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Occupational Therapy Code of Ethics and Ethics Standards (2010)
Occupational Therapy Code of Ethics and Ethics Standards (2010) PREAMBLE The American Occupational Therapy Association (AOTA) Occupational Therapy Code of Ethics and Ethics Standards (2010) ("Code and Ethics Standards") is a public statement of principles used to promote and maintain high standards of conduct within the profession. Members of AOTA are committed to promoting inclusion, diversity, independence, and safety for all recipients in various stages of life, health, and illness and to empower all beneficiaries of occupational therapy. This commitment extends beyond service recipients to include professional colleagues, students, educators, businesses, and the community. Fundamental to the mission of the occupational therapy profession is the therapeutic use of everyday life activities (occupations) with individuals or groups for the purpose of participation in roles and situations in home, school, workplace, community, and other settings. "Occupational therapy addresses the physical, cognitive, psychosocial, sensory, and other aspects of performance in a variety of contexts to support engagement in everyday life activities that affect health, well being, and quality of life" AOTA, 2004). Occupational therapy personnel have an ethical responsibility primarily to recipients of service and secondarily to society. The Occupational Therapy Code of Ethics and Ethics Standards (2010) was tailored to address the most prevalent ethical concerns of the profession in education, research, and practice. The concerns of stakeholders including the public, consumers, students, colleagues, employers, research participants, researchers, educators, and practitioners were addressed in the creation of this document. A review of issues raised in ethics cases, member questions related to ethics, and content of other professional codes of ethics were utilized to ensure that the revised document is applicable to occupational therapists, occupational therapy assistants, and students in all roles. -
The Development of Large-Scale De-Identified Biomedical Databases in the Age of Genomics—Principles and Challenges Fida K
Dankar et al. Human Genomics (2018) 12:19 https://doi.org/10.1186/s40246-018-0147-5 REVIEW Open Access The development of large-scale de-identified biomedical databases in the age of genomics—principles and challenges Fida K. Dankar1* , Andrey Ptitsyn2 and Samar K. Dankar3 Abstract Contemporary biomedical databases include a wide range of information types from various observational and instrumental sources. Among the most important features that unite biomedical databases across the field are high volume of information and high potential to cause damage through data corruption, loss of performance, and loss of patient privacy. Thus, issues of data governance and privacy protection are essential for the construction of data depositories for biomedical research and healthcare. In this paper, we discuss various challenges of data governance in the context of population genome projects. The various challenges along with best practices and current research efforts are discussed through the steps of data collection, storage, sharing, analysis, and knowledge dissemination. Keywords: Biomedical database, Data privacy, Data governance, Whole genome sequencing Background first, now increasingly shifting to whole exome and whole Overview genome sequencing [2, 3]). The project started by Decode Databases are both the result and the instrument of has generated one of the best resources for discovery in research. From the earliest times, assembling collections biomedical sciences and inspired development of multiple of samples and stories was essential for any research pro- populational and national genomics projects, also feeding ject. The results of research feeding back into the libraries into integrated databases. Genomics England [4], Human and collections create a positive feedback in the accumula- Longevity [5], All of US (formerly known as Precision tion of knowledge limited only by the technological plat- Medicine Initiative) [6], China’s Precision Medicine Initia- form for storage and retrieval of information. -
'Iceland Inc.'?: on the Ethics of Commercial Population Genomics
