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The pressing need for FDA regulation of tattoo ink. 美国食品和药物管理局迫切需要对纹身墨水进行监管。
IF 2.5 2区 哲学 Q1 ETHICS Pub Date : 2024-07-08 eCollection Date: 2024-07-01 DOI: 10.1093/jlb/lsae014
Lisa A Verity, Ana Santos Rutschman, Michael S Sinha
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引用次数: 0
Ethical, legal, and policy challenges in field-based neuroimaging research using emerging portable MRI technologies: guidance for investigators and for oversight. 使用新兴便携式核磁共振成像技术进行实地神经成像研究的伦理、法律和政策挑战:研究人员和监督指南。
IF 3.4 2区 哲学 Q1 Social Sciences Pub Date : 2024-06-07 eCollection Date: 2024-01-01 DOI: 10.1093/jlb/lsae008
Francis X Shen, Susan M Wolf, Frances Lawrenz, Donnella S Comeau, Kafui Dzirasa, Barbara J Evans, Damien Fair, Martha J Farah, S Duke Han, Judy Illes, Jonathan D Jackson, Eran Klein, Karen S Rommelfanger, Matthew S Rosen, Efraín Torres, Paul Tuite, J Thomas Vaughan, Michael Garwood

Researchers are rapidly developing and deploying highly portable MRI technology to conduct field-based research. The new technology will widen access to include new investigators in remote and unconventional settings and will facilitate greater inclusion of rural, economically disadvantaged, and historically underrepresented populations. To address the ethical, legal, and societal issues raised by highly accessible and portable MRI, an interdisciplinary Working Group (WG) engaged in a multi-year structured process of analysis and consensus building, informed by empirical research on the perspectives of experts and the general public. This article presents the WG's consensus recommendations. These recommendations address technology quality control, design and oversight of research, including safety of research participants and others in the scanning environment, engagement of diverse participants, therapeutic misconception, use of artificial intelligence algorithms to acquire and analyze MRI data, data privacy and security, return of results and managing incidental findings, and research participant data access and control.

研究人员正在快速开发和部署高度便携的磁共振成像技术,以开展实地研究。这项新技术将拓宽研究人员在偏远地区和非常规环境中开展研究的机会,并将促进更多的农村、经济困难和历史上代表性不足的人群参与研究。为了解决高度可及和便携式磁共振成像技术所引发的伦理、法律和社会问题,一个跨学科工作组(WG)开展了一项多年结构化分析和建立共识的工作,并参考了有关专家和公众观点的实证研究。本文介绍了工作组达成共识的建议。这些建议涉及技术质量控制、研究设计和监督,包括研究参与者和扫描环境中其他人的安全、不同参与者的参与、治疗误区、使用人工智能算法获取和分析核磁共振成像数据、数据隐私和安全、结果返还和意外发现管理以及研究参与者数据访问和控制。
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引用次数: 0
Sorry you asked? Mayo, Myriad, and the battles over patent-eligibility. 对不起,你问了吗?Mayo、Myriad 和专利资格之争。
IF 3.4 2区 哲学 Q1 Social Sciences Pub Date : 2024-06-04 eCollection Date: 2024-01-01 DOI: 10.1093/jlb/lsae010
Robert Cook-Deegan, Janis Geary, Kara Hapke, Zuzana Skvarkova, Marina Filipek, Jillian Leaver

