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Врач и пациент в сети конфликтов интересов PowerPoint PPT Presentation


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Врач и пациент в сети конфликтов интересов. В. В. Власов. Конфликт интересов. Альбер Остерхауз – Голландский вирусолог, ключевой советник ВОЗ, интерес в продаже вакцин – стоит за всеми ужасами – от SARS до свиногриппа В Гонконге, где «разгорелся» SARS , начала карьеру Маргарет Чан.

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Врач и пациент в сети конфликтов интересов

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BMJ2008;336:976(3May), doi:10.1136/bmj.39563.495741.80 Reproductive liberty and deafnessClause 14(4)(9) of embryo bill should be amended or deletedAmendments to the Human Fertilisation and Embryology Act 1990are currently passing through the UK Houses of Parliament.1Clause 14, section 4, number 9 (lines 23-30, page 10) says thatpeople or embryos known to have a gene, chromosome, or mitochondrionabnormality that confers a significant risk of serious physicalor mental disability, serious illness, or other serious medicalcondition must not be preferred over those not known to havean abnormality.This clause has been added to prevent positive selection ofdeaf donors deliberately to result in a deaf child, and oneoutcome would be that deaf parents could not use preimplantationdiagnosis to select embryos with genes for deafness.If passed, the bill would make it illegal for a deaf adult todonate gametes for in vitro fertilisation, even to close relatives.It would be illegal for deaf parents, using preimplantationgenetic diagnosis, to implant embryos with the genes for deafnessif normal embryos were available.Actively selecting for deafness is controversial. However, researchindicates that few people want to do this,23 and requests toclinics for the selection of "disability" are low.4 So, is itnecessary to legislate against something that is unlikely tohappen and for which guidelines already exist?This section of clause 14(4)(9) is discriminatory. The wordingimplies that deaf people are less valuable than "hearing" people,and likewise for their embryos. This contradicts attempts bythe UK government to recognise the equal status of deaf peoplein policy (through recognising British sign language) and inlaw (through equal rights for deaf people). Deaf people wishto have equal rights when making decisions about reproduction,even when genetic technology is involved. We are therefore arguingfor this section of the clause to be amended or omitted fromthe UK Human Fertilisation and Embryology Bill.Steve Emery, research fellow1, Teresa Blankmeyer Burke, bioethicist2, Anna Middleton, consultant research genetic counsellor3, Rachel Belk, genetic counsellor and NIHR research fellow4, Graham Turner, chair of interpreting and translation studies51 Department of Languages and Intercultural Studies, School of Management and Languages, Heriot-Watt University, Edinburgh EH14 4AS, 2 Philosophy and Religion Department, Gallaudet University, Washington, DC 20002, USA, 3 Institute of Medical Genetics, School of Medicine, Cardiff University, Cardiff CF14 4XN, 4 Faculty of Medicine and Human Sciences, University of Manchester, Manchester M13 9PT, 5 Department of Languages and Intercultural Studies, School of Management and Languages, Heriot-Watt University, Edinburgh EH14 4AS [email protected] interests: None declared.ReferencesEaton L. Controversial embryo bill receives second hearing in Lords. BMJ 2007;335:1069. (24 November.) doi: 10.1136/bmj.39406.478241.DB.[FreeFullText]Middleton A, Hewison J, Mueller R. Prenatal diagnosis for inherited deafnesswhat is the potential demand? J Genet Couns 2001;10;121-31.Stern SJ, Arnos KS, Murrelle L, Welch KO, Nance WE, Pandya A. Attitudes of deaf and hard of hearing subjects towards genetic testing and prenatal diagnosis of hearing loss. J Med Genet 2002;39:449-53.[FreeFullText]Baruch S, Kaufman D, Hudson KL. Genetic testing of embryos: practices and perspectives of US IVF clinics. Fertil Steril 2006; Sep 19 [Epub ahead of print].


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BMJ2007;335:116(21July)

Chinese drug agency chief is executed: The disgraced formerhead of the Chinese State Food and Drug Administration, ZhengXiaoyu, was executed on 10 July, after the failure of his appealagainst the death sentence for bribery and dereliction of duty.On 29 May Mr Zheng was found guilty of taking 6.5m (0.4m;0.6m, $0.8m) in bribes and failing to ensure drug safety. On6 July his former aide, Cao Wenzhuang, was sentenced to deathwith a two year reprieve.


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