[Modelled Development. Practices of Human Embryology at Göttingen University in the Second Half of the Twentieth Century]. / Modellierte Individualentwicklung. Humanembryologische Praktiken an der Universität Göttingen in der zweiten Hälfte des 20. Jahrhunderts.

The Human Embryology Collection at the Centre of Anatomy Göttingen, created between 1942 and 1970, represents a unique interrelation of histological sectional series of human embryos and large-format physical models open to the public based on them. The collection was established long after the heyday of human embryology. It is also remarkable in another aspect: while usually models within the discipline are considered research objects, Göttingen embryologist Erich Blechschmidt (1904-1992) based his understanding on a pedagogical impetus. The article highlights the distinctive and unconventional features of Blechschmidt's undertaking against its disciplinary background. My focus lies on the two practices that are central to human embryology-collecting and modelling-, as well as the derived collection stocks. The special tension between individuality and universality that already characterized the process of their creation is also reflected in the later use of the collection. This tension allowed Blechschmidt to utilize the models in embryological research and anatomical teaching as well as in the broad social debate on abortion and the ethical status of human embryos.

Publicity, politics, and professoriate in fin-de-siècle Vienna: The misconduct of the embryologist Samuel Leopold Schenk.

This essay uses the case of the fin-de-siècle Vienna embryologist Samuel Leopold Schenk to analyze the factors at play in allegations of misconduct. In 1898, Schenk published a book titled Theorie Schenk. Einfluss auf das Geschlechtsverhältnis (Schenk's theory. Influence on the sex ratio). The book argued that, by changing their diet, women trying to conceive could influence egg maturation and consequently select the sex of their offspring. This cross between a scientific monograph and a popular advice book received enormous publicity but also spurred first the Vienna Medical Association and then the Senate of the University of Vienna to accuse Schenk of poor science, self-advertisement, quack medical practice, and wrong publisher choice. Formal proceedings against Schenk ended in 1900 with the unusually harsh punishment of early retirement. Schenk died two years later. I examine the elements of the case, from the science of sex determination and selection, to the growth of print media and advertising within the changing demographic and political landscape of Vienna. I argue that the influence of the public, via the growing media, upon science was the main driver of the case against Schenk, but also that the case would have had a more limited impact were it not for the volatile political moment rife with anti-Semitism, nationalism, and xenophobia. I draw the attention to the importance of setting cases of misconduct in the broader political history and against the key social concerns of the moment.

Ethical Rationales and Guidelines for the Continued Use of Archival Collections of Embryonic and Fetal Specimens.

Benefits from the use of cadavers in anatomical education are well described. Historically, human embryos and fetal cadavers were used in anatomy education to understand development and congenital malformations. Recently, three-dimensional printed models produced from archival fetal specimens, and online repositories of images from archival collections of embryos and fetuses, have been used as an educational tool in human development courses. Given that the archival specimens were likely obtained prior to the era of informed consent, this raises questions about their appropriate and ethical use. Because some institutions in the United States retain archival collections of embryonic and fetal specimens that were once used as educational tools, their existence and utility require frequent reexamination against contemporary ethical frameworks to guide appropriate use or utilization. Four ethical rationales for uses of these collections are examined, including destruction, indefinite storage, use in research, and use in health professions education. Guidelines for the use of archival collections of human embryos and fetuses are presented. Indefinite storage and use in health professions education are supported, while use in research is also permitted, however, such use is limited and dependent on circumstance and purpose. The development of current digital repositories and three-dimensionally printed models based on archival collections that were collected without informed consent, or those promoting commercial opportunity, are not supported. New embryonic and fetal donations obtained with informed consent should include reference to potential uses with new technology and virtual, genetic, or imaging applications.

Refining the ethics of preimplantation genetic diagnosis: A plea for contextualized proportionality.

Many European countries uphold a 'high risk of a serious condition' requirement for limiting the scope of preimplantation genetic diagnosis (PGD). This 'front door' rule should be loosened to account for forms of PGD with a divergent proportionality. This applies to both 'added PGD' (aPGD), as an add-on to in vitro fertilization (IVF), and 'combination PGD' (cPGD), for a secondary disorder in addition to the one for which the applicants have an accepted PGD indication. Thus loosening up at the front has implications at the back of PGD treatment, where a further PGD rule says that 'affected embryos' (in the sense of embryos with the targeted mutation or abnormality) should not be transferred to the womb. This 'back door' rule should be loosened to allow for transferring 'last chance' affected embryos in aPGD and cPGD cases, provided this does not entail a high risk that the child will have a seriously diminished quality of life.

