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'6 $ *R DF 23 7'B *- %K Y,^ %- Y,^ Mpp !" $ *R %1 f-* ? }%A P . %' % # - @'& * '6 @'[)%h g(: % / A '6 - % %g A, )% u( %'8 @ % %8 >' E % 9:Z 5 e*^\ j9%g % $%&'&( @ _R%H i*d * ; &- . * F'3 % %?: '[' +' E _ * %Sg %1 % / A +' E Z % F D *€ B%:1 %A Z . : 8' a _% ;%9 +' E % _ %8 . * *Z ' |* * J +5 3 7, !M % % f9 * J * 2. 3. 4 H % / $% d d _ % *&H / %[ - ', +' E Y,^ .p % / )%A H ['€ ;%& /%DJ .O * F% J +' E ')*<8 ^B ‡ \ % @ B%- Y,^ .W g *Z $ *R %1' B n %€ 4 % / @ B%- Y,^ .t *A % 'D*- *SSSD - $ *R J ;%& % *Z* % / *H % * %- *1 4. 5. {*gB ': $%SS B *Z 4 8A %' B % Murray TH. Ethical issues in human genome research. The FASEB Journal 1991; 5: 55-60. Azizi F. Ethics in Clinical Research. Medical Ethics 2009; 2: 33-48. [Farsi] Bandarian F, Azizi F. Ethical Considerations in Preimplantation Genetic Diagnosis: a Systematic Review. Irani- .Q % % D A' bH% % / * %B J _ %8 _H % . _ % +' E $i B *A 5% 6: % % b %&H 4 %A Z % * _ %5 R*gB 7 H k[H .M B %+ References 1. _v % %- . - / *9 \ _8 D % / * %B u)%m qh5 f-* / J - % \-* . B ;*R $% % / %[ - ‹*- %A' d V3 >' E : \ * % %A % / * %B d . : ; & - ) / * %B 6c %•+ k[H .! - % f9 . / 5X B 1' % % / 9 V $% * % / / %1 4 H % / } D -%'- \-* % 4%6A g(: / 5 Y %5 \-* , b * % % 'D7'Ag % / :: @''\ D 'o'3 1' %DJ - b' $ *R ( R*gB 7 H +' E $%\)%^ *D‰-%3 * J :% ;%A H % *B :')% )* ?: % 'D7'Ag 'D*- . :5% : *- % % %J / J % % F 23 `*c %c D * %B m 5 ( %AH / %1 % %' \ %Z 4*A ) D 'o'3 a / :: _ %5 / * %B PPM ;%- %8 4* E S %8 >' E ,,A) @' S S'8 5 *D@ ! %' - %' B * J % / : :5% %5 '+)% %g +' E % U . 5% ,,A) @' Y %? R%B $%8-* % |* >' E F'3 _ %5 >' E / %1 / J - @ . - % F 23 5% %1 %G Z* + . :5% /*( )* * % %' % : * % r*K* / 6)% . % > % / * %B > *B % F 23 @ % / (! / * %B 6 %'8 @ '0)% wW F)%c uH%9 G * : - ƒ3 D2 % %' %g( bH %? %D . - % / % %' . - _ %A 0' E % F 23 % % F 23 $%\)%^ P . ! m% m* d .P V3 %+ %Z 7'& 8 '. %A: m* % U %+ i H %J . T %1 . % 7'Ag an Journal of Endocrinology and Metabolism 2011; 13: 418-27. [Farsi] Azizi F, Ordookhani A, Etemadi A, Padyab M, Hajipour R, Rajavi Zh, et al. Methodology in Clinical Research. 2nd edition. Saheb Kosar Ltd: Tehran; 2008. [Farsi] The Huntingtons Disease Collaborative Research Group. A novel Gene Containing a Trinucleotide Repeat That Is Expanded and Unstable on Huntington’s Disease Chromosomes. Cell Press 1993; 72: 971-63. 1232 )*+, - ."/0 (' $# " ,% 6. 7. 8. 9. 10. 11. 12. 13. 14. Acharya T, Kumar NK, Muthuswamy V, Daar AS, Singer PA. Harnessing genomics to improve health in India; an executive course to support genomics policy. Health Research Policy and Systems 2004; 2: 1. MacDonald Ch, Williams-Jonse B. Ethics and genetics: susceptibility testing in the workplace. Journal of Business Ethics 2002; 35: 235-41. National health and medical research council. Medical genetic testing: Medical genetic testing information for health professionals 2010. R.Reilly Ph, F.Boshar M, H.Holtzman S. Ethical issues in genetic research: disclosure and informed consent. Nature Genetics 1997; 15: 16-20. O.Gostin L, G.Hodge J. Genetic privacy and the law: an end to genetic exceptionalism HeinOnline Jurimetrics 2000; 22: 21-58. Green MJ, Botkin JR. Genetic exceptionalism in medicine: clarifying the differences between genetic and nongenetic tests. Ann Intern Med 2003; 138: 571-5. A.Roche P, J. Annas J. DNA Testing, Banking, and Genetic Privacy. N Engl J Med 2006; 355: 545-54. The American College of Obstetricians and Gynecologists, Committee Opinion. Ethical issues in genetic testing 2008; 