Asunto(s)
Comités de Ética en Investigación/organización & administración , Comités de Ética en Investigación/normas , Guías como Asunto , Cooperación Internacional , Miembro de Comité , Conflicto de Intereses , Revisión Ética , Experimentación Humana/legislación & jurisprudencia , Humanos , Preparaciones Farmacéuticas , Sector PrivadoRESUMEN
The rapid pace of scientific breakthroughs that are flowing from genetic research seem to be matched only by the intensifying perception that some form of social control is required. As exemplified by the call to 'regulatory action' that was elicited by the prospect of human cloning, increased formal government oversight of human genetic research appears to be inevitable. Although there are certainly many valid social and ethical concerns worthy of a regulatory response, legislating genetic policy will not be easy.
Asunto(s)
Genética/legislación & jurisprudencia , Investigación/legislación & jurisprudencia , Clonación de Organismos/legislación & jurisprudencia , Técnicas Genéticas , Humanos , Formulación de Políticas , Política PúblicaRESUMEN
Any surgeon experienced with a laparoscopic approach to intra-abdominal surgery on morbidly obese patients is aware of the increased difficulty associated with the patients' obesity. We present a study of the mechanics of laparoscopic surgery that explains the difficulty subjectively experienced in terms of the decreased sensitivity felt by the surgeon as a result of the increased thickness of the abdominal wall and increasing force required for the repositioning of the tip of the operating instrument. We propose that the placement and angling of the trocar in the abdominal wall are of paramount importance in the successful and safe completion of laparoscopic procedures in obese patients.