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Biobanking and risk assessment: a comprehensive typology of risks for an adaptive risk governance. 生物银行和风险评估:适应性风险治理的综合风险类型学。
IF 3.1 Q1 Arts and Humanities Pub Date : 2021-12-13 DOI: 10.1186/s40504-021-00117-7
Kaya Akyüz, Gauthier Chassang, Melanie Goisauf, Łukasz Kozera, Signe Mezinska, Olga Tzortzatou, Michaela Th Mayrhofer

Biobanks act as the custodians for the access to and  responsible use of human biological samples and related data that have been generously donated by individuals to serve the public interest and scientific advances in the health research realm. Risk assessment has become a daily practice for biobanks and has been discussed from different perspectives. This paper aims to provide a literature review on risk assessment in order to put together a comprehensive typology of diverse risks biobanks could potentially face. Methodologically set as a typology, the conceptual approach used in this paper is based on the interdisciplinary analysis of scientific literature, the relevant ethical and legal instruments and practices in biobanking to identify how risks are assessed, considered and mitigated. Through an interdisciplinary mapping exercise, we have produced a typology of potential risks in biobanking, taking into consideration the perspectives of different stakeholders, such as institutional actors and publics, including participants and representative organizations. With this approach, we have identified the following risk types: economic, infrastructural, institutional, research community risks and participant's risks. The paper concludes by highlighting the necessity of an adaptive risk governance as an integral part of good governance in biobanking. In this regard, it contributes to sustainability in biobanking by assisting in the design of relevant risk management practices, where they are not already in place or require an update. The typology is intended to be useful from the early stages of establishing such a complex and multileveled biomedical infrastructure as well as to provide a catalogue of risks for improving the risk management practices already in place.

生物库是获取和负责任地使用人类生物样本和相关数据的保管机构,这些样本和数据由个人慷慨捐赠,以服务于公众利益和健康研究领域的科学进步。风险评估已成为生物库的日常工作,并从不同角度进行了讨论。本文旨在对风险评估进行文献综述,以便对生物库可能面临的各种风险进行全面分类。作为一种类型学方法,本文采用的概念方法基于对科学文献、相关伦理和法律文书以及生物银行实践的跨学科分析,以确定如何评估、考虑和减轻风险。通过跨学科绘图工作,我们对生物银行潜在风险进行了分类,同时考虑到不同利益相关者的观点,如机构参与者和公众,包括参与者和代表性组织。通过这种方法,我们确定了以下风险类型:经济风险、基础设施风险、机构风险、研究界风险和参与者风险。本文最后强调了适应性风险治理作为生物银行良好治理的一个组成部分的必要性。在这方面,本文通过协助设计相关的风险管理做法(如果这些做法尚未到位或需要更新),为生物银行的可持续性做出了贡献。该类型学旨在从建立如此复杂和多层次的生物医学基础设施的早期阶段开始就发挥作 用,并为改进已有的风险管理做法提供风险目录。
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引用次数: 0
"Data is the new oil": citizen science and informed consent in an era of researchers handling of an economically valuable resource. “数据是新的石油”:在研究人员处理具有经济价值的资源的时代,公民科学和知情同意。
IF 3.1 Q1 Arts and Humanities Pub Date : 2021-12-10 DOI: 10.1186/s40504-021-00118-6
Etain Quigley, Ingrid Holme, David M Doyle, Aileen K Ho, Eamonn Ambrose, Katie Kirkwood, Gerardine Doyle

As with other areas of the social world, academic research in the contemporary healthcare setting has undergone adaptation and change. For example, research methods are increasingly incorporating citizen participation in the research process, and there has been an increase in collaborative research that brings academic and industry partners together. There have been numerous positive outcomes associated with both of these growing methodological and collaborative processes; nonetheless, both bring with them ethical considerations that require careful thought and attention. This paper addresses the ethical considerations that research teams must consider when using participatory methods and/or when working with industry and outlines a novel informed consent matrix designed to maintain the high ethical standard to which academic research in the healthcare arena has traditionally adhered.

