnosis of Huntington disease (HD) is
suspected clinically in the presence of the
following:
• Progressive motor disability ;voluntary
movement may also be affected
• Mental disturbances including cognitive decline,
changes in personality, and/or depression
• Family history consistent with autosomal
dominant inheritance
17. Huntington Disease
• The diagnosis of HD rests on
– positive family history,
– characteristic clinical findings,
– the detection of an expansion of 36 or more CAG
trinucleotide repeats in the HD gene.
18. Demand for Research
• Research should focus on
– Effectiveness of genetic testing- its preventive
and therapeutic interventions
– Psychosocial impact of tests
19. Medical issues
1.Treatment and Prevention supported by public and medical
professionals
– Familial hypertrophic cardiomyopathy (sudden death)
(Drug therapy- prevent arrhythmias, changes in lifestyle)
-familial hyperlipidemia
(Dietary restrictions)
There are certain other genetic testing involved which may cost
very high , but may not bring about proper diagnosis or when
diagnosed may not not have available treatments
This leads to unrest and tension….
Routine tests are recommended here
20. Medical issues
2.Effective surveillance
– Can identify susceptible individuals
– Predict cancer(we know the possible genes that
when mutated can lead to cancer
– Poor surveillance might also tell upon the
integrity of genetic testing
Prognostic tests should be accurate which is supported
by additional effective diagnostic protocols and tools
21. Medical issues
3.Refinement in prognosis
is indeed done by
genetic testing
• A good correlation could be
drawn between phenotype and
genotype
• To Understand the mutation in
a gene and its transfer to
successive generations
22. Medical issues
4.Clarification in diagnosis
Information provided should be true-
parentage/adoption
Uncertainity of tests should be revealed
earlier
Cost of the tests and outcome should be pre –
informed
Genetic test will benefit both individuals as
well as family members
23. Psychosocial Issues
1.Reduction of Uncertainty
• Uncertainty and anxiety ( when if the
individuals and family members are unaware
of the gravity of the situation)
• Help them to face the situation boldly
• Convince them about the benefits of the
testing
• When the tests are favorable confidence will
also accrue in them
24. Psychosocial Issues
2. Alteration of Self Image
– low self esteem
– age- appropriate genetic counseling
recommended
– Encourage them
– fight against their low self esteem
– make them aware that they no less than any
around them
25. Psychosocial Issues
3. Impact of family relationships
Siblings Individuals(affected)
Siblings
Parents Individuals(affected)
26. Psychosocial Issues
4. Impact on Family planning
EDUCATIONAL
GOALS
Occupational
choices
SPECIFIC
CAREER PLANS
Social
relationships
FAMILY
RELATIONSHIPS
27. Reproductive issues
• Those who have genetic disorders -avoid
having a child
• Options available
Artificial
insemination
from donor
Adoption
In vitro fertilization
with pre-
implantation
diagnosis
Prenatal
diagnosis
Termination of
pregnancy
28. Promoting interests of individual and the family
• Decision making
• Roots of parental authority
• Limits of parental authority
• Recognize the authority of the minors
31. Academic excellence
– Clinical Aspects
– Genetics
– Principles of genetic counseling
– Genetic tests
– Genetic testing and consequences
– Ethical ,legal and psychosocial issues
– Treatment strategies and implications
– Administration of medicine
– Dietary aspects of patients
32. Assist Clinicians
• Ability to act on emergency situations
• Treatment strategies for symptomatic ,
asymptomatic and susceptible individuals
• Clear idea of legal, ethical and psychosocial
issues associated with genetic testing
• Good planning skills
• Good counseling capacities
33. • Management for special critical emergency
cases
• Ability to describe negative aspects in a
positive manner
• Ability to acknowledge
• Excellent decision making capacities
considering the advice delivered by clinicians
34. • Ability to make suggestions to superiors and
confused affected planning
• Compassionate towards the affected
• Cautious and vigilant during medical
surveillance
• Ready to act (24X7)