University of Pennsylvania ScholarlyCommons Center for Bioethics Papers Center for Bioethics March 2004 'Iceland Inc.'?: On the ethics of commercial population genomics Jon F. Merz University of Pennsylvania, [email protected] Glenn E. McGee University of Pennsylvania Pamela Sankar University of Pennsylvania Follow this and additional works at: https://repository.upenn.edu/bioethics_papers Recommended Citation Merz, J. F., McGee, G. E., & Sankar, P. (2004). 'Iceland Inc.'?: On the ethics of commercial population genomics. Retrieved from https://repository.upenn.edu/bioethics_papers/52 Postprint version. Published in Social Science and Medicine, Volume 58, Issue 6, March 2004, pages 1201-1209. Publisher URL: http://dx.doi.org/10.1016/S0277-9536(03)00256-9 This paper is posted at ScholarlyCommons. https://repository.upenn.edu/bioethics_papers/52 For more information, please contact [email protected]. 'Iceland Inc.'?: On the ethics of commercial population genomics Abstract A detailed analysis of the Icelandic commercial population-wide genomics database project of deCODE Genetics was performed for the purpose of providing ethics insights into public/private efforts to develop genetic databases. This analysis examines the moral differences between the general case of governmental collection of medical data for public health purposes and the centralized collection planned in Iceland. Both the process of developing the database and its design vary in significant ways from typical government data collection and analysis activities. Because of these differences, the database may serve the interests of deCODE more than it serves the interests of the public, undermining the claim that presumed consent for this data collection and its proprietary use is ethical. -
A Comparison of Two Bioethical Theories
A Comparison of Two Bioethical Theories A thesis presented to the faculty of the College of Arts and Sciences of Ohio University In partial fulfillment of the requirements for the degree Master of Arts Gavin G. Enck June 2009 © 2009 Gavin G. Enck. All Rights Reserved. 2 This thesis titled A Comparison of Two Bioethical Theories by GAVIN G. ENCK has been approved for the Department of Philosophy and the College of Arts and Sciences by Arthur Zucker Associate Professor of Philosophy Benjamin M. Ogles Dean, College of Arts and Sciences 3 ABSTRACT ENCK, GAVIN G., M.A., June 2009, Philosophy A Comparison of Two Bioethical Theories (81 pp.) Director of Thesis: Arthur Zucker This thesis compares two bioethical theories in order to determine which theory is better for use by medical professionals. The two theories are Tom L. Beauchamp and James Childress’s “Principlism” and Bernard Gert, K. Danner Clouser, and Charles M. Culver’s “Moral Rules.” The structure of the paper is as follows: an explication of both theories, an examination of the similarities and differences between the theories, an evaluation of criticisms of both theories, and identification of the three advantages the Moral Rules theory has over Principlism. In the conclusion, I claim the Moral Rules is the better bioethical theory for the medical profession. Approved: _____________________________________________________________ Arthur Zucker Associate Professor of Philosophy 4 TABLE OF CONTENTS Page Abstract .............................................................................................................................. -
Protecting Human Research Participants NIH Office of Extramural Research Introduction
Protecting Human Research Participants NIH Office of Extramural Research Introduction Research with human subjects can occasionally result in a dilemma for investigators. When the goals of the research are designed to make major contributions to a field, such as improving the understanding of a disease process or determining the efficacy of an intervention, investigators may perceive the outcomes of their studies to be more important than providing protections for individual participants in the research. Although it is understandable to focus on goals, our society values the rights and welfare of individuals. It is not considered ethical behavior to use individuals solely as means to an end. The importance of demonstrating respect for research participants is reflected in the principles used to define ethical research and the regulations, policies, and guidance that describe the implementation of those principles. Who? This course is intended for use by individuals