与社会世界的其他领域一样,当代医疗保健环境中的学术研究也经历了适应和变化。例如,研究方法越来越多地将公民参与纳入研究过程,将学术界和工业界合作伙伴聚集在一起的合作研究也有所增加。与这些不断发展的方法和协作过程相关的许多积极成果;然而,两者都带来了需要仔细思考和关注的伦理问题。本文解决了研究团队在使用参与式方法和/或与行业合作时必须考虑的伦理问题,并概述了一种新的知情同意矩阵,旨在维持医疗保健领域学术研究传统上坚持的高道德标准。
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引用次数: 5
Investigating the effectiveness of nanotechnologies in environmental health with an emphasis on environmental health journals. 研究纳米技术在环境卫生方面的有效性,重点是环境卫生期刊。
IF 3.1 Q1 Arts and Humanities Pub Date : 2021-09-13 DOI: 10.1186/s40504-021-00116-8
Zahra Aghalari, Hans-Uwe Dahms, Mika Sillanpää

Objective: The use of nanotechnologies is important to reduce environmental health problems in Iran, so the present study was conducted to determine the effectiveness of nanotechnologies in environmental health. This is a cross-sectional descriptive study for 11-year periods (2008-2018) on all articles published in three specialized journals of environmental health with emphasis on the use of nanotechnologies in various fields of environmental health (water, air, sewage, waste, food, radiation, etc).

Results: In this study, 774 articles related to 114 issues of 3 specialized environmental health journals were reviewed. A review of 774 articles showed that 80 articles (10.3%) were published in the field of nanotechnologies. Out of 80 articles published in the field of nanotechnology, 66 articles (82.5%) were published on the subject of water, 9 articles (11.3%) on wastewater and 5 articles (6.2%) on air pollution. Subject review of articles showed that articles using carbon nanotubes to remove natural organic pollutants, surfactants, hydroxybenzenes, phenol, dimethyl phthalates, use of titanium dioxide nanoparticles, iron-magnesium nanoparticles for wastewater treatment, Silver nanoparticles were used to remove air pollution. The results showed that published articles on nanotechnology in the field of environmental health were few.

目的:纳米技术的使用对于减少伊朗的环境健康问题非常重要,因此本研究旨在确定纳米技术在环境健康方面的有效性。这是一项为期11年(2008-2018年)的横断面描述性研究,研究对象是发表在三种环境卫生专业期刊上的所有文章,重点是纳米技术在环境卫生各个领域(水、空气、污水、废物、食品、辐射等)的应用。结果:本研究共收录3种环境卫生专业期刊114期774篇论文。在774篇文献中,纳米技术领域的文献占80篇(10.3%)。在纳米技术领域发表的80篇文章中,66篇(82.5%)是关于水的,9篇(11.3%)是关于废水的,5篇(6.2%)是关于空气污染的。文章的课题综述表明,文章利用碳纳米管去除天然有机污染物、表面活性剂、羟基苯、苯酚、邻苯二甲酸二甲酯,利用二氧化钛纳米颗粒、铁镁纳米颗粒进行废水处理,利用银纳米颗粒去除空气污染。结果表明,纳米技术在环境卫生领域的研究论文较少。
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引用次数: 0
Limits of data anonymity: lack of public awareness risks trust in health system activities. 数据匿名性的限制:缺乏公众意识会危及对卫生系统活动的信任。
IF 3.1 Q1 Arts and Humanities Pub Date : 2021-07-26 DOI: 10.1186/s40504-021-00115-9
Felix Gille, Caroline Brall

Public trust is paramount for the well functioning of data driven healthcare activities such as digital health interventions, contact tracing or the build-up of electronic health records. As the use of personal data is the common denominator for these healthcare activities, healthcare actors have an interest to ensure privacy and anonymity of the personal data they depend on. Maintaining privacy and anonymity of personal data contribute to the trustworthiness of these healthcare activities and are associated with the public willingness to trust these activities with their personal data. An analysis of online news readership comments about the failed care.data programme in England revealed that parts of the public have a false understanding of anonymity in the context of privacy protection of personal data as used for healthcare management and medical research. Some of those commenting demanded complete anonymity of their data to be willing to trust the process of data collection and analysis. As this demand is impossible to fulfil and trust is built on a false understanding of anonymity, the inability to meet this demand risks undermining public trust. Since public concerns about anonymity and privacy of personal data appear to be increasing, a large-scale information campaign about the limits and possibilities of anonymity with respect to the various uses of personal health data is urgently needed to help the public to make better informed choices about providing personal data.

