Difference between revisions of "Theme:D44fd22a-ed5d-4120-a78b-8881747131fd"

From The Embassy of Good Science
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|Is About=In research with humans, human beings are not only researchers, but also the main subjects of research. Such research can be observational or interventional, and can be medical (including biology, physiology, and clinical trials) or non-medical (social science, political science). Because of ethical issues arising from human research, this area is heavily regulated, to protect the rights and dignity of research participants. <ref>World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. World Medical Association Declaration of Helsinki Special Communication. JAMA. 2013;310(20):2191-4.</ref>
 
|Is About=In research with humans, human beings are not only researchers, but also the main subjects of research. Such research can be observational or interventional, and can be medical (including biology, physiology, and clinical trials) or non-medical (social science, political science). Because of ethical issues arising from human research, this area is heavily regulated, to protect the rights and dignity of research participants. <ref>World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. World Medical Association Declaration of Helsinki Special Communication. JAMA. 2013;310(20):2191-4.</ref>
 
<references />
 
<references />
|Important Because=New drugs and procedures require detailed testing before being put into use. While a lot can be answered using in vitro experiments and animal testing, testing on humans is necessary in order to verify the safety and efficacy of novel treatments.
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|Important Because=New drugs. procedures and treatments require detailed testing to ensure they are safe, effective and do not harm those undergoing the treatment or taking the drug. While a lot can be answered using in vitro experiments and animal testing, testing on humans is necessary in order to verify the safety and efficacy of novel treatments.
|Important For=phd students; Researchers
 
|Has Best Practice=Throughout history, multiple violations of ethical principles in human research have happened. Most known and most widely publicized are experiments done by Nazis and Japanese during the WW2. In the aftermath of the WW2, the Nuremberg Code was published to provide basic guidelines in human research. <ref>Moreno JD, Schmidt U, Joffe S. The Nuremberg Code 70 Years Later. Jama. 2017;318(9):795-6. Epub 2017/08/18.</ref> To further improve ethics of human research, the World Medical Association developed the Declaration of Helsinki in 1964. <ref>Tyebkhan G. Declaration of Helsinki: the ethical cornerstone of human clinical research. Indian J Dermatol Venereol Leprol. 2003;69(3):245-7.</ref> While providing some guidance, they did not eradicate research misconduct. In the United States, a huge study was conducted to assess the impact of syphilis, and hundreds of participants were barred from seeking treatment in what was known as Tuskegee experiment. Following the public outcry, the Belmont report was published in 1978. <ref>Sims JM. A brief review of the Belmont report. Dimens Crit Care Nurs. 2010;29(4):173-4.</ref>
 
  
These documents set important standards in human research and provide the foundations of medical ethics. Some of the important points are respect for the person, personal autonomy (and informed consent), justice, and beneficence. <ref>Weise MV. Medical Ethics Made Easy. Prof Case Manag. 2016;21(2):88-94.</ref> Nowadays, different countries have different laws regarding clinical research, and these are closely related with ethical committees.
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'''Protecting research subjects'''
<references />
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The Belmont report lays down three basic ethical principles for human research which are aimed at protecting research subjects. The three ethical principles are:
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# '''Respect for perons''' includes acknowledging the autonomy of individuals and protecting those with diminished autonomy. The principle respect for persons is protected in the form of informed consent.
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# '''Beneficence''' is understood as minimizing harm and maximizing possible benefits. Systematically assessing the risks and benefits of a research project is needed to ensure the harms and benefits are well thought out.
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# '''Justice''' is who receives the benefits of research and who carries the costs. Fair procedures to select subjects need to be ensured.
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|Important For=Researchers; Bachelor students; Master students
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|Has Best Practice=Throughout history, multiple violations of ethical principles in human research have happened. Most known and most widely publicized are experiments done by Nazis and Japanese during the WW2. In the aftermath of the WW2, the Nuremberg Code was published to provide basic guidelines in human research.  To further improve ethics of human research, the World Medical Association developed the Declaration of Helsinki in 1964.  While providing some guidance, they did not eradicate research misconduct. In the United States, a huge study was conducted to assess the impact of syphilis, and hundreds of participants were barred from seeking treatment in what was known as Tuskegee experiment. Following the public outcry, the Belmont report was published in 1978.
 +
 