involved in the design and/or conduct of National Institutes of Health (NIH) funded human subjects research. What? This course is designed to prepare investigators involved in the design and/or conduct of research involving human subjects to understand their obligations to protect the rights and welfare of subjects in research. The course material presents basic concepts, principles, and issues related to the protection of research participants. Why? As a part of NIH's commitment to the protection of human subjects and its response to Federal mandates for increased emphasis on protection for human subjects in research, the NIH Office of Extramural Research released a policy on Required Education in the Protection of Human Research Participants in June 2000. -
Incentivizing the Utilization of Pharmacogenomics in Drug Development Valerie Gutmann Koch
Journal of Health Care Law and Policy Volume 15 | Issue 2 Article 3 Incentivizing the Utilization of Pharmacogenomics in Drug Development Valerie Gutmann Koch Follow this and additional works at: http://digitalcommons.law.umaryland.edu/jhclp Part of the Chemicals and Drugs Commons, and the Health Law Commons Recommended Citation Valerie G. Koch, Incentivizing the Utilization of Pharmacogenomics in Drug Development, 15 J. Health Care L. & Pol'y 263 (2012). Available at: http://digitalcommons.law.umaryland.edu/jhclp/vol15/iss2/3 This Article is brought to you for free and open access by DigitalCommons@UM Carey Law. It has been accepted for inclusion in Journal of Health Care Law and Policy by an authorized administrator of DigitalCommons@UM Carey Law. For more information, please contact [email protected]. INCENTIVIZING THE UTILIZATION OF PHARMACOGENOMICS IN DRUG DEVELOPMENT VALERIE GUTMANN KOCH* I. INTRODUCTION The last decades have witnessed remarkable advancements in the fields of genetics and genomics, highlighted by the successful completion of the map of the human genome in 2003.' With this achievement came scientific possibilities that, only a few decades earlier, seemed more science fiction than reality. Of these developments, pharmacogenomics is hailed by many as a panacea for problems associated with pharmaceutical drug use and development.2 The Human Genome Project (HGP) and associated research have demonstrated that all human beings share 99.9 percent of their DNA. 3 Pharmacogenomics focuses on the 0.1 percent differences between individuals and promises to allow physicians to tailor a patient's prescription according to his or her genetic profile, reducing painful and sometimes deadly side effects, ensuring appropriate dosage decisions, and targeting specific disease pathways.4 Copyright © 2012 by Valerie Gutmann Koch. -
Revised Ethical Guidelines in Indian Biobanking
Revised Ethical Guidelines In Indian Biobanking: Do We Need To Downregulate the Proposed Frameworks? Juhi Tayal1, Anurag Mehta2 and Alok Kumar1 1 Biorepository, Department of Research, Rajiv Gandhi Cancer Institute and Research Centre, India 2 Department of Laboratory Sciences and Molecular Diagnostics, RGCI&RC, India 1,2 Sec-5,Rohini, New Delhi, India-110085 Email: [email protected]/ [email protected] BACKGROUND Guideline for Indian Biobanks ABSTRACT • Clinical biobanks are gaining popularity in India and are also revolutionizing research. Indian • Biomedical research in India has revolutionized with the changing times. This Council for Medical Research(ICMR),Council for Scientific and Industrial Research (CSIR) and paradigm shift has not only bought greater complexities but also greater Department of Biotechnology (DBT) are the major agencies supporting research in India. The ICMR responsibilities for policy makers ,researchers and stakeholders. The is the national organization and also the apex body for developing ethical frameworks and guidelines advancement is not limited to basic research or clinical research ,it has now and also enforcing them. The ICMR issued the Policy Statement on Ethical Considerations Involved taken a foothold into Digital imaging and Artificial intelligence platforms as in Research on Human Subjects in 1980. Due to rapid advancement in biomedical sciences new well. ethical dimensions have emerged and nesseciated the updation of these guidelines time and again in • The aim of policy makers worldover was to safeguard four basic ethical 2000,2003, 2013 and very recently in 2017. The revision has introduced many new sections and principles for research involving human subjects: respect for persons, also revamped the existing sections .A new Section 11 was dedicated to Biological materials, beneficence, non-maleficence and justice. -