公众信任对于数据驱动的医疗保健活动(如数字健康干预、接触者追踪或电子健康记录的建立)的良好运作至关重要。由于使用个人数据是这些医疗保健活动的共同点,因此医疗保健行为者希望确保他们所依赖的个人数据的隐私性和匿名性。维护个人数据的隐私性和匿名性有助于这些医疗保健活动的可信度,并与公众愿意将其个人数据托付给这些活动有关。在线新闻读者对失败护理的评论分析。英国的数据方案显示,部分公众对用于医疗保健管理和医学研究的个人数据隐私保护背景下的匿名有错误的理解。一些评论要求他们的数据完全匿名,以便愿意相信数据收集和分析的过程。由于这种需求是不可能实现的,信任是建立在对匿名的错误理解之上的,因此无法满足这种需求可能会破坏公众的信任。由于公众对匿名和个人数据隐私的关注似乎在增加,因此迫切需要开展一场大规模的宣传运动,宣传在个人健康数据的各种使用方面匿名的限制和可能性,以帮助公众在提供个人数据方面做出更明智的选择。
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引用次数: 5
The use of digital twins in healthcare: socio-ethical benefits and socio-ethical risks. 数字孪生体在医疗保健中的使用:社会伦理利益和社会伦理风险。
IF 3.1 Q1 Arts and Humanities Pub Date : 2021-07-05 DOI: 10.1186/s40504-021-00113-x
Eugen Octav Popa, Mireille van Hilten, Elsje Oosterkamp, Marc-Jeroen Bogaardt

Anticipating the ethical impact of emerging technologies is an essential part of responsible innovation. One such emergent technology is the digital twin which we define here as a living replica of a physical system (human or non-human). A digital twin combines various emerging technologies such as AI, Internet of Things, big data and robotics, each component bringing its own socio-ethical issues to the resulting artefacts. The question thus arises which of these socio-ethical themes surface in the process and how they are perceived by stakeholders in the field. In this report we present the results of a qualitative study into the socio-ethical benefits and socio-ethical risks of using digital twins in healthcare. Employing insights from ethics of technology and the Quadruple Helix theory of innovation, we conducted desk research of white literature and 23 interviews with representatives from the four helixes: industry, research, policy and civil society. The ethical scan revealed several important areas where the digital twin can produce socio-ethical value (e.g., prevention and treatment of disease, cost reduction, patient autonomy and freedom, equal treatment) but also several important areas of socio-ethical risks (e.g., privacy and property of data, disruption of existing societal structures, inequality and injustice). We conclude with a reflection on the employed analytical tool and suggestions for further research.

预测新兴技术的伦理影响是负责任创新的重要组成部分。其中一项新兴技术是数字孪生,我们在这里将其定义为物理系统(人类或非人类)的活复制品。数字孪生结合了各种新兴技术,如人工智能、物联网、大数据和机器人技术,每个组件都给最终的人工制品带来了自己的社会伦理问题。因此,问题出现了这些社会伦理主题中的哪一个在这个过程中浮出水面,以及该领域的利益相关者如何看待它们。在本报告中,我们介绍了在医疗保健中使用数字双胞胎的社会伦理利益和社会伦理风险的定性研究结果。利用技术伦理和创新四螺旋理论的见解,我们对白人文献进行了案头研究,并对来自行业、研究、政策和公民社会四个螺旋的代表进行了23次采访。伦理扫描揭示了数字孪生体可以产生社会伦理价值的几个重要领域(例如,疾病的预防和治疗、降低成本、患者的自主和自由、平等待遇),但也揭示了社会伦理风险的几个重要领域(例如,数据的隐私和财产、对现有社会结构的破坏、不平等和不公正)。最后,我们对所使用的分析工具进行了反思,并提出了进一步研究的建议。
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引用次数: 39
Willingness of youth without disabilities to have romantic love and marital relationships with persons with disabilities. 非残疾青年与残疾人恋爱和婚姻关系的意愿。
IF 3.1 Q1 Arts and Humanities Pub Date : 2021-06-21 DOI: 10.1186/s40504-021-00114-w
Bewunetu Zewude, Tewodros Habtegiorgis

People with disabilities face attitudinal barriers including prejudice, stereotypes, and low expectations. Many young people without disabilities may doubt that people with disabilities can be fulfilling partners in any loving adult relationship. The objective of the present research was to assess the willingness of non-disabled youth to engage in conjugal relationships with persons with disabilities in Wolaita Sodo town, Ethiopia. Both descriptive and explanatory study designs were used and quantitative data were collected. A self-administered questionnaire was designed and distributed to randomly selected 403 (202 females & 201 males) unmarried youth. Data analysis was undertaken using SPSS software in which both descriptive and inferential statistical techniques were utilized for data presentation. The result showed that most (85.5%) of the young people without disabilities participated in the survey were not willing to have any type of personal relationships with persons with disabilities and the main reason for 44.2% of these respondents being the fear of reaction from family members. Furthermore, it was found that the level of willingness of youth without disabilities to engage in romantic love and marital relationships was not influenced by the socio-economic status of people with disabilities. Moreover, the result of binary logistic regression analysis showed that the willingness of respondents to have marital and romantic love relationship with persons with disabilities is significantly associated to the sex (OR = 2.376; P < 0.05; 95%CI = 1.210, 4.664), raised-up area (OR = 2.512; P < 0.01; 95%CI = 1.319, 4.783), age (OR = 2.886; P < 0.05; 95%CI = 1.012, 8.228) and the presence of person with disability in the family (OR = 3.945; P < 0.01; 95%CI = 1.648, 9.442) of respondents. The findings of the present research demonstrate that people with disabilities have continued to face stereotypes and discriminations. Such stereotypes extend to assuming them as asexual and unfit to carryout roles that arise from love or marital relationships which violates the rights of PWDs to form their own family and have children. It is therefore, important to raise the awareness of young people about the differences between disability and sexuality and that physical disability has nothing to do with sexuality and relationship formation.