Genetic testing for inherited cancer risk changed dramatically when the US Supreme Court handed down unanimous rulings in Mayo v. Prometheus (2012) and Myriad v. Association for Molecular Pathology (2013). Those decisions struck down claims to methods based on 'laws of nature' (Mayo) and DNA molecules corresponding to sequences found in nature (Myriad). Senators Thom Tillis (R-NC) and Christopher Coons (D-DE) introduced legislation that would abrogate those decisions and specify narrow statutory exclusions to patent-eligibility in §101 of the US Patent Act. What would be the consequences of doing so? The Supreme Court decisions coincided with changes in how genetic tests were performed, reimbursed and regulated. Multi-gene sequencing supplanted oligo-gene testing as the cost of sequencing dropped 10,000-fold. Payers dramatically changed reimbursement practices. Food and Drug Administration regulation was proposed and remains in prospect. Databases for clinical interpretation made data freely available, augmenting a knowledge commons. The spectacular implosion of Theranos tempered investment in molecular diagnostics. These factors all complicate explanations of why venture capital funding for molecular diagnostics dropped relative to other sectors. Restoring patent-eligibility would put renewed pressure on other patent doctrines, such as obviousness, enablement and written description, that were not raised in the Supreme Court cases.

美国最高法院在梅奥诉普罗米修斯案(2012 年)和迈瑞德诉分子病理学协会案(2013 年)中做出一致裁决后,遗传性癌症风险基因检测发生了巨大变化。这些判决驳回了基于 "自然法则"(梅奥案)和与自然界中发现的序列相对应的 DNA 分子(Myriad 案)的方法索赔。参议员托姆-蒂利斯(Thom Tillis)和克里斯托弗-库恩斯(Christopher Coons)提出立法,废除这些判决,并在《美国专利法》第101条中明确规定了专利资格的狭义法定除外情形。这样做会有什么后果?最高法院的判决与基因检测的实施、报销和监管方式的变化不谋而合。多基因测序取代了寡基因检测,因为测序成本下降了 10,000 倍。支付方大幅改变了报销方式。食品与药物管理局提出了监管建议,目前仍在研究之中。用于临床解释的数据库免费提供数据,扩大了知识共享。Theranos 公司的轰然倒下也削弱了对分子诊断技术的投资。这些因素都使解释为什么分子诊断领域的风险投资相对于其他领域有所下降变得更加复杂。恢复专利资格将对最高法院案件中未提及的其他专利理论(如显而易见性、授权和书面说明)造成新的压力。
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引用次数: 0
Erratum to: U.S. public perceptions of the sensitivity of brain data. 勘误:美国公众对大脑数据敏感性的看法。
IF 3.4 2区 哲学 Q1 Social Sciences Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI: 10.1093/jlb/lsae009

[This corrects the article DOI: 10.1093/jlb/lsad032.].