410: 1-8. Issued by the National Health and Medical Research Council in accordance with the National Health and Medical Research Act. Ethical aspects of human genetic testing: an information paper 1992. $# 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. MpO M. Procter A. The ethics of genetic testing of families. Current Paediatrics 2002; 12: 453-57. Williams JK, Skirton H, Masny A. Ethics, policy, and educational issues in genetic testing. J Nurs Scholarsh 2006; 38: 119-25. World Health Organization. Medical genetic services in developing countries: the ethical, legal and social implycations of genetic testing and screening 2006. Minkoff H, Ecker J. Genetic testing and breach of patient confidentiality: law, ethics, and pragmatics. Am J Obstet Gynecol 2008; 198: 498.e1-4. Wertz DC, Fletcher JC, Berg K. Review of Ethical Issues in Medical Genetics Report of Consultants to. World Health Organization 2003. Review of Ethical Issues in Medical Genetics Homepage. British Society of Human Genetics 2005. Available from: URL: http://www.bshg.org.uk, accessed 24 June 2005. Abbasi M, Shamsi Gushki A. Ethical aspects of human genetic researches. Journal of Medical Ethics 2009; 11: 11-37. Zargham M, translator. Ethics in medical researches. Tehran University of Medical Sciences 2006. Islami M.T. Realm of Medical Ethics. Pazhouhesh Nameh-e Akhlagh 2009; 4: 81-111. Knoppers BM, Chadwick R. Human genetic research: emerging trends in ethics. Nat Rev Genet 2005; 6: 75-9. 465/Iranian Journal of Endocrinology and Metabolism Vol 16 No.6 February-March 2015 Review Article Ethical Guidelines and Considerations in Medical Genetic Researches Nozhat Z1, Hedayati M1, Bozorgghalati F1, Azizi F2 1Cellular & Molecular Research Center, & 2Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences Tehran, I.R. Iran e-mail: [email protected] Received: 26/08/2014 Accepted: 17/01/2015 Abstract Introduction: Ethical issues are common to all sciences, and biological and medical sciences are no exception. Since these sciences deal directly with the physical and mental health of humans, they are exposed to thorough assessment to maintain the individuals, prestige and dignity. Development and application of cellular and molecular biology in medical sciences cause challenges and responsibilities in ethics, not easily predictable. This is because of three general properties of genetic information: 1) It has private and familial concepts; 2) It often is related to the disease in the feature, hence it has predictive properties that can provide information about the next generation, and can also provide data on previous generations and 3) Genetic tests often diagnose some diseases, for which there is no efficient treatment or prevention. Hence the predictive and risk-assessing nature of genetic information has made human genetic material invaluable to different organizations and unfortunately open to misuse by health care planners, insurers and employers. Furthermore social discrimination and psychological injuries also threaten individuals undergoing genetics testing. This review article discusses the ethical issues raised in the area of genetic research, such as informed consent, confidentiality, assessment of damage and utility, ownership of genetic findings and recall of family members. Keywords: Ethical considerations, Genetic researches, Informed consent, Confidentiality, Ownership of genetic researches, Calling family members
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