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Global Health Research Ethics

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https://www.readbyqxmd.com/read/29780034/improving-predictive-asthma-algorithms-with-modelled-environment-data-for-scotland-an-observational-cohort-study-protocol
#1
Ireneous N Soyiri, Aziz Sheikh, Stefan Reis, Kimberly Kavanagh, Massimo Vieno, Tom Clemens, Edward J Carnell, Jiafeng Pan, Abby King, Rachel C Beck, Hester J T Ward, Chris Dibben, Chris Robertson, Colin R Simpson
INTRODUCTION: Asthma has a considerable, but potentially, avoidable burden on many populations globally. Scotland has some of the poorest health outcomes from asthma. Although ambient pollution, weather changes and sociodemographic factors have been associated with asthma attacks, it remains unclear whether modelled environment data and geospatial information can improve population-based asthma predictive algorithms. We aim to create the afferent loop of a national learning health system for asthma in Scotland...
May 20, 2018: BMJ Open
https://www.readbyqxmd.com/read/29770210/identification-of-publicly-available-data-sources-to-inform-the-conduct-of-health-technology-assessment-in-india
#2
Laura Downey, Neethi Rao, Lorna Guinness, Miqdad Asaria, Shankar Prinja, Anju Sinha, Rajni Kant, Arvind Pandey, Francoise Cluzeau, Kalipso Chalkidou
Background: Health technology assessment (HTA) provides a globally-accepted and structured approach to synthesising evidence for cost and clinical effectiveness alongside ethical and equity considerations to inform evidence-based priorities. India is one of the most recent countries to formally commit to institutionalising HTA as an integral component of the heath resource allocation decision-making process. The effective conduct of HTA depends on the availability of reliable data.   Methods : We draw from our experience of collecting, synthesizing, and analysing health-related datasets in India and internationally, to highlight the complex requirements for undertaking HTA, and explore the availability of such data in India...
2018: F1000Research
https://www.readbyqxmd.com/read/29768264/opportunities-and-challenges-in-global-perinatal-research
#3
Jessica Duby, Renee Sharma, Zulfiqar A Bhutta
BACKGROUND: The global plight of stillbirths and neonatal mortality is concentrated in low- and middle-income countries. The ambitious targets introduced by the World Health Organization in the Every Newborn Action Plan demand a commitment to research that promotes equitable perinatal outcomes. OBJECTIVES: The aim of this review was to understand the opportunities for global perinatal research and the accompanying challenges. METHODS: We conducted a literature search to identify research prioritization exercises from 2014 to 2018 pertaining to global perinatal health...
May 16, 2018: Neonatology
https://www.readbyqxmd.com/read/29764104/the-response-to-and-impact-of-the-ebola-epidemic-towards-an-agenda-for-interdisciplinary-research
#4
Michael Calnan, Erica W Gadsby, Mandy Kader Kondé, Abdourahime Diallo, Jeremy S Rossman
BACKGROUND: The 2013-2016 Ebola virus disease (EVD) epidemic in West Africa was the largest in history and resulted in a huge public health burden and significant social and economic impact in those countries most affected. Its size, duration and geographical spread presents important opportunities for research than might help national and global health and social care systems to better prepare for and respond to future outbreaks. This paper examines research needs and research priorities from the perspective of those who directly experienced the EVD epidemic in Guinea...
September 3, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/29724152/ethical-responsibilities-of-health-research-funders-to-advance-global-health-justice
#5
Bridget Pratt, Adnan A Hyder
Research funders from high-income countries have an ethical obligation to support health research in low and middle-income countries that promotes justice in global health. Conceptual work from bioethics proposes funders should do so through their design of grants programs, investments, and grants management. That work has begun to specify the content of funders' ethical responsibility with regards to health systems research, but it has thus far not been informed by their practice. As a first step to bridge that gap, this paper focuses on health systems research funders' design of grants programs...
