
The Stored Tissue Issue
Description
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Content
- Intro
- Contents
- Part I: From Unquestioned Traditional Practices to a Controversy About Research, Rights, and Rewards
- 1. Unprecedented Cases, Debatable Changes, and New Challenges
- The John Moore Case
- The NHANES III Study
- DeCODE Genetics
- The Challenges Presented in Writing This Book
- Cases and Vignettes
- 2. Concerns About Some Common Research Practices
- The Available Data About Tissues in Storage
- Segments of Public Opinion
- Genetic Privacy and Genetic Discrimination
- Relevant Concerns of Scientists
- Other Ethical and Legal Concerns
- On Terminology
- Cases and Vignettes
- 3. The Controversy over Stored Tissues, Research Practices, and Informed Consent
- Questions in the Ongoing Controversy
- Precursors to the NIH/CDC Workshop Statement
- The NIH/CDC Workshop Statement
- Critical Responses to the NIH/CDC Workshop Statement
- Alternative Solutions
- Cases and Vignettes
- 4. Molecular Genetics: Tissue Samples in the Laboratory
- Biological Sampling Methods
- Tissue Types
- Other "Types" of Tissues
- Sample Storage and Processing
- Types of Information
- Anonymized Samples
- New Technologies for DNA Testing
- DNA Sequence Storage
- The Impact of Molecular Genetics on Scientific Research
- From the HGP to Genomic Medicine and Public Health
- Scenario: Chapters in the Life of a Tissue Sample
- Cases and Vignettes
- Part II: Current Laws, Policies, and Recommendations
- 5. Recommendations and Policies in Other Countries
- The Health Council of the Netherlands (1994)
- The Nuffield Council on Bioethics (1995)
- The Human Genome Organization (1996, 1998)
- The Council of Europe (1997, 1999)
- The Canadian Tri-Council Policy Statement (1998, 2001)
- Summary
- Cases and Vignettes
- 6. The Federal Regulations for Human Tissue Research: Summary and Assessment
- A Summary of the Common Rule
- Informed Consent: The Basic Framework
- Exemption, Waiver, and Expedited Review
- Privacy and Confidentiality
- Research with Stored Tissue Samples Under the Federal Policy
- The HIPAA Privacy Standards
- State Regulation of Research
- Cases and Vignettes
- 7. The Larger Legal Framework for Human Tissue Research: Moore and Beyond
- John Moore's Spleen
- Ownership and Control of the Body and Its Parts
- Gene Patenting
- Privacy of Genetic and Other Health Information
- Genetic Discrimination: Health Insurance
- Genetic Discrimination: Genes in the Workplace
- Cases and Vignettes
- 8. The NBAC Report: Recommendations and Limitations
- NBAC's Mandate and Goals
- The NBAC Analysis and Recommendations
- Assessment
- The NBAC Report in an International Context
- Cases and Vignettes
- Part III: Ethical, Professional, and Legal Implications
- 9. Updating Informed Consent in the Era of Genomic Medicine
- The Need to Update the Informed Consent Process
- The Reasonable Person Standard of Disclosure
- Varieties of Consent
- Cases and Vignettes
- 10. Beyond Informed Consent: Other Ethical Issues and Concerns
- The Relevance of Ethical Principles to the Debate
- Some Special Issues Involving Research Without Adequate Consent
- The Risks of Other Kinds of Psychosocial Harm
- The Ownership of Body Parts
- Concerns About Commercialism
- Research Using Databases
- Some Special Issues in Forensic Settings
- Cases and Vignettes
- 11. An Agenda for the Near Future
- Recommendations
- Recommendations for Individuals and Families
- Recommendations for Physician-Investigators and Other Biomedical Investigators
- Recommendations for Administrators of Research Institutions
- Recommendations for Makers of Public Policy Related to Human Participants Research
- Appendix: Index of Acronyms
- Index
- A
- B
- C
- D
- E
- F
- G
- H
- I
- J
- K
- L
- M
- N
- O
- P
- Q
- R
- S
- T
- U
- V
- W
- Y
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