Nuremberg Code

纽伦堡密码
  • 文章类型: Historical Article
    本文介绍并分析了美国生物伦理学家在理解1945年后纳粹医疗犯罪方面的不同方法。该帐户分为两个部分:一个部分涉及直到1970年代的研究伦理学和《纽伦堡法典》的讨论,另一个部分从1970年代到现在,并强调生物伦理学与纳粹类比的接触。不同生物伦理学学者的写照,机构,和文件——最著名的是亨利·K·比彻,JayKatz,贝尔蒙特报告,黑斯廷斯中心,亚瑟·L·卡普兰,和RobertM.Veatch-对生物伦理学家所持有的动机以及他们用来建立对纳粹医疗犯罪及其与当代生物伦理问题的关系的理解的策略进行了细致入微的解释。在此,不同的方法有一个共同的目标:通过选择性承认和代表纳粹的历史,将纳粹的医疗犯罪纳入道德框架。
    The article presents and analyzes different approaches of U.S. bioethicists in comprehending the Nazi medical crimes after 1945. The account is divided into two sections: one dealing with discussions on research ethics and the Nuremberg Code up until the 1970s and the other ranging from the 1970s to the present and highlighting bioethics\' engagement with Nazi analogies. The portrayal of different bioethical scholars, institutions, and documents-most notably Henry K. Beecher, Jay Katz, the Belmont Report, the Hastings Center, Arthur L. Caplan, and Robert M. Veatch-provides a nuanced interpretation of the motives that bioethicists held and the strategies that they applied to establish an understanding of the Nazi medical crimes and their relation to contemporary bioethical issues. In this, the different approaches shared a common goal: To integrate the Nazi medical crimes into an ethical framework by means of selective acknowledgments and representation of their history.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Historical Article
    在Covid-19大流行期间,伦理学家,研究人员,记者建议进行研究,故意将冠状病毒感染健康志愿者,作为加快疫苗开发的科学手段。在这篇文章中,我们追溯了感染挑战实验的历史,并反思了1947年的纽伦堡法典,该法典是针对纳粹调查人员在集中营中进行的残酷人体实验而发布的。我们认为,该准则继续为评估这种有争议的研究形式的伦理提供有价值的指导,特别是关于研究风险的可接受限制和必要的研究的社会价值,以证明将人类参与者暴露于这些风险。
    In the midst of the Covid-19 pandemic, ethicists, researchers, and journalists have recommended studies that deliberately infect healthy volunteers with the coronavirus as a scientific means of expediting vaccine development. In this essay, we trace the history of infection challenge experiments and reflect on the Nuremberg Code of 1947, issued in response to brutal human experiments conducted by Nazi investigators in concentration camps. We argue that the Code continues to offer valuable guidance for assessing the ethics of this controversial form of research, with respect particularly to the acceptable limits to research risks and the social value of research necessary to justify exposing human participants to these risks.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

       PDF(Pubmed)

  • 文章类型: Historical Article
    In 1936, the American Neurological Association (ANA) published the book \"Eugenical Sterilization: A Reorientation of the Problem\" in response to what the first author of the book described as a positive reception to a paper presented at the ANA\'s 1935 annual meeting. The conclusions of the presentation were approved by the organization during the same meeting. As evidenced by the publication of several book reviews in a variety of medical journals, the book garnered some attention.
    Reviews of the ANA\'s book were sought using PubMed, Google Scholar, and Embasa. Also, the book\'s title was used to search the World Wide Web.
    The search yielded four reviews, all published in 1937. The reviews make evident a positive opinion of the ANA\'s book\'s authors\' recommendations including the option for \"selective sterilization\" of patients with conditions such as Huntington disease, Friedreich ataxia, and epilepsy. In addition, reviewers highlighted the book\'s authors\' assessment that \"the feebleminded [breed] docile, servile, useful people who do the dirty work of the race, [as] servants fulfilling a social function.\"
    Although the book\'s authors did not advocate for all-out eugenical sterilization, they did little to counter the popular opinion that patients with certain neurological diseases were a drain on society. In addition, they espoused a positive vision of the feebleminded\'s role as servants who can do undesirable work. This message was disseminated through book reviews.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