May 4, 2018: Global Public Health
https://www.readbyqxmd.com/read/29703851/efficacy-and-safety-of-faecal-microbiota-transplantation-in-patients-with-psoriatic-arthritis-protocol-for-a-6-month-double-blind-randomised-placebo-controlled-trial
#6
Maja Skov Kragsnaes, Jens Kjeldsen, Hans Christian Horn, Heidi Lausten Munk, Finn Moeller Pedersen, Hanne Marie Holt, Jens Kristian Pedersen, Dorte Kinggaard Holm, Henning Glerup, Vibeke Andersen, Ulrich Fredberg, Karsten Kristiansen, Robin Christensen, Torkell Ellingsen
INTRODUCTION: An unbalanced intestinal microbiota may mediate activation of the inflammatory pathways seen in psoriatic arthritis (PsA). A randomised, placebo-controlled trial of faecal microbiota transplantation (FMT) infused into the small intestine of patients with PsA with active peripheral disease who are non-responsive to methotrexate (MTX) treatment will be conducted. The objective is to explore clinical aspects associated with FMT performed in patients with PsA. METHODS AND ANALYSIS: This trial is a randomised, two-centre stratified, double-blind (patient, care provider and outcome assessor), placebo-controlled, parallel-group study...
April 27, 2018: BMJ Open
https://www.readbyqxmd.com/read/29699570/patenting-human-genes-chinese-academic-articles-portrayal-of-gene-patents
#7
Li Du
BACKGROUND: The patenting of human genes has been the subject of debate for decades. While China has gradually come to play an important role in the global genomics-based testing and treatment market, little is known about Chinese scholars' perspectives on patent protection for human genes. METHODS: A content analysis of academic literature was conducted to identify Chinese scholars' concerns regarding gene patents, including benefits and risks of patenting human genes, attitudes that researchers hold towards gene patenting, and any legal and policy recommendations offered for the gene patent regime in China...
April 24, 2018: BMC Medical Ethics
https://www.readbyqxmd.com/read/29676503/toward-a-global-geroethics-gerontology-and-the-theory-of-the-good-human-life
#8
Hans-Joerg Ehni, Selma Kadi, Maartje Schermer, Sridhar Venkatapuram
Gerontologists have proposed different concepts for ageing well such as 'successful ageing', 'active ageing', and 'healthy ageing'. These conceptions are primarily focused on maintaining health and preventing disease. But they also raise the questions: what is a good life in old age and how can it be achieved? While medical in origin, these concepts and strategies for ageing well also contain ethical advice for individuals and societies on how to act regarding ageing and old age. This connection between gerontology and ethics is overlooked by both schools of thought...
May 2018: Bioethics
https://www.readbyqxmd.com/read/29675594/a-global-health-research-checklist-for-clinicians
#9
Rasha D Sawaya, Kristen A Breslin, Eiman Abdulrahman, Jennifer I Chapman, Dafina M Good, Lili Moran, Paul C Mullan, Oluwakemi Badaki-Makun
Global health research has become a priority in most international medical projects. However, it is a difficult endeavor, especially for a busy clinician. Navigating the ethics, methods, and local partnerships is essential yet daunting.To date, there are no guidelines published to help clinicians initiate and complete successful global health research projects. This Global Health Research Checklist was developed to be used by clinicians or other health professionals for developing, implementing, and completing a successful research project in an international and often low-resource setting...
April 19, 2018: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29665809/generating-evidence-for-health-policy-in-challenging-settings-lessons-learned-from-four-prevention-of-mother-to-child-transmission-of-hiv-implementation-research-studies-in-nigeria
#10
Nadia A Sam-Agudu, Muktar H Aliyu, Olusegun A Adeyemi, Frank Oronsaye, Bolanle Oyeledun, Amaka G Ogidi, Echezona E Ezeanolue
BACKGROUND: Implementation research (IR) facilitates health systems strengthening and optimal patient outcomes by generating evidence for scale-up of efficacious strategies in context. Thus, difficulties in generating IR evidence, particularly in limited-resource settings with wide disease prevention and treatment gaps, need to be anticipated and addressed. Nigeria is a priority country for the prevention of mother-to-child transmission of HIV (PMTCT). This paper analyses the experiences of four PMTCT IR studies in Nigeria, and proffers solutions to major challenges encountered during implementation...