 +
These documents set important standards in human research and provide the foundations of medical ethics. Some of the important points are respect for the person, personal autonomy (and informed consent), justice, and beneficence. Nowadays, different countries have different laws regarding clinical research, and these are closely related with ethical committees.
 +
 
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'''Related guidelines'''
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<br />
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* [https://history.nih.gov/research/downloads/nuremberg.pdf Nuremberg code]
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* [https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/read-the-belmont-report/index.html Belmont report]
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* [https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/ Declaration of Helsinki]
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'''Related cases'''
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<br />
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* [https://www.cdc.gov/tuskegee/timeline.htm Tuskegee syphilis experiment]
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* [https://encyclopedia.ushmm.org/content/en/article/nazi-medical-experiments Nazi human experiments]
 
|Has Reference=a
 
|Has Reference=a
 
}}
 
}}
 
{{Related To
 
{{Related To
|Related To Resource=Resource:F7ed25ad-cfab-4040-b52f-596accc3c317;Resource:E1f32efa-98f0-4036-857b-441c15bb39da;Resource:A1f49b57-43f5-4ada-9119-5332e39679ae;Resource:05f04469-5834-4411-9217-c2551a0c745a;Resource:E9cd7ee1-bd54-4d5c-bdd9-786ef1c9f603
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|Related To Resource=Resource:F7ed25ad-cfab-4040-b52f-596accc3c317;Resource:E1f32efa-98f0-4036-857b-441c15bb39da;Resource:05f04469-5834-4411-9217-c2551a0c745a;Resource:E9cd7ee1-bd54-4d5c-bdd9-786ef1c9f603
 
|Related To Theme=Theme:E5629f68-81f6-490d-84d6-fd1e63b8dbc7;Theme:D0ad4326-4faa-47bf-85ab-a3eb78cb6540
 
|Related To Theme=Theme:E5629f68-81f6-490d-84d6-fd1e63b8dbc7;Theme:D0ad4326-4faa-47bf-85ab-a3eb78cb6540
 
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Revision as of 16:00, 19 October 2020

Research with humans

What is this about?

In research with humans, human beings are not only researchers, but also the main subjects of research. Such research can be observational or interventional, and can be medical (including biology, physiology, and clinical trials) or non-medical (social science, political science). Because of ethical issues arising from human research, this area is heavily regulated, to protect the rights and dignity of research participants. [1]

  1. World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. World Medical Association Declaration of Helsinki Special Communication. JAMA. 2013;310(20):2191-4.

Why is this important?

New drugs. procedures and treatments require detailed testing to ensure they are safe, effective and do not harm those undergoing the treatment or taking the drug. While a lot can be answered using in vitro experiments and animal testing, testing on humans is necessary in order to verify the safety and efficacy of novel treatments.

Protecting research subjects

The Belmont report lays down three basic ethical principles for human research which are aimed at protecting research subjects. The three ethical principles are:

  1. Respect for perons includes acknowledging the autonomy of individuals and protecting those with diminished autonomy. The principle respect for persons is protected in the form of informed consent.
  2. Beneficence is understood as minimizing harm and maximizing possible benefits. Systematically assessing the risks and benefits of a research project is needed to ensure the harms and benefits are well thought out.
  3. Justice is who receives the benefits of research and who carries the costs. Fair procedures to select subjects need to be ensured.

For whom is this important?

What are the best practices?

Throughout history, multiple violations of ethical principles in human research have happened. Most known and most widely publicized are experiments done by Nazis and Japanese during the WW2. In the aftermath of the WW2, the Nuremberg Code was published to provide basic guidelines in human research. To further improve ethics of human research, the World Medical Association developed the Declaration of Helsinki in 1964. While providing some guidance, they did not eradicate research misconduct. In the United States, a huge study was conducted to assess the impact of syphilis, and hundreds of participants were barred from seeking treatment in what was known as Tuskegee experiment. Following the public outcry, the Belmont report was published in 1978.

These documents set important standards in human research and provide the foundations of medical ethics. Some of the important points are respect for the person, personal autonomy (and informed consent), justice, and beneficence. Nowadays, different countries have different laws regarding clinical research, and these are closely related with ethical committees.


Related guidelines



Related cases


Other information

Virtues & Values
Good Practices & Misconduct
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