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Full-Text Articles in Medicine and Health Sciences

What's The Price Of A Research Subject?, Charles Weijer Nov 1999

What's The Price Of A Research Subject?, Charles Weijer

Charles Weijer

No abstract provided.


Thinking Clearly About Research Risk: Implications Of The Work Of Benjamin Freedman, Charles Weijer Oct 1999

Thinking Clearly About Research Risk: Implications Of The Work Of Benjamin Freedman, Charles Weijer

Charles Weijer

No abstract provided.


Protecting Communities In Research: Current Guidelines And Limits Of Extrapolation, Charles Weijer, Gary Goldsand, Ezekiel Emanuel Oct 1999

Protecting Communities In Research: Current Guidelines And Limits Of Extrapolation, Charles Weijer, Gary Goldsand, Ezekiel Emanuel

Charles Weijer

As genetic research increasingly focuses on communities, there have been calls for extending research protections to them. We critically examine guidelines developed to protect aboriginal communities and consider their applicability to other communities. These guidelines are based on a model of researcher-community partnership and span the phases of a research project, from protocol development to publication. The complete list of 23 protections may apply to those few non-aboriginal communities, such as the Amish, that are highly cohesive. Although some protections may be applicable to less-cohesive communities, such as Ashkenazi Jews, analysis suggests substantial problems in extending these guidelines in toto …


Optimal Photon Energies For Iudr K-Edge Radiosensitization With Filtered X-Ray And Radioisotope Sources, S. Karnas, E. Yu, R. Mcgarry, J. Battista Sep 1999

Optimal Photon Energies For Iudr K-Edge Radiosensitization With Filtered X-Ray And Radioisotope Sources, S. Karnas, E. Yu, R. Mcgarry, J. Battista

Edward Yu

The purpose of this work is to determine the most physically effective radiation energy for K-edge absorption of x- or gamma-rays by iododeoxyuridine (IUdR) on Chinese hamster ovary (CHO) cells. Brachytherapy sources (Sm-145, I-125, Yb-169 and Am-241) and x-ray beams (30 kVp, 100 kVp and 100 kVp with gold, gadolinium, lead or tungsten filtration) were investigated for their preferential absorption qualities by IUdR sensitized DNA. The 30 kVp, 100 kVp and 100 kVp with tungsten filtration were then used to irradiate CHO cells, with or without IUdR incorporation (i.e. 10(-5) M of IUdR for 3 days). Radiation absorption calculations were …


Protecting Communities In Research: Philosophical And Pragmatic Challenges, Charles Weijer Sep 1999

Protecting Communities In Research: Philosophical And Pragmatic Challenges, Charles Weijer

Charles Weijer

The issue of the protection of communities in clinical research first arose 10 years ago in studies conducted in technologically developing countries by scientists from technologically developed nations. The question was, which ethical standards ought to apply, those of the Western investigators or local standards?


Evaluation Of Cgmp-Phosphodiesterase (Pde) Subunits For Causal Association With Rod–Cone Dysplasia 2 (Rcd2), A Canine Model Of Abnormal Retinal Cgmp Metabolism, Weiquan Wang, Gregory Acland, Kunal Ray, Gustavo Aguirre Sep 1999

Evaluation Of Cgmp-Phosphodiesterase (Pde) Subunits For Causal Association With Rod–Cone Dysplasia 2 (Rcd2), A Canine Model Of Abnormal Retinal Cgmp Metabolism, Weiquan Wang, Gregory Acland, Kunal Ray, Gustavo Aguirre

Gustavo D. Aguirre, VMD, PhD

Rod-cone dysplasia types 1 (rcd1; Irish setter) and 2 (rcd2; collie) in dogs are early onset forms of progressive retinal atrophy (PRA) which serve as models of retinitis pigmentosa(RP) in humans. As bothrcd1 and rcd2 result from abnormal retinal cGMP metabolism associated with a deficiency in cGMP-phosphodiesterase (PDE) activity, and a nonsense mutation in the PDE6B subunit gene has been shown to cause rcd1, the genes encoding the four subunits of the PDE complex (PDE6A, PDE6B, PDE6G and PDE6D) make compelling candidates for the rcd2 locus. We adopted diverse strategies to evaluate causal association of the four PDE subunit genes …


