...information concerning the Tuskegee Syphilis Study, there is a small assortment of books to choose from. I chose The Tuskegee Syphilis Study by Fred Gray because he was the lawyer in the lawsuits against the government, and I thought that he would be able to provide the most in-depth analysis of the event because he was actually involved in it. It was also written fairly recently, so that enables the book to analyze the long term effects that it has had on African-Americans, the South, and history in general. Gray’s book provides a very informative study, but if you’re looking for more information, check out James Jones’ Bad Blood. Gray takes a lot of information from this book which was written about 20 years before his. When searching the web for information on the Tuskegee Syphilis Study, the results were quite slim. Most of the results involved syllabi for college classes or websites much like our own that were prepared for a class. The website that I reviewed is from the Tuskegee University National Center for Bioethics, which was actually created from President Clinton’s apology and ideas for improvement of racial relations and medical testing. The webpage’s main purpose is to educate the public about the atrocities that were performed on African-Americans in the Tuskegee Syphilis Study, and to help prevent an event like this from ever happening again The Tuskegee Syphilis Study by Fred D. Gray examines a medical study that occurred in Tuskegee, Alabama which dealt...
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...In this seminal volume written by James H. Jones, a passionate summary of decades of ethical issues associated with human experimentation and study by the United States Public Health Service (USPHS) is presented. Jones doesn’t hesitate to reveal his opinions regarding these points, and uses a primarily retro-ethical stance when discussing the events of the Tuskegee Study. Though it is understandable that his strong attitude throughout the book could be considered too biased, or even unfair, Jones scrupulously backs up his strong statements with a plethora of citations including everything from personal interviews with those involved to actual medical literature. In spite of his obvious one-sidedness on the topic, “Bad Blood” still allows the...
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...Research with human subjects has a long and often troubled history in the United States (U.S.) and throughout the world. Chances are you already have heard of some of the most egregious and well-known examples of unethical research in the biomedical sciences, such as the experiments conducted by Nazi doctors and scientists on concentration camp prisoners during World War II, and the U.S. Public Health Service (PHS) study titled "Tuskegee Study of Untreated Syphilis in the Negro Male" (Tuskegee Study). These abuses led to the creation of codes of research ethics in Europe and the U.S. In the wake of the Second World War, the subsequent Nuremberg Trials on war crimes produced the Nuremberg Code, which outlined ten points for conducting ethical research with human subjects. Nearly two decades later, the World Medical Association (WMA) developed a code of research ethics known as the Declaration of Helsinki, published in 1964 and subsequently revised. This document is built on both the Nuremberg Code and the physician's code of ethics known as the Declaration of Geneva. In the U.S., news that researchers deceived and withheld treatment from subjects who suffered from syphilis in the Tuskegee Study led to the creation of the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research (National Commission or "the Commission"). The Commission was charged with establishing a code of research ethics for U.S. research involving human subjects. In 1979...
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...The interactions between science and ethics have long been a source of tension. Potential ethical conflicts have increased over biomedical research on the basis of science-based risk assessment or whether to take ethical values in consideration. Many of the greatest advances in medicine have been achieved by biomedical research. Biomedical researchers have been able to find cures or eliminate diseases, create vaccines, and medicines that heave cure and protected the health of millions of people. The National Institute of Health (NIH) is the federal Government’s primary agency for advancing knowledge in the biomedical and behavior sciences in order to understand and treat human disease. In the past, research process often involved many unethical practices where the research participants lacked adequate protection. To protect human research participants from undo harm, biomedical researchers must follow the four basic ethical principles on which standards of ethical research are based: autonomy, beneficence, nonmaleficence, and justice. Such ethical requirements on biomedical research are found in documents such as the Declaration of Helsinki or the Belmont Report. The four principles and Institutional Review Boards (IRBs) are the principal regulations and ethical protocols when conducted human research. In the United States, the National Institute of Health (NIH) is the primary agency responsible in enforcing ethic in human research but the IRBs falls within the authority...
