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Final exam Units 3-5
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what is bioethics
it examines ethical issues in health care, health science, and policy
what does bioethics question
our attitude to basic human values and society’s responsibilities for the life and health of its members
what does bioethics evaluate
how medical technology can change the meaning of health and effect the way we live and die
what does bioethics consider
the right and wrong of decisions
what are some of the unethical research throughout history
nazi research by mengele
tuskegee experiment
willowbrook study
human radiation experiments by te US DoD and AEC
waht was the nazi research by mengele
twin studies to study hypothermia, head injuries, etc.
what was rhe tuskegee experiment of 1932-1972
american researchers purposely withheld treatment for 399 african americans with syphilis for the sole purpose of studying the longterm effects of the disease
what was the willowbrook study of 1963-1966
children with developmental disabilities were deliberately infected with hepatitis (some were even fed fecal matter) purpose was to examine the course of the disease and to test a potential immunization
what was the human radiation experiments by the DOD and AEC
feeding radioactive material to mentally disabled children
enlisting doctors to administer radioactive iron to impoverished pregnant women
exposing US soldiers and prisoners to high levels of radiation
irradiating the testicles of prisoners which caused severe birth defects
exhuming bodies from graveyards to test them for radiation (without the consent of the families of the deceased)
what is the declaration of helsinki
the primary principle is respect for the individual, their right to self determination and the right to make informed decisions regarding participation in research initially during and after the research.
what does the declaration of helsinki state in regards to the investigators duty
that it is solely to the patient
what does the declaration of helsinki state about the subjects welfare
that it must always take precedence over the interests of science and society
what does the declaration of helsinki say about ethical considerations
that they must always take precedence over laws and regulations
when was the declaration of helsinki made and how often is it updated
1964- and every few years
what are some of the issues within genetics/genomics research
eugenics, genetic testing, intellectual property, genetic discrimination
what is eugenics
the science which deals with all influences that improve the inborn qualtities of a race also with those that develop them to the utmost advantage
who and when coined eugenics
sir francis galton in 1883
where are other notable areas where eugenics was discussed
plato- discussed the need to supply society with genetically improved human beings and suggested how, and rome and sparta- infanticide to remove weak babies
what are some of the unfit human traits within eugenics
feeblemindedness, epilepsy, criminality, insanity, alcoholism, and pauperism
how quickly did they think they could breed out most of the unfitness with eugenics
3 generations
what is positive eugenics
to increase reproduction in families with desirable traits
what is negative eugenics
to limit reproduction in families with undesirable traits
what is the issue with eugenics
who decides what is desirable and undesirable
what do some people say is desirable in eugenics
emotional stability, strong character, considerateness, intelligence, high moral standards, and a feeling for the public welfare
who is the father of eugenics
charles davenport
he is credited with the popularization of eugenics too
what did charles davenport rely on
mendels work
what are some respectable studies from Davenport
eye color, hair color, hair texture, and pigmentation, but also went on to apply results to complex human traits like intelligence
what are some reasons genetics is not simple
we dont understand everything about heredity, critical thought is vital, they must avoid value judgement, and cant concatenate assumptions
what is the problem with not understand everything about heredity
should we categorize people based on limited knowledge… or worse false knowledge
why is critical thinking important in genetics
all claims, regardless of whether they fit your assumptions or not, should be subject to critical analysis
why do we need to avoid value judgements in genetics
a flaw to one person may be a virtue to another
why cant we concatenate assumptions
an individual may have a particular trait but that does not imply that they have another and another and another. dont create a false picture from a single point
what does it mean that genetics is a might fine hammer but not everything is a nail
individuals are the result of gene products interacting with each other and with the environment. dont disregard one component at the expense of another
why is it important to understand why reductionism is essential for beginning to understand but is not sufficient for thorough understanding
because much of what we learn is a simplistic explanation to get the basic idea and concepts but the reality is often very much more complex
who were some of the people that attended the international eugenics congresses of 1912, 1921, and 1932
alexander graham bell, and winston churchill
what organizations were formed for eugenics between 1900-1920a
ERO- Eugenics Record Office
ABA- American Breeders Association
The Race Betterment Foundation
The American Eugenics Society
The Galton Society
what is the fitter family contest
a contest held at the kansas state fair in 1920 where families submitted an abridged record of family traits and a team of MDs performed psychological and physical exams on family members, gave the family an overall score and the family with the highest grade average was the winner
what did virginias racial integrity act of 1924 followed by bama and georgia do
miscegenation laws against mixing races
what were limits on eastern and southern europeans based on
IQ tests, and inmate/asylum studies
what act made some new immigration laws
immigration restriction act of 1924
what was the first state and when to make sterilization laws
indiana in 1907
what law defines the socially inadequate classes
model eugenical sterilization law by laughlin in 1922
what populations did laughlin stress the need to sterilize
populations that were inadequate from physical appearance, to socioeconomic status
who was the first to be sterilized
carrie buck in VA
why was carrie buck sterilized
her mother was in an asylum, she gave birth at 17 out of wedlock, and her daughter was determined to be feebleminded at 7 months
where were there sterilization movements
france, norway, sweden, denmark, russia, cuba, brazil, mexico, canada, and japan
where were there eugenic sterilization laws passed
alberta 1928, sweden and norway 1934
what law did nazi germany government adopt
laughlins model eugenical sterilization law
how many people were sterilized by the nazis
more than 350,000
who was awarded an honorary degree from the university of heidelberg in 1936 and what was it for
laughlin for work in the science of racial cleansing
what is an aryan society
This society was organized around a hierarchical class system known as the varna system, which divided people into four main groups based on occupation and social role
who were the marriage laws for in 1935
the prohibition was between aryans, jews, and the eugenically unfit
who all did the nazis kill because of eugenics
jews, mental patients, gypsies, slavs, and social democrats
why is eugenics flawed
it does not recognize the complexity of human traits, disregard of environmental/ social factors, skewed results, linking undesirable traits with racial and ethnic groups, disregard of effects on genetic diversity, flawed IQ testing
what was eugenics deemed as and what was it actually
deemed as a pseudo-science but was mainly a social movement
why did eugenics decline
the atrocities of the nazis, emerging evidence against eugenic claims, opposition from the church
what does DTC mean
direct to consumer
what are some DTC genetic testing
23and Me, Ancestry DNA, gene by gene, etc.