Synthesis And Release Of Docosahexaenoic Acid By The Rpe Cells Of Prcd-Affected Dogs, Huiming Chen, Jharna Ray, Virginia Scarpino, Gregory M. Acland, Gustavo D. Aguirre, Robert E. Anderson Aug 1999

Synthesis And Release Of Docosahexaenoic Acid By The Rpe Cells Of Prcd-Affected Dogs, Huiming Chen, Jharna Ray, Virginia Scarpino, Gregory M. Acland, Gustavo D. Aguirre, Robert E. Anderson

Gustavo D. Aguirre, VMD, PhD

Purpose: Dogs affected with progressive rod-cone degeneration (prcd) have reduced levels of docosahexaenoic acid (DHA, 22:6n-3) in their plasma and rod photoreceptor outer segments (ROS). Dietary supplementation of DHA has failed to increase the ROS DHA levels to that of unaffected control dogs. The present study was undertaken to test the hypothesis that prcd-affected dogs have a reduced capacity for the synthesis and/or release of DHA in retinal pigment epithelial (RPE) cells.
Methods: RPE cells (first passage cultures) from prcd-affected and normal dogs were incubated with [3H]eicosapentaenoic acid (EPA, 20:5n-3) for 24 and 72 hours. After …


Voting Ourselves Rights: A Critique Of The Canadian Medical Association Charter For Physicians, Nuala Kenny, Charles Weijer, Francoise Baylis Aug 1999

Voting Ourselves Rights: A Critique Of The Canadian Medical Association Charter For Physicians, Nuala Kenny, Charles Weijer, Francoise Baylis

Charles Weijer

No abstract provided.


We’Re Alright Jack, Charles Weijer Jul 1999

We’Re Alright Jack, Charles Weijer

Charles Weijer

No abstract provided.


Getting Doctors To Listen: Ethics And Outcomes Data In Context, Charles Weijer Jul 1999

Getting Doctors To Listen: Ethics And Outcomes Data In Context, Charles Weijer

Charles Weijer

No abstract provided.


A Novel Retinal Degeneration Locus Identified By Linkage And Comparative Mapping Of Canine Early Retinal Degeneration, Gregory Acland, Kunal Ray, Cathryn Mellersh, Amelia Langston, Jasper Rine, Elaine Ostrander, Gustavo Aguirre Jul 1999

A Novel Retinal Degeneration Locus Identified By Linkage And Comparative Mapping Of Canine Early Retinal Degeneration, Gregory Acland, Kunal Ray, Cathryn Mellersh, Amelia Langston, Jasper Rine, Elaine Ostrander, Gustavo Aguirre

Gustavo D. Aguirre, VMD, PhD

Early retinal degeneration (erd) is an early onset progressive retinal atrophy, a hereditary canine retinal disease phenotypically similar to human retinitis pigmentosa (RP). In previous efforts to identify the erd locus, canine homologs of genes causally associated with RP in humans, such as opsin (RHO), the β-subunit gene for cyclic GMP phosphodiesterase (PDE6B), and RDS/peripherin, were excluded. A genome-wide screen was undertaken on canine families segregating the erd disease. Analysis of over 150 canine-specific markers has localized erd to a single linkage group comprising two previously identified canine linkage groups, 20 and 26, corresponding to canine radiation hybrid groups RH.34-a …


Another Tuskegee?, Charles Weijer Jun 1999

Another Tuskegee?, Charles Weijer

Charles Weijer

No abstract provided.


Why I Am Not A Futilitarian (Review Of When Doctors Say No: The Battleground Of Medical Futility), Charles Weijer Mar 1999

Why I Am Not A Futilitarian (Review Of When Doctors Say No: The Battleground Of Medical Futility), Charles Weijer

Charles Weijer

No abstract provided.


Structuring The Review Of Human Genetics Protocols Part-Iii: Gene Therapy Studies, Kathleen Glass, Charles Weijer, Denis Cournoyer, Trudo Lemmens, Roberta Palmour, Stanley Shapiro, Benjamin Freedman Feb 1999

Structuring The Review Of Human Genetics Protocols Part-Iii: Gene Therapy Studies, Kathleen Glass, Charles Weijer, Denis Cournoyer, Trudo Lemmens, Roberta Palmour, Stanley Shapiro, Benjamin Freedman

Charles Weijer

No abstract provided.