Medical Ethical Aspects
MEDICAL ETHICAL ASPECTS Eric van Roon – September 30 2017 – EAHP Academy Seminar CONFLICT OF INTEREST THERE ARE NO CONFLICTS OF INTEREST TO DECLARE QUESTIONS - Yes or no: respect for autonomy, non-maleficence, beneficence and justice are the four principles for bioethics? - Yes or no: the framework of biomedical ethics is defined sharply - Yes or no: methodological issues may be grounds for non-accceptance of a study protocol for a research ethics committee ETHICAL DILEMMA - For a birthday you give a friend a ticket for the national lottery - You bought a ticket for yourself also - The next day you see that your friend forgot to take the ticket home - You won’t see your friend for the next two weeks - Before you can hand over the given ticket, the ticket of your friend receives a price of 150,000 EURO in the lottery; your ticket does not receive a price - Your friend doesn’t know the lottery results nor the number of the ticket you gave - What do you do? ETHICS Ethics: the discipline dealing with what is good and bad and with moral duty and obligation 1 1. https://www.merriam-webster.com/dictionary/ethic (Visited July 3 2017 BIOETHICS - Application of ethics to the field of medicine, healthcare, biotechnology and ecology - No absolute standards - Standards are developed in time BIOETHICAL PRINCIPLES A.k.a. Georgetown mantra - Respect for autonomy - Non-maleficence - Beneficence - Justice http://medanth.wikispaces.com/Bioethics (visited July 3 2017) RESPECT FOR AUTONOMY - Right tot self-rule - Free from both controlling interference by others and from limitations, such as inadequate understanding, that prevent meaningful choice. -
LG4690 Healthcare Life Scien
Healthcare and Life Sciences Group MERGERS & ACQUISITIONS hrough decades of experience in many of the transactions that have Tdefi ned the healthcare and life sciences industry, Sullivan & Cromwell offers clients comprehensive legal expertise paired with a practical understanding of commercial realities. With a multidisciplinary and integrated global practice, we provide our healthcare and life sciences clients with leading edge transactional advice, expertise on intellectual property intensive matters and deep litigation experience that is critical to the successful execution and consummation of deals and the resolution of disputes. As the following pages demonstrate, Sullivan & Cromwell’s Healthcare and Life Sciences Group has had the privilege of working on a number of transactions that have transformed the healthcare industry. We are grateful that our clients have trusted us with many of the industry’s most signifi cant matters. We look forward to working with existing and new clients and bringing to bear our industry expertise and experience in what promises to be another exciting year in dealmaking as companies continue to position themselves strategically in an ever-evolving industry. 1 Timeline of S&C’s Headline Healthcare and Google Life Sciences S&C client Google Life Life Sciences Transactions Sciences (U.S.) announces Royal Philips its formation as the fi rst of S&C client Royal Philips Baker Bros. Advisors the Alphabet companies, (Netherlands) completes S&C client Baker Bros. Advisors (U.S.) announces their funds role Bayer Verily -
Healthcare Conference
25th Annual HEALTHCARE CONFERENCE Healthcare Westin St. Francis San Francisco January 8–11, 2007 JPMorgan cordially invites you to attend the 25th Annual Healthcare Conference, January 8 –11, 2007, at the Westin St. Francis in San Francisco. JPMorgan’s premier conference on the healthcare industry will feature more than 260 public and private companies over four days of simultaneous sessions. In addition, the conference will host topical panel discussions featuring leading industry experts. Preliminary List of Invited Presenting Companies Actelion Ltd Baxter International Inc. Cooper Companies Aetna Incorporated BD (Becton, Dickinson) Coventry Affymetrix, Inc. Beckman Coulter, Inc. Dade Behring Holdings, Inc. Alcon, Inc. Bioenvision, Inc. DaVita Inc. Align Technology, Inc. Biogen Idec deCODE genetics, Inc. Allscripts Healthcare Solutions Inc. Biomet, Inc. Digene Altana Boston Scientific