Code of Ethics and Conduct of the Brazilian Association of Embryologists - PRONÚCLEO.

For more than three decades, Brazilian Clinical Embryologists have been working without specific regulations and following the standards adopted by other healthcare professionals. This document aims to guide behavior and decision-making, while providing directions to embryologist with the purpose of aiding professionals involved with assisted reproduction procedures and their patients. The Code of Ethics and Conduct is an important breakthrough and the first step toward regulating Clinical Embryology as a profession.

Uso del término 'preembrión' en la literatura biomédica desde su origen hasta la actualidad / Use of the term 'pre-embryo' in the biomedical literature from its origin to the present

En este artículo se realiza un estudio del uso del término "preembrión" desde su origen en junio del año 1979 hasta el final del año 2014 tanto en la literatura científica como la bioética. Se compara su evolución en el tiempo con otros términos usados corrientemente en la embriología. Así mismo, se estudia cuáles son las revistas en las que más aparece este término, su índice de impacto dentro de las revistas de su ámbito y cuáles son los autores que más lo emplean. El término "preembrión" surge en la literatura científica en 1979, permaneciendo durante unos 6 años sin volver a aparecer en la bibliografía científica. Después, tras un aumento de artículos que abarca la década de los años 90 empieza a decrecer su uso sin haber llegado a desaparecer del todo. Este estudio pone además en evidencia que el uso de la palabra "preembrión" no se ha incrementado con el paso del tiempo; al contrario, cada vez es menos utilizada en la literatura biomédica. Esto no sucede con otros términos que denominan al embrión antes de la implantación, que no han cesado de aumentar durante estos años, tanto referido a la especie humana y a otras especies animales. Así mismo, esta palabra tiene un uso hipertrofiado en seres humanos sin un motivo aparente, lo cual avalaría el carácter artificial de este término. Por último, el término «preembrión» aparece muy poco en revistas del área de biología de la reproducción pero sí lo hace en las de obstetricia y ginecología, donde se publican muchos artículos sobre reproducción asistida. En conclusión, en vez de sustituir a clásicos términos embriológicos, la palabra "preembriór" parece no afectar el uso de ellos y en las discusiones actuales sobre la condición humana del embrión ya no es utilizado este término

In this article, we present a review about the use of the term "preembryo" in the scientific literature as well as Bioethics from its origin, back in June 1979, to the end of the year 2014. We analyze their evolution along the time comparing with other terms commonly used in embryology. Also, we show the relevant journals in which this term appears, (offering the impact index within their specific field), and the authors who use it the most. The term «preembryo» arose in the scientific literature in 1979, remaining for about 6 years without reappearing in the scientific literature. Then, after an increase of articles, that covers the 90’s decade, began to decrease its use without having disappeared altogether. Our study also shows that the use of the word preembryo» has not increased with the passage of time; on the contrary, it is becoming less used in the biomedical literature. This does not occur with other terms that name the embryo before implantation, which have not ceased to increase during these years, both referring to the human species and other animal species. Finally, the term "pre-embryo" appears very little in journals related to the reproduction biology area, but it does so in obstetrics and gynecology, where many articles on assisted reproduction are published. Our findings suggest that, instead of replacing classical embryological terms, the word "preembryo" does not seem to affect the use of them. Likewise, this word has a hypertrophied use in humans without an apparent reason, which would support the artificial nature of this term. Finally, the term "pre-embryo" appears very little in journals of reproduction biology area, but it does so in obstetrics and gynecology, where many articles on assisted reproduction are published. In conclusion, instead of substituting classical embryological terms, the word "pre-embryo" does not seem to affect the use of them and in the current discussions about the human condition of the embryo this term is no longer used

[Use of the Term ″Pre-Embryo″ In the Biomedical Literature From Its Origin to the Present]. / Uso del Término ″Preembrión″ en la Literatura Biomédica Desde Su Origen Hasta la Actualidad.