April 17, 2018: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29651962/phase-iv-studies-some-insights-clarifications-and-issues
#11
Elia Mario Biganzoli, Bruno Mario Cesana
BACKGROUND: There is an increasing need to face regulatory aspects as well as ethics and scientific ones in the pharmaceutical research phase after the authorization of a drug. Traditionally, the Phase IV studies, after the authorization for a drug to be marketed by the Competent Authority like the Food and Drug Administration (FDA) (in Europe, European Medicine Agency -EMA- through National Procedures or Community Procedures) have been considered mainly aimed to the assessment of the new drug safety profile...
April 12, 2018: Current Clinical Pharmacology
https://www.readbyqxmd.com/read/29617167/sudden-infant-death-syndrome-a-global-public-health-issue-and-nursing-s-response
#12
Kelly Pretorius, Lynn Rew
Sudden unexplained death in infancy, including sudden infant death syndrome (SIDS), is a global public health challenge. Despite public health campaigns and efforts, SIDS remains the leading cause of postneonatal mortality in many developed countries. In this article, we review SIDS, describe nursing's unique professional position in addressing this problem, and explore how the principles of social justice can inform nursing's response. Motivated by nursing's ethical and moral obligations, the profession is called to take an active role in educating others regarding this phenomenon, to participate in research, and to develop or advocate for policy that aims to reduce the incidence of SIDS on an international scale...
April 4, 2018: Comprehensive Child and Adolescent Nursing
https://www.readbyqxmd.com/read/29606653/a-national-survey-of-u-s-dental-students-experiences-with-international-service-trips
#13
R Frederick Lambert, Chloe A Wong, Karl F Woodmansey, Brianna Rowland, Steven O Horne, Brittany Seymour
Globalization, along with the increasing prevalence of non-communicable diseases, their risk factors, and poor oral health, demands global approaches to oral health care. Trained health care workers' providing volunteer services abroad is one model used for improving access to dental services for some communities. Currently, little is known about U.S. dental student involvement in international clinical service volunteerism. The aim of this exploratory study was to capture national survey data from predoctoral dental students about their interest in and experience with global health service trips...
April 2018: Journal of Dental Education
https://www.readbyqxmd.com/read/29605819/effect-of-personalised-citizen-assistance-for-social-participation-apic-on-older-adults-health-and-social-participation-study-protocol-for-a-pragmatic-multicentre-randomised-controlled-trial-rct
#14
Mélanie Levasseur, Marie-France Dubois, Johanne Filliatrault, Helen-Maria Vasiliadis, Joanie Lacasse-Bédard, André Tourigny, Marie-Josée Levert, Catherine Gabaude, Hélène Lefebvre, Valérie Berger, Chantal Eymard
INTRODUCTION: The challenges of global ageing and the growing burden of chronic diseases require innovative interventions acting on health determinants like social participation. Many older adults do not have equitable opportunities to achieve full social participation, and interventions might underempower their personal and environmental resources and only reach a minority. To optimise current practices, the Accompagnement-citoyen Personnalisé d'Intégration Communautaire (APIC), an intervention demonstrated as being feasible and having positive impacts, needs further evaluation...
March 31, 2018: BMJ Open
https://www.readbyqxmd.com/read/29595433/research-on-human-embryos-and-reproductive-materials-revisiting-canadian-law-and-policy
#15
Ubaka Ogbogu, Amy Zarzeczny, Jay Baltz, Patrick Bedford, Jenny Du, Insoo Hyun, Yasmeen Jaafar, Andrea Jurisicova, Erika Kleiderman, Yonida Koukio, Bartha Maria Knoppers, Arthur Leader, Zubin Master, Minh Thu Nguyen, Forough Noohi, Vardit Ravitsky, Maeghan Toews
Research involving human embryos and reproductive materials, including certain forms of stem cell and genetic research, is a fast-moving area of science with demonstrated clinical relevance. Canada's current governance framework for this field of research urgently requires review and reconsideration in view of emerging applications. Based on a workshop involving ethics, legal, policy, scientific and clinical experts, we present a series of recommendations with the goal of informing and supporting health policy and decision-making regarding the governance of the field...