残疾人面临着态度上的障碍,包括偏见、刻板印象和低期望值。许多没有残疾的年轻人可能会怀疑,残疾人能否在任何充满爱的成人关系中成为令人满意的伴侣。本研究的目的是评估埃塞俄比亚Wolaita Sodo镇非残疾青年与残疾人建立婚姻关系的意愿。采用描述性和解释性研究设计,并收集定量数据。随机抽取403名未婚青年(女202名,男201名)进行问卷调查。使用SPSS软件进行数据分析,其中使用描述性和推断性统计技术进行数据表示。结果显示,参与调查的非残疾青少年中,大部分(85.5%)不愿意与残疾人士建立任何形式的个人关系,其中44.2%的受访者主要原因是害怕家人的反应。此外,研究发现,非残疾青年从事浪漫爱情和婚姻关系的意愿水平不受残疾人社会经济地位的影响。此外,二元logistic回归分析结果显示,被调查者与残疾人建立婚姻关系和恋爱关系的意愿与性别显著相关(OR = 2.376;P
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引用次数: 1
Research under the GDPR - a level playing field for public and private sector research? GDPR下的研究——公共和私营机构研究的公平竞争环境?
IF 3.1 Q1 Arts and Humanities Pub Date : 2021-03-01 DOI: 10.1186/s40504-021-00111-z
Paul Quinn

Scientific research is indispensable inter alia in order to treat harmful diseases, address societal challenges and foster economic innovation. Such research is not the domain of a single type of organization but can be conducted by a range of different entities in both the public and private sectors. Given that the use of personal data may be indispensable for many forms of research, the data protection framework will play an important role in determining not only what types of research may occur but also which types of actors may carry it out. This article looks at the role the EU's General Data Regulation plays in determining which types of actors can conduct research with personal data. In doing so it focuses on the various legal bases that are available and attempts to discern whether the GDPR can be said to favour research in either the public or private domains. As this article explains, the picture is nuanced, with either type of research actor enjoying advantages and disadvantages in specific contexts.

为了治疗有害疾病、应对社会挑战和促进经济创新,科学研究是不可或缺的。这种研究不是单一类型组织的领域,而是可以由公共和私营部门的一系列不同实体进行。鉴于个人数据的使用对于许多形式的研究可能是必不可少的,数据保护框架将在确定可能发生的研究类型以及哪些类型的行为者可能进行研究方面发挥重要作用。本文着眼于欧盟的《通用数据条例》在确定哪些类型的行为者可以使用个人数据进行研究方面所起的作用。在此过程中,它侧重于各种可用的法律依据,并试图辨别GDPR是否可以说有利于公共或私人领域的研究。正如本文所解释的那样,情况是微妙的,在特定的背景下,两种类型的研究参与者都有各自的优势和劣势。
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引用次数: 1
Identifying violence against the LGTBI+ community in Catalan universities. 识别加泰罗尼亚大学中针对LGTBI+社区的暴力。
IF 3.1 Q1 Arts and Humanities Pub Date : 2021-02-22 DOI: 10.1186/s40504-021-00112-y
Jorge-Manuel Dueñas, Sandra Racionero-Plaza, Patricia Melgar, Paquita Sanvicén-Torné

Social struggles have led to the legal recognition of the rights of LGTBI+ people in some countries. Even so, violence against LGTBI+ people is a social problem throughout the world, and has resulted in the vulnerability and victimization of the members of this group. In Spain, no research has been published to date that analyzes this problem in the university context. Considering the scarcity of studies on the identification of this type of violence in Spain, the main objective of this study was to identify violence against LGBTI+ people in Catalan universities. We administered a battery of questions to a sample of 571 university students from six universities in Catalonia (77.8% women) between 17 and 55 years old (M = 21.0; SD = 3.96). Of the 12 situations of violence presented, psychological violence was identified as the most common type. Within our sample, 61.0% reported either being aware of or having experienced some type of violence related to the university context and motivated by the sexual orientation, gender identity, or gender expression of the victim. The results also show that these types of violence in the university context are rarely reported, especially when they do not include physical violence. This study highlights a previously unreported problem and identifies future research avenues in university contexts.