Placebo-Controlled Studies In Schizophrenia: Ethical And Scientific Perspectives. Panel Discussion, T. Lemmens, P. Appelbaum, W. Carpenter, C. Mccarthy, C. Peterson, D. Streiner, Charles Weijer Feb 1999

Placebo-Controlled Studies In Schizophrenia: Ethical And Scientific Perspectives. Panel Discussion, T. Lemmens, P. Appelbaum, W. Carpenter, C. Mccarthy, C. Peterson, D. Streiner, Charles Weijer

Charles Weijer

No abstract provided.


Placebo-Controlled Trials In Schizophrenia: Are They Ethical? Are They Necessary?, Charles Weijer Feb 1999

Placebo-Controlled Trials In Schizophrenia: Are They Ethical? Are They Necessary?, Charles Weijer

Charles Weijer

The current controversy as to the proper role of the placebo control in the evaluation of new treatments for schizophrenia requires an analysis that is sensitive to both ethical and scientific issues. Clinical equipoise, widely regarded as the moral foundation of the randomized controlled trial (RCT), requires the use of best available treatment as the control in RCT. Scientific criticisms of the use of an active control are examined and none present an insuperable barrier to the use of an active control. Indeed, scrutiny of the most recent argument for the use of placebo controls, 'assay sensitivity', suggests that the …


Self-Care Agency And Self-Care Practice Of Adolescents, Ida Slusher Dec 1998

Self-Care Agency And Self-Care Practice Of Adolescents, Ida Slusher

Ida Slusher

The purposes of this study were threefold: (a) to describe self-care agency, (b) to describe self-care practice, and (c) to describe the relationship between self-care agency and self-care practice in adolescents. The usefulness of Orem's Self-Care Deficit Nursing Theory (SCDNT) with adolescents also was evaluated. Participants in this study included 173 adolescents, 14 to 19 years of age. Data were collected in classroom settings in two diverse high schools. Denyes Self-Care Agency Instrument-90 and Denyes Self-Care Practice Instrument-90 were administered. Results revealed the presence of self-care agency and self-care practice. Although self-care practice was lower than self-care agency, a significant …


Consensus-Seeking Roundtable On Placebos In Clinical Research, Charles Weijer Dec 1998

Consensus-Seeking Roundtable On Placebos In Clinical Research, Charles Weijer

Charles Weijer

No abstract provided.


Medical Futility: Physicians, Not Patients, Call The Shots, Charles Weijer Dec 1998

Medical Futility: Physicians, Not Patients, Call The Shots, Charles Weijer

Charles Weijer

No abstract provided.


Anatomy Of A Clinical Ethics Consultation, Barry Hoffmaster Dec 1998

Anatomy Of A Clinical Ethics Consultation, Barry Hoffmaster

C. Barry Hoffmaster

Theoretical accounts of the nature and purposes of clinical ethics consultation are disappointingly superficial and diffuse. Attempts to illuminate the goals, the forms, the substance, and the criteria for the success of ethics consultations need to focus on detailed reports of cases and the contexts in which they occur. The uncommonly rich description of the consultation surrounding Mrs. Roses plight provides a splendid opportunity to explore such matters. The ethics consultant pursues a number of ventures providing and clarifying information, improving communication, educating and counseling, and being a friend with variable degrees of success. What the ethics consultant can do …


The Analysis Of Risks And Potential Benefits In Research, Charles Weijer Dec 1998

The Analysis Of Risks And Potential Benefits In Research, Charles Weijer

Charles Weijer

No abstract provided.


Integrating Bioethics And Health Law Into The Canadian Institutes Of Health Research, Susan Sherwin, FrançOise Baylis, Alan Bernstein, Timothy Caulfield, Bernard Dickens, Jocelyn Downie, Bartha Knoppers, ThéRèSe Leroux, Neil Macdonald, Michael Mcdonald, Janet Storch, Charles Weijer Dec 1998

Integrating Bioethics And Health Law Into The Canadian Institutes Of Health Research, Susan Sherwin, FrançOise Baylis, Alan Bernstein, Timothy Caulfield, Bernard Dickens, Jocelyn Downie, Bartha Knoppers, ThéRèSe Leroux, Neil Macdonald, Michael Mcdonald, Janet Storch, Charles Weijer

Charles Weijer

No abstract provided.


