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1.
Nat Rev Genet ; 19(3): 175-185, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29151588

RESUMO

Recent studies have highlighted the imperatives of including diverse and under-represented individuals in human genomics research and the striking gaps in attaining that inclusion. With its multidecade experience in supporting research and policy efforts in human genomics, the National Human Genome Research Institute is committed to establishing foundational approaches to study the role of genomic variation in health and disease that include diverse populations. Large-scale efforts to understand biology and health have yielded key scientific findings, lessons and recommendations on how to increase diversity in genomic research studies and the genomic research workforce. Increased attention to diversity will increase the accuracy, utility and acceptability of using genomic information for clinical care.


Assuntos
Variação Genética , Genoma Humano , Genômica/métodos , Genética Humana/métodos , Medicina de Precisão/métodos , Humanos
2.
Harm Reduct J ; 17(1): 44, 2020 06 24.
Artigo em Inglês | MEDLINE | ID: mdl-32580787

RESUMO

An amendment to this paper has been published and can be accessed via the original article.

3.
Harm Reduct J ; 17(1): 34, 2020 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-32487084

RESUMO

BACKGROUND: Syringe services programs (SSPs) are able to offer wrap-around services for people who inject drugs (PWID) and improve health outcomes. CASE PRESENTATION: A 47-year-old man screened positive for a skin and soft tissue infection (SSTI) at an SSP and was referred to a weekly on-site student-run wound care clinic. He was evaluated by first- and third-year medical students, and volunteer attending physicians determined that the infection was too severe to be managed on site. Students escorted the patient to the emergency department, where he was diagnosed with a methicillin-resistant Staphylococcus aureus arm abscess as well as acute HIV infection. CONCLUSION: Student-run wound care clinics at SSPs, in conjunction with ongoing harm reduction measures, screenings, and treatment services, provide a safety-net of care for PWID and help mitigate the harms of injection drug use.


Assuntos
Abscesso/etiologia , Redução do Dano , Staphylococcus aureus Resistente à Meticilina/isolamento & purificação , Programas de Troca de Agulhas/métodos , Transtornos Relacionados ao Uso de Opioides/complicações , Infecções Estafilocócicas/complicações , Infecções Estafilocócicas/diagnóstico , Antibacterianos/uso terapêutico , Buprenorfina/uso terapêutico , Doxiciclina/uso terapêutico , Infecções por HIV/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos Relacionados ao Uso de Opioides/tratamento farmacológico , Infecções dos Tecidos Moles/complicações , Infecções dos Tecidos Moles/diagnóstico , Infecções dos Tecidos Moles/tratamento farmacológico , Infecções Estafilocócicas/tratamento farmacológico , Abuso de Substâncias por Via Intravenosa/complicações , Vancomicina/uso terapêutico
5.
Artigo em Inglês | MEDLINE | ID: mdl-31506325

RESUMO

Preimplantation genetic testing (PGT) is a reproductive technology that, in the course of in vitro fertilization (IVF), allows prospective parents to select their future offspring based on genetic characteristics. PGT could be seen as an exercise of reproductive liberty, thus potentially raising significant socioethical and legal controversy. In this review, we examine-from a comparative perspective-variations in policy approaches to the regulation of PGT. We draw on a sample of 19 countries (Australia, Austria, Belgium, Brazil, Canada, China, France, Germany, India, Israel, Italy, Japan, Mexico, Netherlands, Singapore, South Korea, Switzerland, United Kingdom, and the United States) to provide a global landscape of the spectrum of policy and legislative approaches (e.g., restrictive to permissive, public vs. private models). We also explore central socioethical and policy issues and contentious applications, including permissibility criteria (e.g., medical necessity), nonmedical sex selection, and reproductive tourism. Finally, we further outline genetic counseling requirements across policy approaches.


Assuntos
Aconselhamento Genético/legislação & jurisprudência , Testes Genéticos/legislação & jurisprudência , Diagnóstico Pré-Implantação , Animais , Fertilização in vitro , Triagem de Portadores Genéticos/métodos , Aconselhamento Genético/métodos , Testes Genéticos/métodos , Saúde Global , Humanos
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