[This corrects the article DOI: 10.1093/jlb/lsad032.].
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引用次数: 0
Implementing the human right to science in neuroscience 在神经科学中落实科学人权
IF 3.4 2区 哲学 Q1 Social Sciences Pub Date : 2024-05-14 DOI: 10.1093/jlb/lsae011
H. Greely
This article considers the implications of the international Human Right to Science for advances in neuroscience. First, it provides background information on both the Human Right to Science and on likely challenges arising from neuroscience in five categories: prediction, mind-reading, mind-control, mental enhancement, and “humanness.” Second, it examines the Human Right to Science, analyzing its internal contradictions in general, discussing those contradictions in reference to neuroscience, and then analyzing some practical limitations it would have. Third, it considers how human rights law might better approach neuroscience, first through strengthening the Human Right to Science and then by finding neuroscience-relevant rights in existing or novel Human Rights. The article concludes that the Human Right to Science may play a small part in neuroscience, especially in promoting freedom to do neuroscience research, but that its overall role is likely to be minor.
本文探讨了国际科学人权对神经科学进步的影响。首先,文章提供了有关科学人权和神经科学可能带来的挑战的背景信息,包括五个方面:预测、读心术、精神控制、精神增强和 "人性"。其次,它研究了 "科学人权",从总体上分析了其内部矛盾,讨论了神经科学方面的这些矛盾,然后分析了它会产生的一些实际限制。第三,文章考虑了人权法如何更好地处理神经科学问题,首先是加强科学人权,然后是在现有的或新的人权中找到与神经科学相关的权利。文章的结论是,科学人权可能会在神经科学领域发挥一小部分作用,特别是在促进神经科学研究自由方面,但其总体作用可能不大。
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引用次数: 0
COVID-19 pediatric vaccine authorization, FDA authority, and individual misperception of risk COVID-19 儿科疫苗授权、FDA 权威和个人对风险的误解
IF 3.4 2区 哲学 Q1 Social Sciences Pub Date : 2024-04-19 DOI: 10.1093/jlb/lsae006
Joanna K Sax, Neal Doran
Abstract Vaccines are one component to the public health strategies to alleviate the COVID-19 pandemic. Hesitancy regarding COVID-19 vaccines in the United States has been problematic, which is not surprising given increasing overall vaccine hesitancy in recent decades. Most vaccines are administered during childhood years. Consequently, understanding hesitancy toward administration of vaccines in this age group may provide insight into possible interventions to reduce vaccine hesitancy. The present study analyzed a subset of over 130,000 public comments posted in response to a notice of meeting of the vaccine advisory group to the Food and Drug Administration. The meeting addressed whether to recommend Emergency Use Authorization (‘EUA’) of the COVID-19 vaccine for children ages 5–11. The results of the study demonstrate that most comments opposed EUA and these comments were associated with statements that indicated misperceptions of risk. Findings provide interesting insights regarding the role of public comments generally but also suggest that the public participation process in notice and comment can be modified to serve as an intervention to align individual perceptions of risk more closely with evidence-based assessment of risk. In addition, the findings provide opportunities to consider strategies for public health messaging.
摘要 疫苗是缓解 COVID-19 大流行的公共卫生战略的一个组成部分。在美国,对 COVID-19 疫苗的犹豫不决一直是个问题,这并不奇怪,因为近几十年来,人们对疫苗的整体犹豫不决的态度越来越严重。大多数疫苗都是在儿童时期接种的。因此,了解这一年龄段人群对接种疫苗的犹豫不决可能会为减少疫苗犹豫不决的干预措施提供启示。本研究分析了为响应食品药品管理局疫苗咨询小组会议通知而张贴的 130,000 多条公众意见的子集。会议讨论了是否建议对 5-11 岁儿童使用 COVID-19 疫苗进行紧急使用授权('EUA')。研究结果表明,大多数意见都反对紧急使用授权,而且这些意见都与表明风险认知错误的声明有关。研究结果就公众意见的一般作用提供了有趣的见解,同时也表明,可以对通知和意见中的公众参与过程进行修改,以作为一种干预措施,使个人对风险的认识与基于证据的风险评估更加一致。此外,研究结果还提供了考虑公共卫生信息传播策略的机会。
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引用次数: 0
Illegal interlocks among life science company boards of directors 生命科学公司董事会之间的非法相互牵制
IF 3.4 2区 哲学 Q1 Social Sciences Pub Date : 2024-04-13 DOI: 10.1093/jlb/lsae005
A. Manjunath, Nathan Kahrobai, Mark A. Lemley, Ishan Kumar
Abstract Competition between life science companies is critical to ensure innovative therapies are efficiently developed. Anticompetitive behavior may harm scientific progress and, ultimately, patients. One well-established category of anticompetitive behavior is the ‘interlocking directorate’. It is illegal for companies’ directors to ‘interlock’ by also serving on the boards of competitors. We evaluated overlaps in the board membership of 2,241 public life science companies since 2000. We show that a robust network of interlocking companies is present among these firms. At any given time, 10–20 percent of board members are interlocked; the number of interlocks has more than doubled in the last two decades. Over half of these interlocked firms report over $5 million in historical revenue, exceeding a legal threshold that makes an interlocking directorate a violation of antitrust law. Those interlocks are only illegal if the companies compete, even in part. Using the disease categories for which companies have sponsored clinical trials, we discover that a few markets are responsible for a large fraction of interlocks. We show that in dozens of cases, companies share directors with the very firms they identify as their biggest competitive threats. We provide a data-driven roadmap for policymakers, regulators, and companies to further investigate the contribution of anticompetitive behavior to increased healthcare costs and to enforce the law against illegal interlocks between firms.
摘要 生命科学公司之间的竞争对于确保高效开发创新疗法至关重要。反竞争行为可能会损害科学进步,并最终损害患者的利益。反竞争行为的一个公认类别是 "连锁董事"。公司董事同时在竞争对手的董事会任职,这种 "互锁 "行为是违法的。我们对 2000 年以来 2,241 家上市生命科学公司董事会成员的重叠情况进行了评估。我们发现,在这些公司中存在着一个强大的互锁公司网络。在任何时候,10%-20% 的董事会成员是互锁的;在过去二十年里,互锁的数量增加了一倍多。在这些互锁公司中,半数以上报告的历史收入超过 500 万美元,超过了互锁董事制度违反反垄断法的法定门槛。只有当公司之间存在竞争,哪怕是部分竞争时,这些联锁才是非法的。利用公司赞助临床试验的疾病类别,我们发现,少数几个市场造成了很大一部分互锁。我们发现,在数十个案例中,公司与被其视为最大竞争威胁的公司共同担任董事。我们为政策制定者、监管者和企业提供了一个数据驱动的路线图,以进一步调查反竞争行为对医疗成本增加的贡献,并对企业间的非法联锁行为进行执法。
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引用次数: 0
Implementing the human right to science in the context of health-related data processing. 在与健康有关的数据处理中落实科学人权。
IF 3.4 2区 哲学 Q1 Social Sciences Pub Date : 2024-03-16 eCollection Date: 2024-01-01 DOI: 10.1093/jlb/lsae004
Fruzsina Molnár-Gábor