Decision-Making Within The Social Course Of Dementia: Accounts By Chinese American Caregivers., M Hicks, M Lam Dec 1998

Decision-Making Within The Social Course Of Dementia: Accounts By Chinese American Caregivers., M Hicks, M Lam

Madelyn Hsiao-Rei Hicks

No abstract provided.


Photoreceptor Dysplasia (Pd) In Miniature Schnauzer Dogs: Evaluation Of Candidate Genes By Molecular Genetic Analysis, Qi Zhang, V J. Baldwin, Gregory M. Acland, C J. Parshall, J. Haskell, Gustavo D. Aguirre, Kunal Ray Dec 1998

Photoreceptor Dysplasia (Pd) In Miniature Schnauzer Dogs: Evaluation Of Candidate Genes By Molecular Genetic Analysis, Qi Zhang, V J. Baldwin, Gregory M. Acland, C J. Parshall, J. Haskell, Gustavo D. Aguirre, Kunal Ray

Gustavo D. Aguirre, VMD, PhD

Photoreceptor dysplasia (pd) is one of a group of at least six distinct autosomal and one X-linked retinal disorders identified in dogs which are collectively known as progressive retinal atrophy (PRA). It is an early onset retinal disease identified in miniature schnauzer dogs, and pedigree analysis and breeding studies have established autosomal recessive inheritance of the disease. Using a gene-based approach, a number of retina-expressed genes, including some members of the phototransduction pathway, have been causally implicated in retinal diseases of humans and other animals. Here we examined seven such potential candidate genes (opsin, RDS/peripherin, ROM1, rod cGMP-gated cation channel …


Overview Of The International Workshop On Canine Genetics, Gustavo D. Aguirre, Kunal Ray, Gregory M. Acland Dec 1998

Overview Of The International Workshop On Canine Genetics, Gustavo D. Aguirre, Kunal Ray, Gregory M. Acland

Gustavo D. Aguirre, VMD, PhD

No abstract provided.


Factors Affecting The Circumcision Decision, Jeffrey D. Tiemstra Md Dec 1998

Factors Affecting The Circumcision Decision, Jeffrey D. Tiemstra Md

Jeffrey Tiemstra, MD, FAAFP

BACKGROUND: Studies from more than 10 years ago have shown that most parents choose circumcision for their infant sons for nonmedical reasons. Since then a wealth of data has accumulated on the relative risks and benefits of the procedure, although the medical community remains divided on the appropriateness of the procedure. Whether the ongoing research effort and medical debate have had an effect on parental decision making is unknown.

METHODS: A survey of parents of 55 male infants was conducted to determine when the parents made their decision regarding circumcision, whether discussions with providers affected their decisions, and what the …


Therapeutic Angiogenesis For Critical Limb Ischemia To Limit Or Avoid Amputation, Nicholas Kipshidze, Valeri Chekanov, Steven Knappes, Ahmed Abdurahman, Deb Hammen Dec 1998

Therapeutic Angiogenesis For Critical Limb Ischemia To Limit Or Avoid Amputation, Nicholas Kipshidze, Valeri Chekanov, Steven Knappes, Ahmed Abdurahman, Deb Hammen

Ahmed Dalmar, MD

No abstract provided.


Clarification And Integration Of Similar Quality Of Life Concepts, Barbara K. Haas Dec 1998

Clarification And Integration Of Similar Quality Of Life Concepts, Barbara K. Haas

Barbara Haas

PURPOSE: To identify major problems that obscure understanding of quality of life; to differentiate quality of life from other closely related concepts, and to offer a definition of quality of life. Quality of life is a term frequently used, but seldom defined, in nursing research. Multiple interpretations and measures make evaluating research difficult. The need to clarify concepts, develop nursing theory, and enhance communication is significant. Concept clarification is also essential for research instrument development and evaluation. 


Neuropsychiatry Of Movement Disorders, Kevin J. Black, Jonathan W. Mink Dec 1998

Neuropsychiatry Of Movement Disorders, Kevin J. Black, Jonathan W. Mink

Kevin J. Black, MD

Movement disorders include both psychiatric illnesses with neurologic features and neurologic illnesses with frequent psychiatric complications. During 1998, neuropsychiatric progress was made on several fronts, notably in parkinsonism and tic disorders. This remains an exciting area for research, with many unsolved, clinically important problems, but with increasing neurobiologic knowledge and sophistication.