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...access the best in healthcare. AA has very limited access to quality healthcare. According to Eileen M. Crimmins, Mark D. Hayward, and Teresa E. Seeman (2004), “People who are poorer and who have less education are more likely to suffer from diseases, to experience loss of functioning, to be cognitively and physically impaired, and to experience higher mortality rates” (2004), This essay will compare and contrast the health status of the African American minority group and compare to the national average. We will discuss the current health status of this minority group, how health promotion is defined by African Americans, and what health disparities exist for the group. Compare and Contrast Health Status of African Americans According to Summary Health Statistics: National Health Interview Survey, 2014, 14% of African Americans under the age of 65 is uninsured. This in itself is one of the main reason this group has poor health. Without health insurance most individuals avoid going to the doctor or hospital unless it is...
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...In 1932 the federal government commenced a medical study called The Tuskegee Study of Untreated Blacks with Syphilis in Macon County, Alabama. Four hundred and twelve men infected with the disease were selected for the study that faked long term treatment while really only giving placebos and liniments. The goal of this study was to determine if blacks reacted similar to the whites to the effects of the syphilis disease. After forty years it was discontinued and the Senate initiated an investigation of the study. At the time of the investigation, only one hundred and twenty-seven of the study’s original participants were still alive and had not died from the disease (Morehan, 2007). In the film, the story is told from the view point of Nurse Eunice Evers, one key character in the movie, who played the role of the real- life nurse who was a part of the Tuskegee Study. The movie, Miss Evers’ Boys portrays “the emotional effects of one of most amoral instances of governmental experimentation on humans ever perpetrated” (Morehan, 2007). It depicts the government’s involvement in research targeting a group of African American males, as it explores the depths of human tragedy and suffering that result from unethical act. The film also unveiled the racial tension that existed in America which did not only occur in the segregation of skin color but also founded upon disease (Morehan, 2007). The purpose of this paper is to analyze the film in order to critically examine bioethical issues...
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...trials research in the health fields must undertaken beyond the traditional methods so that the barriers prevalent in the process of recruitment and retention can be overcome. Some of these barriers are related to mistrust and fear of science-based experiments following a history of atrocities committed in the name of science (Area, Alvidrez, Nery, Estes, & Linkins, 2003). This essay is going to highlight the strategies to increase recruitment and retention of minority people participation in clinical trials. Discussion Background Ethical consideration in medical research and clinical trials particularly with regard to humans came into the limelight in the first half of the 20th century following the medical experiments conducted by the Nazis on humans. These experiments saw the development of the Nuremberg code, which began a wide range of regulations that emphasized on the need for the protection of human beings who participated in trials that were prevalent in medical research. Principles that were articulated under the code converged to respect and justice for humans undertaking the clinical trials. However, the adoption of these principles did not stop dubious clinicians from conducting a research dubbed Tuskegee experiment on a large number of African-American who had hitherto been diagnosed with syphilis. These patients were left untreated for years so that the researchers...
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...Julian Jane Atim, MBChB, MPH Uganda Health Marketing Group (UHMG) Stephanie Cantu Harvard Medical School Jonelle Wright, PhD, RN University of Miami Introduction This module consists of four (4) sections. After completing the training, you will take a short quiz on the training content. After completing the quiz, we ask you to answer a few optional questions to give your view of this training module. Learning Objectives By the end of this module, you should be able to: Describe the concept of Cultural Competence in Research Explain the importance of Cultural Competence in Research Describe ways to enhance the engagement of diverse populations and communities in research Identify cultural competence challenges faced by researchers when working with culturally diverse populations Cultural Competence in Research Culture is fundamental to everyone's perceived identity. It is a mix of one's values, beliefs, standards, norms, behaviors, language, communication styles, and thinking patterns.[1] Cultural competence refers to understanding the importance of social and cultural influence on the beliefs and behaviors of the patient, student, colleague or client.[2] Cultural competence in health care describes the ability of systems and health care professionals to provide high quality care to patients with diverse backgrounds, values, beliefs, and behaviors, including communicating effectively and tailoring delivery to meet patients' social, cultural and linguistic...