  • 文章类型: Journal Article
    有大量已发表的证据表明,每年有无数人参加道德缺陷的临床试验。许多试验都是有问题的,因为用来证明其发射的科学质量可能没有得到充分审查,而许多其他试验可能缺乏必要的社会价值。这提出了一个问题:为什么人们自愿为他们服务?答案在很大程度上在于知情同意做法在历史上被掩盖了,而不是披露,这些信息可以提醒研究候选人注意试验的道德问题。修订后的《美国共同规则》中的“合理人”和“关键信息”条款为纠正这一历史缺陷创造了机会。使用两个来源来阐明应向“合理的人”披露的“关键信息”:《纽伦堡法典》的原始披露目标,以及大量的元研究证据。这些消息来源共同支持知情同意过程中的一系列新披露,这些披露将揭露迄今未披露的信息。由此提出的新披露涉及临床试验的整体成功前景,先前研究的质量,既是临床试验的基础,又是对其风险和收益的评估,临床试验的潜在社会价值,和临床试验的商业目的。
    There is substantial published evidence showing that countless people enroll each year in ethically deficient clinical trials. Many of the trials are problematic because the quality of the science used to justify their launch may not be sufficiently vetted while many other trials may lack requisite social value. This poses the question: why do people volunteer for them? The answer resides in large part in the fact that informed consent practices have historically masked, rather than disclosed, the information that would alert research candidates to the ethically problematic nature of the trials. The \"reasonable person\" and \"key information\" provisions in the revised US Common Rule create the opportunity to correct this historical shortcoming. Two sources are employed to shed light on what the \"key information\" is that should be disclosed to a \"reasonable person\": the original disclosure aims of the Nuremberg Code, as well as an extensive body of meta-research evidence. Those sources jointly support a range of new disclosures in the informed consent process that would unmask the heretofore undisclosed information. The resulting proposed new disclosures pertain to the overall success prospects of clinical trials, the quality of the prior research that both forms the basis of clinical trials and informs assessment of their risks and benefits, the potential social value of clinical trials, and the commercial purposes of clinical trials.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    In clinical medicine, the moral obligation to care for the individual patient is absolute. Patient care means at least and by negative terms to minimize any risk of treatment. In this context, the question arises about the compatibility of clinical ethics and human biomedical research ethics. Or conversely, is there a common ground between the two? At the opposite end of the field between clinical ethics and biomedical research ethics is the proposal of an obligation to participate in biomedical research, which is argued for on the basis of biomedical knowledge being a public good available to the community as a whole. While patient accrual during a clinical investigation would certainly be facilitated by obligatory research participation, and the data obtained would be-at first sight-more representative for the population studied, the still feasible refusal to participate would be stigmatizing and as such detrimental for the patient-physician relation. This essay seeks to provide a reply to the titled question by focusing on aspects such as individual vs common medical claims, shared grounds between the two and an important document of medical research ethics, that is the Nuremberg code.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

  • 文章类型: Journal Article
    In our time of genome-based personalized medicine, clinical research and clinical medicine are accelerating at a quick pace. Faster and cheaper DNA sequencing and protein profiling, microfluidic devices for capturing blood biomarkers, nanoparticles for precise drug delivery and enhanced imaging, rapid computational analysis of massive data inputs, and other technological wonders coalesce to create a kind of Moore\'s Law for medicine. Needs are obvious, knowledge grows, capital becomes available, but these factors are not entirely sufficient to make health more achievable. Personalized medicine also requires social acceptability, not only for accuracy and efficacy but also because medicine is a moral domain. This chapter deals with medical ethics that determine the choices a society makes regarding healthcare; and it has not always been a steady, morally correct course of progress. Indeed, medical ethics has largely derived from socio-scientific calamities in the past. Personalized medicine, with its enhanced capacity to access the individuality of illness, must have a continuously evolving feedback mechanism-the most important element being the physician-patient relationship-which is its ethical footing.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    In 2010, in an article in this journal, I argued that declassified documents implicated Central Intelligence Agency (CIA) physicians in the conduct of unethical research on enhanced interrogation using detainee subjects. The focus, then as now, is upon physicians at the Office of Medical Services (OMS). The 2010 article highlighted the heavily redacted \"Draft OMS Guidelines on Medical and Psychological Support to Detainee Interrogations\" (the Draft). This commentary focuses upon the recently declassified final version of that document revealing further culpable evidence of unethical human subject research. The commentary locates that unethical research in historical context and the development of the Nuremberg Code. The commentary also locates enhanced interrogation in contemporary political context and considers how to hold OMS physicians accountable for the conduct of unethical human research using detainee subjects.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

  • 文章类型: Editorial
    In 2008 a group of former soldiers of the Israel Defense Force (IDF) sued the Ministry of Defense and others, claiming they had suffered from medical problems that resulted from an IDF medical experiment in which they had participated in the 1970s. There was no compelling medical evidence with respect to causal relationships between their participation in the experiment and their later medical problems. The President of the District Court, Justice Hila Gerstl, appointed me, with the consent of the parties, to write a deposition with respect to the ethical aspects of the case. My comments in the sequel rest on my deposition, applying not only to the case that had been under discussion but also to each and every case of experimentation. My arguments, strictly confined to the ethical aspects of the case, as opposed to the legal aspects and the debated facts, were not in favor of either party. As a result the state and the former soldiers reached an agreement approved by the court. One of the major points made in that deposition is that the Nuremberg and Helsinki principles follow from those of medical ethics in general, except for the requirement to have an Institutional Review Board (IRB). A second major point is that under very strict conditions, more than what is usually required, soldiers may participate in medical experiments administered by their military force. However, new conscripts during their first months of their service should not take part in medical experimentation within their military force.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

  • DOI:
    文章类型: Journal Article
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • DOI:
    文章类型: Journal Article
    本文的目的是考察过去,生物医学人体测试中金融利益冲突监管的现状和未来。第一部分将简要回顾引起当前争议的力量。第二部分将研究有关人类受试者测试的更具影响力的道德准则,并认为它们在财务利益冲突问题上尚无定论。第三部分将审查现有的各种法规,并确定其严重缺陷。第四部分将批评主要的改革建议。结论将综合各种改革建议的最佳特征,并提出这些建议未解决的改进措施。
    The purpose of this paper is to examine the past, present and future of financial conflict of interest regulation in biomedical human subject testing. Part I will briefly review the forces giving rise to the current controversy. Part II will examine the more influential ethical codes on human subject testing and argue that they are inconclusive on the subject of financial conflicts of interest. Part III will examine the various regulations now in place and identify their serious flaws. Part IV will critique the leading proposals for reform. The Conclusion will synthesize the best features of the various proposals for reform and suggest improvements left unaddressed by these proposals.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号