Corporation Digirad Corporation — US American Medical Systems Holdings Inc. Bristol-Myers Squibb Company Diversa Corporation Amerigroup Corp. Cambrex Corporation DJO Incorporated AmerisourceBergen Cardinal Health, Inc. Dyax Corp. Amgen, Inc. Caremark Rx, Inc. Eclipsys Corporation AMN Healthcare Services, Inc. Celgene Corporation Edwards Lifesciences Corporation AmSurg Corporation Cell Genesys Elan Corporation, plc Anadys Pharmaceuticals CENTENE Corporation Eli Lilly and Company Applied Biosystems Group Cephalon, Inc. Emdeon Ariad Pharmaceuticals, Inc. Cerner Corporation Emergency Medical Services Corporation AstraZeneca Group plc Charles River Laboratories, -
Principles — Respect, Justice, Nonmaleficence, Beneficence
Principles — Respect, Justice, Nonmaleficence, Beneficence The focus of this perspective is on the four PRINCIPLES supported by or compromised by the question or issue at hand. Philosophers Tom Beauchamp and Jim Childress identify four principles that form a commonly held set of pillars for moral life. Respect for Persons/Autonomy Acknowledge a person’s right to make choices, to hold views, and to take actions based on personal values and beliefs Justice Treat others equitably, distribute benefits/burdens fairly. Nonmaleficence (do no harm) Obligation not to inflict harm intentionally; In medical ethics, the physician’s guiding maxim is “First, do no harm.” Beneficence (do good) Provide benefits to persons and contribute to their welfare. Refers to an action done for the benefit of others. • Draws on principles or pillars that are a part of American life – familiar to most people, although not by their philosophical term • Compatible with both outcome-based and duty-based theories (respect for persons and justice are duty-based, while nonmaleficence and beneficence are outcome-based). • Provides useful and fairly specific action guidelines • Offers an approach that is appropriate for general bioethics and clinical ethics • Requires weighing and balancing – flexible, responsive to particular situations • Lacks a unifying moral theory that ties the principles together to provide guidelines • Principles can conflict and the theory provides no decision-making procedure to resolve these conflicts • Difficult to weigh and balance various principles • Autonomy in some cultures refers to individual autonomy, while in others refers to group/family/community autonomy Adapted with permission from Laura Bishop, Ph.D., Kennedy Institute of Ethics, Georgetown University 21. -
Personalised Medicine in the Nordic Countries
PERSONALISED MEDICINE IN THE NORDIC COUNTRIES NOS-M REPORT WITH CONCLUSIONS AND RECOMMENDATIONS FOR JOINT ACTIONS IN PERSONALISED MEDICINE IN THE NORDIC COUNTRIES CONTENTS EXECUTIVE SUMMARY 3 WORKSHOP REPORT – NORDIC COMMON STRENGTHS AND FUTURE 6 POTENTIAL IN THE FIELD OF PERSONALISED MEDICINE. APPENDIX 1 MAPPING REPORT – PERSONALISED MEDICINE 14 IN THE NORDIC COUNTRIES. APPENDIX 2 Introduction 16 What is Personalised Medicine? Why is Personalised Medicine a Strategic Priority for the Nordic Countries? Aims and Scope of this Report Current Trends in Personalised Medicine 18 Strategic Initiatives and Funding Strategies Challenges for Nordic Collaboration Knowledge Gaps State of Personalised Medicine in the Nordic Region 22 Common Nordic Initiatives Common Nordic Calls Nordic Conferences on Personalised Medicine Current Strategies and Initiatives in the Nordic Countries 30 Denmark Estonia Finland Iceland Norway Sweden State of Personalised Medicine in Europe 52 Common European Initiatives Global State of Personalised Medicine 56 Genomics Initiatives Personalised Medicine Strategic Initiatives 2 EXECUTIVE SUMMARY Background The Joint Committee of the Nordic Medical Research Councils (NOS-M) is a cooperative body for the medical research councils of the Nordic countries. The organisation aims to coordinate and promote medical research in the Nordic countries, to monitor its progress, and to facilitate information exchange among the countries. NOS-M has published two white papers (2011 and 2014) with recommendations on actions needed for the Nordic region to maintain a competitive global position in medical research by responding to scientific, health care and economic challenges. In the NOS-M white paper from 2014, personalised medicine was identified as one of the areas where cooperation can enable the Nordic countries to become world leaders.