where are DTC genetic testing banned
france, and germany
what are the pros to DTC genetic testing
patient/ individual autonomy, empowerment in the form of informed choices on lifestyle, diet, repro, and privacy, you control the info you bought separate from insurance and medical records
cons of DTC genetic testing
lack of regulation, interpretation, unclear goals of companies, unsupported claims
what risk is associated with DTC genetic testing
the risk of non-consensual testing
what are some issues with the interpretation of DTC
having a given allele does not alwasy mean gettin a disease, risks associated with having a particular allele may not be accurate based on current research
what is revealed in if information is revealed or not revealed
there is no difference or increased risk for harm
what are best practices for interpretation of DTC results
promote informed decision making, employ proven health communication techniques in disclosure, provide guidance on appropriate next steps
what are intellectual properties
simply ideas; words, protocols, recipes, symbols, interventions, innovations, and new varieties of organism
what does IP stand for
intellectual property
how have genes and genomes historically been considered in terms of IP
freely available (no one invented them)
what did the UN in 1983 believe about plant genetic resources
that they are a heritage of mankind and should be available without restriction
what do countries that are developing believe about genetic resources
they want to patent genetic resources arising from their regions
what are the pros to patenting genes
reduces competition allowing companies (especially smaller ones) time to exploit discoveries for monetary advantage
encourages research and evelopment in private industries
provides opportunities for investment in innovation
cons of patenting genes
hinders research by restricting access for up to 20 years
leads to monopolization of genes
slows down medical results by limiting the number of companies allowed to perform a genetic test
what is the CBD
convention on biological diversity
what are the 3 main objectives of CBD
conservation of biological diversity
The sustainable use of the components of biological diversity
the fair and equitable sharing of the benefits arising out of the utilization of genetic resources, thereby contributing to the conservation and sustainable use of biodiversity
what is the nagoya protocol 2010
a supplementary agreement to the CBD specifically to implement objective 3: the fair and equitable sharing of the benefits arising out of the utilization of genetic resoources
what were the obligations of the nagoya protocol
create legal certaintu, clarity, and transparency, create conditions to promote and encourage research contributing to biodiversity conservation and sustainable use, consider the importance of genetic resources for food and agriculture for food security
what was the cartegena protocol 2003
supplementary agreement to the convention on biological diversity CBD specifically to protect biological diversity from the risks of genetically modified organisms
what was the objective of the cartegena protocol
to contribute to ensuring an adequate level of protection in the field of the safe tranfer handling and use of living modified organisms resulting from modern biotechnology that may have adverse effects on the conservation and sustainable use of biological diversity, taking also into account risks to human health and specifically focusing on transboundary movements
what does genetic information include in terms of genetic discrimination
an individuals genetic tests, genetic tests of family members, the manifestation of disease or disorder in family members, requests for or receipt of genetic services by an individual or family member, genetic information of a fetus or embryo
what is GINA
genetic information nondiscrimination act
when was GINA passed
unanumously by congress in 2008
what does GINA do
prohibits group and individual health insurers from using a persons genetic info in determining eligibility or premiums, prohibits employers from using a persons genetic information in making employment decisions such as hiring, firing, job assignments, or any other terms of employment, prohibits employers from requesting requiring or purchasing genetic information about persons or their family members
what has been the subject of genetic analysis since the advent of genetics
human ancestry
what are the 2 major avenues
early studies focused on mitochondrial analysis
other early work focused on the Y-chromosome
what have the more recent studies of ancestry shifted to
the focus has shifted to nuclear data
what is the central concept in ancestry analysis
coalescent theory
what does the coalescent theory apply to
mitochondrial, y-chromosome, and nuclear analyses
what lineage is mitochondria inherited through
the maternal lineage
what is the only mitochondria that can give rise to the zygotes mitochondria
the mitochondria in the egg
how is mitochondrial DNA passed down
from mother to daughter and son
what happens to the mitochondria inherited by sons from their mothers
they never make it to their own children
some animals are an exception for waht rule
the maternal mitochondrial inheritance
what are plants in terms of mitochondrial inheritance
some are maternally inherited others are bipartental
what does studying mitochondrial DNA sequences allow scientists to look at
it allows them to look at human and other animal lineages without the complications introduced by meiosis and recombination
what is another way to put how midochondria allow geneticists to trace ancestry
it is essentially tracing it as if it was an asexually reproducing organism
what do differences in mitochonrial sequences allow
differences in mitochondrial sequences be used to estimate temporal separartion of lineages
how is estimating tempora separation of lineages done
by assuming that mutation rates are fairly constant (this may or may not be true)
what does the coalescent theory give rise to
the mitochondrial eve
what is the coalescent theory
the woman from whom all living women and therefore all humans are descended
what does the coalescent theory not imply
that this was the only existing woman at that time and only that her mitochondrial haplotype is the one that made it all the way to today