February 2018: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/29593017/electroacupuncture-plus-standard-of-care-for-managing-refractory-functional-dyspepsia-protocol-of-a-pragmatic-trial-with-economic-evaluation
#16
Vincent C H Chung, Charlene H L Wong, Jessica Y L Ching, Wai Zhu Sun, Yan Li Ju, Sheung Sheung Hung, Wai Ling Lin, Ka Chun Leung, Samuel Y S Wong, Justin C Y Wu
INTRODUCTION: This trial proposes to compare the effectiveness and cost-effectiveness of electroacupuncture (EA) plus on-demand gastrocaine with waiting list for EA plus on-demand gastrocaine in providing symptom relief and quality-of-life improvement among patients with functional dyspepsia (FD). METHODS AND ANALYSIS: This is a single-centre, pragmatic, randomised parallel-group, superiority trial comparing the outcomes of (1) EA plus on-demand gastrocaine group and (2) waiting list to EA plus on-demand gastrocaine group...
March 27, 2018: BMJ Open
https://www.readbyqxmd.com/read/29567852/effects-of-supplementation-with-carnosine-and-other-histidine-containing-dipeptides-on-chronic-disease-risk-factors-and-outcomes-protocol-for-a-systematic-review-of-randomised-controlled-trials
#17
Kirthi Menon, Aya Mousa, Barbora de Courten
INTRODUCTION: Ageing of populations globally, coupled with the obesity epidemic, has resulted in the rising prevalence of chronic diseases including diabetes, cardiovascular diseases, cancers and neurodegenerative disorders. Prevention of risk factors that contribute to these diseases is key in managing the global burden of chronic diseases. Recent studies suggest that carnosine, a dipeptide with anti-inflammatory, antioxidative and antiglycating properties may have a role in the prevention of chronic diseases; however, no previous reviews have examined the effects of carnosine and other histidine-containing peptides (HCDs) on chronic disease risk factors and outcomes...
March 22, 2018: BMJ Open
https://www.readbyqxmd.com/read/29566721/barriers-for-conducting-clinical-trials-in-developing-countries-a-systematic-review
#18
REVIEW
Chalachew Alemayehu, Geoffrey Mitchell, Jane Nikles
BACKGROUND: Clinical trials for identification of efficient and effective new diagnostic and treatment modalities are needed to address disproportionately high burden of communicable (e.g., HIV/AIDS, tuberculosis, and malaria) and non-communicable diseases (e.g., diabetes) in developing countries. However, gross under-representation in global clinical trial platforms contributes to sustained health inequity in these countries. We reviewed the literature on barriers facing clinical researchers in developing countries for conducting clinical trials in their countries...
March 22, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29566381/the-research-cycle-improving-care-and-outcomes-for-newborn-infants
#19
William McGuire, Henry L Halliday
Ensuring that policies and practice in perinatal care are informed by evidence from high-quality research is fundamental to improving outcomes for newborn infants and their families. Effective interventions in the perinatal period can have a life-long impact disproportionate to their costs. Many of the major advances in care that have transformed outcomes for preterm and sick newborn infants have been informed by empirical and applied health research. Conversely, there are examples of life-long adverse consequences for infants and families that are a legacy of practices based on poor-quality evidence...
March 22, 2018: Neonatology
https://www.readbyqxmd.com/read/29561097/-chapter-3-how-to-improve-the-sharing-of-data-collected-during-research-conducted-in-countries-with-limited-resources
#20
Christophe Longuet, Solveig Fenet, François Hirsch, Katherine Littler
On the 5th of November 2015, the Inserm Ethics Committee, Fondation Mérieux and the Global Forum on Bioethics in Research (GFBR), organized a workshop at Les Pensières, Annecy, France, bringing together more than thirty scientists and ethicists, from twenty countries around the world, to debate the way to ensure better sharing of data and biological samples collected during trials in countries with limited resources.Propositions were made to improve the practices of different stakeholders of scientific research (researchers, members of ethics committees, key community representatives) and policy makers (ministers, funding agencies), on the following issues :How to foster equitable scientific collaborations in international research projects ?How to protect the interests of the study participants when sharing data and biological samples ?How to ensure appropriate information and obtain informed consent from individuals with different cultures and levels of education ?In this publication on the use of ?big data? in health, this report from the workshop of November 5, focuses on the aspects related to the sharing of research data...
October 27, 2017: Journal International de Bioéthique et D'éthique des Sciences
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