This paper contributes to the exploration of the potential application of duties related to the diligent anticipation of the (imminent) harms and (potential) benefits to humans that scientific innovation engenders to health-related contexts. In particular, it addresses the intersection between the human right to science and health-related data processing, which plays a key role in the production, translation and implementation of biomedical knowledge. The first part of the paper provides a brief recap of the interpretation of the right to science based on Art. 15 (1) (b) of the United Nations International Covenant on Economic, Social and Cultural Rights (hereafter ICESCR or Covenant) and the resulting obligations for States in the context of health and related data processing. The second part of the paper defines the relevance of the ICESCR for EU Member States and the European Union. In the third part, theses are put forward on how the human right to science and the obligations under Art. 15 (1) (b) ICESCR influence the interpretation and application of the General Data Protection Regulation as secondary EU law. By examining the justifications for using the right to science to interpret EU data protection law and by providing interpretation and application guidance on the main data protection principles in the area of health-related data processing, taking this right into account, the aim is to shape the EU data governance framework to meet the requirements of this human right. In doing so, the paper aims to close the gaps in the interpretation and application of the main rules of EU data protection law. Such standardization in the health-related context can contribute to a coherent interpretation and application of existing rules by referring to this emerging human right. Against this background, the paper identifies governance measures that the EU legislator could take to guide the processing of health-related data in line with the requirements of the right to science.