In this article, we present a review about the use of the term ″preembryo″ in the scientific literature as well as Bioethics from its origin, back in June 1979, to the end of the year 2014. We analyze their evolution along the time comparing with other terms commonly used in embryology. Also, we show the relevant journals in which this term appears, (offering the impact index within their specific field), and the authors who use it the most. The term ″preembryo″ arose in the scientific literature in 1979, remaining for about 6 years without reappearing in the scientific literature. Then, after an increase of articles, that covers the 90's decade, began to decrease its use without having disappeared altogether. Our study also shows that the use of the word ″preembryo″ has not increased with the passage of time; on the contrary, it is becoming less used in the biomedical literature. This does not occur with other terms that name the embryo before implantation, which have not ceased to increase during these years, both referring to the human species and other animal species. Finally, the term ″pre-embryo″ appears very little in journals related to the reproduction biology area, but it does so in obstetrics and gynecology, where many articles on assisted reproduction are published. Our findings suggest that, instead of replacing classical embryological terms, the word ″preembryo″ does not seem to affect the use of them. Likewise, this word has a hypertrophied use in humans without an apparent reason, which would support the artificial nature of this term. Finally, the term ″pre-embryo″ appears very little in journals of reproduction biology area, but it does so in obstetrics and gynecology, where many articles on assisted reproduction are published. In conclusion, instead of substituting classical embryological terms, the word ″pre-embryo″ does not seem to affect the use of them and in the current discussions about the human condition of the embryo this term is no longer used.

On recent advances in human engineering.

Advances in embryology, genetics, and regenerative medicine regularly attract attention from scientists, scholars, journalists, and policymakers, yet implications of these advances may be broader than commonly supposed. Laboratories culturing human embryos, editing human genes, and creating human-animal chimeras have been working along lines that are now becoming intertwined. Embryogenic methods are weaving traditional in vivo and in vitro distinctions into a new "in vivitro" (in life in glass) fabric. These and other methods known to be in use or thought to be in development promise soon to bring society to startling choices and discomfiting predicaments, all in a global effort to supply reliably rejuvenating stem cells, to grow immunologically non-provocative replacement organs, and to prevent, treat, cure, or even someday eradicate diseases having genetic or epigenetic mechanisms. With humanity's human-engineering era now begun, procedural prohibitions, funding restrictions, institutional controls, and transparency rules are proving ineffective, and business incentives are migrating into the most basic life-sciences inquiries, wherein lie huge biomedical potentials and bioethical risks. Rights, health, and heritage are coming into play with bioethical presumptions and formal protections urgently needing reassessment.

Hart-Devlin revisited: law, morality and consent in parenthood.

The debate about law and morality is not new but changing social structures and advances in science, medicine and technology have impacted the decisions courts have to make. Within the fast-changing societies of the 21st century, is judicial decision-making cognisant of these advances and how do the judiciary currently reconcile difficult emergent issues concerning law, science and morality? The dilemma of decision-making regarding frozen embryos, the gametes of deceased donors and the issue of consent is analysed by reference to recent case law and the problem of decision-making in relation to the newly possible.

A 'healthy baby': The double imperative of preimplantation genetic diagnosis.

This article reports from a study exploring the social processes, meanings and institutions that frame and produce 'ethical problems' and clinical dilemmas for practitioners, scientists and others working in the specialty of preimplantation genetic diagnosis (PGD). A major topic in the data was that, in contrast to IVF, the aim of PGD is to transfer to the woman's womb only those embryos likely to be unaffected by serious genetic disorders; that is, to produce 'healthy babies'. Staff described the complex processes through which embryos in each treatment cycle must meet a double imperative: they must be judged viable by embryologists and 'unaffected' by geneticists. In this article, we focus on some of the ethical, social and occupational issues for staff ensuing from PGD's double imperative.

A burgeoning science of embryological genetics demands a modern ethics.

This brief article discusses the nature of recent scientific advances in reproductive biomedicine and genetics, their moral implications and their effects on society. The pace of research has amplified exponentially, leading society into situations incomprehended by our ancestors. Early studies on reproductive biology in animals, and clinical methods such as artificial insemination by donor spermatozoa, were introduced several centuries ago and led to prolonged ethical disagreements. The 20th century witnessed the introduction of controlled ovulation in laboratory animals, the fertilization of the oocyte and preimplantation embryology in mammalian species. The second half of this century produced an avalanche of knowledge on genetics, developmental biology, the fertilization of the human oocyte in vitro, test-tube babies, preimplantation genetic diagnosis, designer babies, stem cells and a deeper understanding of molecular differentiation in the human embryo. The ethical and legal aspects of these items have led to intense debates on their rights and wrongs. The future may have even more bizarre possibilities such as producing medicines in cow's milk or trees and delaying death for many years.

Ethics and moral philosophy in the initiation of IVF, preimplantation diagnosis and stem cells.

Details of the work leading to the introduction of human IVF, animal and human stem cells, and the preimplantation diagnosis of inherited characteristics in blastocysts are outlined briefly in this paper. The progress of these studies is related to ethical issues emerging during these years. The current status of these studies is outlined, together with a brief moral philosophy as practised by the original investigators.