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...In reality, apart from a few strictly defined physical sciences, most scientific disciplines have to bend and adapt these rules, especially sciences involving the unpredictability of natural organisms and humans. In many ways, it is not always important to know the exact scientific method, to the letter, but any scientist should have a good understanding of the underlying principles. In many ways, if you are going to bend and adapt the rules, you need to understand the rules in the first place. Empirical Science is based purely around observation and measurement, and the vast majority of research involves some type of practical experimentation. This can be anything, from measuring the Doppler Shift of a distant galaxy to handing out questionnaires in a shopping center. This may sound obvious, but this distinction stems back to the time of the Ancient Greek Philosophers. Cutting a long story short, Plato believed that all knowledge could be reasoned; Aristotle that knowledge relied upon empirical observation and measurement. This does bring up one interesting anomaly. Strictly speaking, the great physicists, such as Einstein and Stephen Hawking, are not scientists. They generate sweeping and elegant theories and mathematical models to describe the universe and the very nature of time, but measure nothing. In reality, they are mathematicians, occupying their own particular niche, and they should properly be referred to as theoreticians. Still, they are still commonly referred to...
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...SEXUAL Strategies Theory: An Evolutionary Perspective on Human Mating Winifred Gordon Southern New Hampshire University Sexual Strategies Theory: An Evolutionary Perspective on Human Mating Summary Because of the lower level of minimum parental investment incurred by men, short-term mating will represent a larger component of men’s sexual strategies than women’s sexual strategies (Buss & Schmitt, 1993). An Evolutionary Perspective on Human Mating by Buss & Schmitt examines the background on evolutionary theory when it relates to the human mating strategies. The article expands on how both men and women have particular psychological mechanism that triggers which relationships, short term or long term will help them choose a partner for life, when it relates to mating relationships. The article discussed the effects on long-term relationships and how these types of relationships, compares to the short term, which are known to be called brief affairs, one stand, or temporary liaison time lengths. “Long temporal durations, however, mating relationships can last for a few months, a few days, a few hours, or even a few minutes” (Buss & Schmitt, 1993). The article described key hypotheses and predictions that give an outlined summary on theories that were empirically tested that identify sensitive problem in relations with sexual accessibility fertility, commitment seeking and avoidance, paternity certainty, male and females value, and parental investment. In comparison...
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...Victoria Braden Jasmine Sullivan AAAS 2000 23 April 14 1.) In chapter 1, Black women slaves were defined as either a “jezebel” or “mammy”. In detail define the characteristics of a “jezebel” and “mammy”. Why were black women defined in these two extreme ways? By contrast, how were Southern white women characterized? * One of the most standout images of black women in white slavery America was of a woman who ran entirely off of her sex drive, a Jezebel. A jezebel was considered to be the complete opposite of a proper white woman. She was thought to have little to none religious affiliation. A jezebel took no instances to cover her body, and showed no signs of prudery. The idea that black women were over-sexualized first gained credence when Englishmen went to Africa to buy slaves. Not being accustomed to the traditional wear, Europeans mistook semi-nudity for lewdness. They also misinterpreted African cultural tradition of polygamy and claimed to be the Africans' uncontrolled lust, tribal dances were considered to be an orgy. The travel accounts of Europeans spurred inaccurate analysis of black women livelihood. Perhaps it was the warm climate of Africa that prompted William Bosman to describe the women he saw on the coast of Guinea as "fiery" and "warm" and "so much hotter than the men."' William Smith must have fallen under the same influence, since he wrote of "hot constitution'd Ladies" who "are continually contriving stratagems how to gain a lover."' The conditions...