在一些国家,社会斗争导致法律承认了LGTBI+人群的权利。尽管如此,针对LGTBI+人群的暴力行为是全世界的一个社会问题,并导致该群体成员的脆弱性和受害性。在西班牙,到目前为止还没有发表过在大学背景下分析这一问题的研究。考虑到在西班牙对这种类型的暴力行为进行识别的研究很少,本研究的主要目的是识别加泰罗尼亚大学对LGBTI+人群的暴力行为。我们对来自加泰罗尼亚六所大学的571名17至55岁的大学生(77.8%为女性)进行了一系列的问卷调查(M = 21.0;sd = 3.96)。在提出的12种暴力情况中,心理暴力被认为是最常见的类型。在我们的样本中,61.0%的人报告说,他们知道或经历过与大学环境有关的某种类型的暴力,并受到受害者的性取向、性别认同或性别表达的驱使。研究结果还表明,在大学环境中,这些类型的暴力很少被报道,特别是当它们不包括身体暴力时。这项研究强调了一个以前未报道的问题,并确定了未来在大学背景下的研究途径。
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引用次数: 9
A secure procedure for early career scientists to report apparent misconduct. 一个安全的程序,供早期职业科学家报告明显的不当行为。
IF 3.1 Q1 Arts and Humanities Pub Date : 2021-01-25 DOI: 10.1186/s40504-020-00110-6
Baruch Fischhoff, Barry Dewitt, Nils-Eric Sahlin, Alex Davis

Early career scientists sometimes observe senior scientists engage in apparent scientific misconduct, but feel powerless to intervene, lest they imperil their careers. We propose a Secure Reporting Procedure that both protects them, when pursuing those concerns, and treats the senior scientists fairly. The proposed procedure is, we argue, consistent with the ethical principles of the scientific community, as expressed in the codes of its professional organizations. However, its implementation will require changes in procedures and regulations. Those efforts will be a small price to pay for protecting the scientific community's integrity and fidelity to its principles. We begin by describing the circumstances motivating the proposal, then sketch its design, and, finally, illustrate next steps in its application in two national settings.

早期职业科学家有时会看到资深科学家从事明显的科学不端行为,但却感到无力干预,以免危及自己的职业生涯。我们提出了一个安全的报告程序,既保护他们,在追求这些担忧时,又公平地对待资深科学家。我们认为,拟议的程序符合科学界的伦理原则,正如其专业组织的守则所表达的那样。但是,它的执行将需要改变程序和条例。为了保护科学界的诚信和对其原则的忠诚,这些努力将是一个很小的代价。我们首先描述推动该建议的情况,然后概述其设计,最后说明在两个国家背景下应用该建议的后续步骤。
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引用次数: 0
The funhouse mirror: the I in personalised healthcare. 欢乐之镜:个性化医疗保健的I。
IF 3.1 Q1 Arts and Humanities Pub Date : 2021-01-05 DOI: 10.1186/s40504-020-00108-0
Mira W Vegter, Hub A E Zwart, Alain J van Gool

Precision Medicine is driven by the idea that the rapidly increasing range of relatively cheap and efficient self-tracking devices make it feasible to collect multiple kinds of phenotypic data. Advocates of N = 1 research emphasize the countless opportunities personal data provide for optimizing individual health. At the same time, using biomarker data for lifestyle interventions has shown to entail complex challenges. In this paper, we argue that researchers in the field of precision medicine need to address the performative dimension of collecting data. We propose the fun-house mirror as a metaphor for the use of personal health data; each health data source yields a particular type of image that can be regarded as a 'data mirror' that is by definition specific and skewed. This requires competence on the part of individuals to adequately interpret the images thus provided.

精准医疗是由这样一种理念驱动的:相对廉价和高效的自我跟踪设备的范围迅速增加,使得收集多种表型数据成为可能。N = 1研究的倡导者强调,个人数据为优化个人健康提供了无数机会。与此同时,使用生物标志物数据进行生活方式干预已显示出复杂的挑战。在本文中,我们认为精准医学领域的研究人员需要解决数据收集的绩效维度。我们提出了一个关于使用个人健康数据的暗喻。每个卫生数据源产生一种特定类型的图像,可将其视为“数据镜像”,根据定义,这种镜像具有特殊性和偏颇性。这就要求个人有能力充分解读由此提供的图像。
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引用次数: 7
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