本文有助于探讨在与健康有关的背景下,如何将与勤勉地预见科学创新对人类造成的(即将发生的)伤害和(潜在的)益处有关的义务潜在地应用于健康领域。特别是,本文探讨了科学人权与健康相关数据处理之间的交集,后者在生物医学知识的生产、转化和实施中发挥着关键作用。本文第一部分简要回顾了根据《世界人权宣言》第 15(1)(b)条对科学权的解释。本文第一部分简要回顾了联合国《经济、社会、文化权利国际公约》(以下简称《经 济、社会、文化权利国际公约》或《公约》)第 15 (1) (b)条对科学权的解释,以及由此产生 的各国在健康和相关数据处理方面的义务。本文第二部分界定了《经济、社会、文化权利国际公约》与欧盟成员国和欧盟的相关性。第三部分提出了科学人权和《经济、社会、文化权利国际公约》第 15(1)(b)条规定的义务的论点。经济、社会、文化权利国际公约》第 15 (1) (b) 条规定的义务如何影响作为欧盟次级法律的《一般数据保护条例》的解释和适用。通过研究使用科学权来解释欧盟数据保护法的理由,并在考虑到这一权利的情况下,就健康相关数据处理领域的主要数据保护原则提供解释和应用指导,目的是形成欧盟数据治理框架,以满足这一人权的要求。在此过程中,本文件旨在弥补欧盟数据保护法主要规则在解释和应用方面的差距。在与健康相关的背景下,这种标准化有助于参照这项新出现的人权,对现有规则进行一致的解释和应用。在此背景下,本文确定了欧盟立法者可采取的治理措施,以指导健康相关数据的处理符合科学权的要求。
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引用次数: 0
Certificates of confidentiality: privileging research data 保密证书:研究数据的特权
IF 3.4 2区 哲学 Q1 Social Sciences Pub Date : 2024-02-22 DOI: 10.1093/jlb/lsae003
Leslie E Wolf, Natalie Ram, Jorge Contreras, Laura M Beskow
Abstract With the Supreme Court’s decision in Dobbs, reproductive research now joins other sensitive research topics that present legal risks to research participants, underscoring the role of Certificates in protecting them. Yet, stakeholders question whether Certificates will hold up in court. In this article, we describe the essential arguments supporting Congress’s regulation of biomedical research and, thus, Certificates, under its authority to regulate interstate commerce. Our analysis should reassure researchers and Institutional review boards who rely on Certificates to protect the confidentiality of research participants’ data. We conclude with recommendations for stakeholders based on our analysis.
摘要 随着最高法院对 Dobbs 案的判决,生殖研究现在与其他敏感的研究课题一样,给研究参与者带来了法律风险,凸显了证书在保护参与者方面的作用。然而,利益相关者质疑证书在法庭上是否站得住脚。在本文中,我们将阐述支持国会根据其监管州际商业的权力对生物医学研究进行监管,从而对证书进行监管的基本论点。我们的分析应该能让研究人员和机构审查委员会放心,因为他们依赖证书来保护研究参与者数据的机密性。最后,我们将根据分析结果向利益相关者提出建议。
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引用次数: 0
Anticipation in the biosciences and the human right to science. 生物科学中的预期与科学人权。
IF 3.4 2区 哲学 Q1 Social Sciences Pub Date : 2024-02-19 eCollection Date: 2024-01-01 DOI: 10.1093/jlb/lsae002
Andrea Boggio

Anticipation entails contemplating the beneficial and harmful impacts of scientific and technological progress. Anticipation has a long history in science, technology, and innovation policy partly due to future impacts of scientific progress being inescapable. The link between anticipation, an undertheorized concept, and human rights law is yet to be fully explored. This paper links anticipation to the rights to science, a lesser-studied human right codified in the International Covenant on Economic, Social, and Cultural Rights. The paper argues that the normative content of the right includes anticipation entitlements and duties. Combining the entitlements and duties with anticipation typologies leads to identifying three forms of anticipation that governments (and, in some cases, scientists) must carry out: beneficial, responsible, and participatory anticipation. The paper concludes by identifying three ways in which further conceptual work can enrich human-rights-based anticipation.

预测需要考虑科技进步的有益和有害影响。预期在科技创新政策中由来已久,部分原因是科学进步对未来的影响不可避免。预期这一理论化程度较低的概念与人权法之间的联系还有待充分探讨。本文将预期与《经济、社会、文化权利国际公约》中编纂的一项研究较少的人权--科学权联系起来。本文认为,该权利的规范性内容包括预期权利和义务。将权利和义务与预期类型学相结合,可以确定政府(以及在某些情况下科学家)必须执行的三种预期形式:有益预期、负责预期和参与式预期。最后,本文指出了进一步的概念工作可以丰富基于人权的预测的三种方式。
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引用次数: 0
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