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...------------------------------------------------- The Belmont Report Office of the Secretary Ethical Principles and Guidelines for the Protection of Human Subjects of Research The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research April 18, 1979 AGENCY: Department of Health, Education, and Welfare. ACTION: Notice of Report for Public Comment. SUMMARY: On July 12, 1974, the National Research Act (Pub. L. 93-348) was signed into law, there-by creating the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. One of the charges to the Commission was to identify the basic ethical principles that should underlie the conduct of biomedical and behavioral research involving human subjects and to develop guidelines which should be followed to assure that such research is conducted in accordance with those principles. In carrying out the above, the Commission was directed to consider: (i) the boundaries between biomedical and behavioral research and the accepted and routine practice of medicine, (ii) the role of assessment of risk-benefit criteria in the determination of the appropriateness of research involving human subjects, (iii) appropriate guidelines for the selection of human subjects for participation in such research and (iv) the nature and definition of informed consent in various research settings. The Belmont Report attempts to summarize the basic ethical principles identified...
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...The community’s perspective on health care in St. Louis City A Crisis of Care A report developed by the Saint Louis University School of Public Health and funded by the Episcopal-Presbyterian Charitable Health and Medical Trust March 2003 ACKNOWLEDGEMENTS This report is the final product of a twoyear project developed and funded by the Episcopal-Presbyterian Charitable Health and Medical Trust. We wish to thank Bishop Hayes Rockwell and the Trust Board, especially Dr. Katherine Jahnige, for their inspiration and support. We also would like to recognize the partnership of the Trust with the St. Louis Community Foundation, led by David Luckes and Linda Aitch, for its contributions to this project. Finally, our thanks go to Dr. James Kimmey, for his insight as to the need for focus group information. B [Introduction] “ We made a home visit on a family in north St. Louis…because they had missed preventive care. And when the home health worker went into the home, she found the mother was there with many children. The mother was suffering from postpartum depression. The baby was on a [respirator] and the house was rat infested. They had no electricity for the baby, so they were stealing electricity from the neighbor to be able to support the baby’s life support. Obviously they were in health crisis in more than one [way]…but she didn’t know where to begin. There were so many layers to peel away from this family that to get to their health care…and they definitely...
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...CHAPTER 1 INTRODUCTION TO RESEARCH Instructional Goals 1. To generate interest in research for the students by driving home the point that successful managerial problem solving is nothing other than understanding and analyzing the situation at hand, which is what research is all about. 2. To help students differentiate between research‐based problem solving and “going by gut‐feeling”, the latter of which might sometimes help to solve problems in the short term, but might lead to systemic long‐term adverse consequences. 3. To create an appreciation in students that research is useful for solving problems in ALL areas of business. 4. To help students develop an appreciation of the role of the manager in facilitating the researcher or the consultant’s work. 5. To stress the importance of skill development in research, as opposed to mere gathering of knowledge about research. 6. To emphasize that research and knowledge about research enhance managerial effectiveness. 7. To sensitize students to ethical conduct in business research. Discussion Questions 1. Why should a manager know about research when the job entails managing people, products, events, environments and the like? The manager, while managing people, products, events, and environments, will invariably face problems, big and small, and will have to seek ways to find long lasting, effective solutions. This can be achieved only through knowledge of research even if consultants are engaged to solve problems...
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...Mentoring is the social foundation of research. The mentor has the opportunity to draw the best from the junior person by acting as an adviser, teacher, role model, motivator, and supportive advocate. Mentoring is an ideal way to pass ethical and professional values to others in the field. Institutions that pursue long-term development and growth must foster an encouraging, jointly supportive environment. A key element in that cultivation process is creating a mutually respectful relationship between mentor and trainee. Learning Objectives After reading this module, you should be able to: * Clarify the roles and responsibilities of mentors and those that they mentor. * Provide guidance to assist all who participate in research to avoid problems and to optimize the mentoring experience. * Describe barriers to mentoring, particularly for women and minority researchers, and potential solutions to these barriers. * Describe the importance of mentoring and the way in which mentoring occurs. ------------------------------------------------- Foundation Mentoring is one of the primary means for one generation of researchers to impart their knowledge to the next generations. More than textbooks and formal classes, the relatively informal dimensions of research, including the relationship between mentor and trainee, prepare the next generation of professionals. In her 1977 speech at the Nobel Banquet, prizewinner Rosalyn Yalow addressed the students of Stockholm, identifying...
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