Biotechnology Regulations Lecture 1
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Questions and Answers

What distinguishes ethics from morals?

  • Ethics is personally held beliefs, while morals are societal standards.
  • Ethics is unchangeable, while morals can change over time.
  • Ethics deals with laws, while morals deal with religious views.
  • Ethics is the theory of right and wrong, while morals are personal beliefs. (correct)

Public views on morals can change over time.

True (A)

Name one issue that bioethics deals with.

Euthanasia

The theory of ethics primarily deals with issues of _____ and _____ in modern contexts.

<p>right, wrong</p> Signup and view all the answers

Match the following bioethical issues to their descriptions:

<p>Research = Investigation and development of new treatments and technologies Euthanasia = The practice of intentionally ending a life to relieve pain Genetic engineering = Manipulation of an organism's genetic material Assisted reproduction = Techniques related to helping individuals conceive</p> Signup and view all the answers

What is a key objective in ethical decision-making?

<p>Gathering information and making informed decisions (A)</p> Signup and view all the answers

The utilitarian approach supports stealing food if it saves a life.

<p>True (A)</p> Signup and view all the answers

What ethical conflict arises when a firefighter must choose between saving an elderly adult and two children?

<p>The conflict between valuing one life versus two lives.</p> Signup and view all the answers

The __________ approach to ethics emphasizes rules and duties over consequences.

<p>deontological</p> Signup and view all the answers

Match the ethical approaches with their descriptions:

<p>Utilitarian = Focuses on the greatest good for the greatest number Deontological = Emphasizes the morality of actions regardless of outcomes Self-centredness = Focuses only on the agent's interests Duty Ethics = Believes in adhering to ethical rules and obligations</p> Signup and view all the answers

If an action is deemed morally wrong by deontological ethics, it is considered to be:

<p>Unacceptable, regardless of consequences (D)</p> Signup and view all the answers

According to ethical decision-making, one should always respect another person's decision.

<p>True (A)</p> Signup and view all the answers

What factor must be considered when evaluating the potential for a 'bad' event to occur?

<p>Statistical probability and negative impact.</p> Signup and view all the answers

Which ethical approach is primarily associated with Immanuel Kant?

<p>Deontological Ethics (C)</p> Signup and view all the answers

According to the Deontological approach, the consequences of actions are what determine their moral worth.

<p>False (B)</p> Signup and view all the answers

What is the Greek word from which 'deontology' is derived and what does it mean?

<p>Deon, meaning obligation or duty</p> Signup and view all the answers

Kant believed that we ought to treat others as ends in themselves, not as means to an ______.

<p>end</p> Signup and view all the answers

What is a key disadvantage of the Deontological approach?

<p>It may be perceived as too rigid (D)</p> Signup and view all the answers

What significant conference took place in Asilomar, California in 1975?

<p>Conference on recombinant DNA technology (B)</p> Signup and view all the answers

Match each ethical approach to its primary focus:

<p>Deontological Ethics = Absolute principles and duties Virtue Ethics = Character traits and practical wisdom Utilitarianism = Consequences of actions Ethical Relativism = Cultural context and perspectives</p> Signup and view all the answers

Which of the following actions best exemplifies virtue ethics?

<p>Giving your seat to someone who needs it (B)</p> Signup and view all the answers

The early smallpox vaccination conducted by Edward Jenner is considered ethical today.

<p>False (B)</p> Signup and view all the answers

Virtue ethics is widely used in modern ethical discussions.

<p>False (B)</p> Signup and view all the answers

What did the NIH launch in 2002 to help find information on clinical trials?

<p>clinicaltrials.gov</p> Signup and view all the answers

In animal studies, the morning sickness drug Thalidomide caused _____ in humans.

<p>birth defects</p> Signup and view all the answers

Match the following ethical concerns with their relevance in biotechnology:

<p>Recombinant DNA = Safety and consequences assessment Clinical trial data = Public availability and transparency Thalidomide = Animal testing reliability Smallpox vaccine = Risk versus benefit consideration</p> Signup and view all the answers

What is the argument against publicly sharing clinical trial data?

<p>It could prevent the re-testing of negative results. (A)</p> Signup and view all the answers

It is considered ethical for humans to conduct biotechnology experiments just like nature does.

<p>False (B)</p> Signup and view all the answers

What main ethical question arises from testing drugs in animals before human trials?

<p>Is it ethical to introduce a drug to humans based on animal studies?</p> Signup and view all the answers

What is one of the primary reasons for using animal registries in research?

<p>To enhance reproducibility (D)</p> Signup and view all the answers

The principlist approach assumes that one ethical principle is always more important than the others.

<p>False (B)</p> Signup and view all the answers

Name two elements of informed consent.

<p>Competence, Voluntariness</p> Signup and view all the answers

One disadvantage of using animal registries is the potential for ideas being _____.

<p>stolen</p> Signup and view all the answers

Match the ethical principles to their definitions:

<p>Autonomy = Ability to make free choices Nonmaleficence = Do no harm Beneficence = Acting in the best interest of others Justice = Fairness in distribution of benefits and burdens</p> Signup and view all the answers

What percentage of results from pre-clinical research on rodents are never published?

<p>50% (D)</p> Signup and view all the answers

Non-maleficence and beneficence are consequential principles in the utilitarian approach.

<p>True (A)</p> Signup and view all the answers

What is a significant drawback of the principlist approach?

<p>It does not consider individual situations.</p> Signup and view all the answers

According to the whole-brain definition, when is an individual considered dead?

<p>When there is irreversible cessation of all brain functions (B)</p> Signup and view all the answers

The higher-brain definition of death is legally adopted in many jurisdictions.

<p>False (B)</p> Signup and view all the answers

What is one controversial aspect of the higher-brain definition of death?

<p>The criteria for what constitutes higher brain functioning.</p> Signup and view all the answers

According to the somatic definition of death, individuals who define death this way believe it to be ______.

<p>homicide</p> Signup and view all the answers

Match the definitions of death to their features:

<p>Whole-Brain Death = Irreversible cessation of all brain functions Higher-Brain Death = Some reflexes remain but most brain functions are gone Somatic Death = Belief equated with homicide Circulatory Death = Full pumping of blood occurs</p> Signup and view all the answers

At what gestational period do proponents of the higher-brain definition suggest full moral standing begins?

<p>24 weeks (C)</p> Signup and view all the answers

Most conservative views on moral standing begin at 8-12 weeks of gestation according to the somatic definition of death.

<p>True (A)</p> Signup and view all the answers

What happens to brain functions in a patient considered dead under the whole-brain definition?

<p>All brain functions cease irreversibly.</p> Signup and view all the answers

Flashcards

Ethics vs. Morals

Ethics is the study of right and wrong conduct, while morals are personal beliefs about right and wrong.

Bioethics

A branch of ethics focusing on applied ethical issues in biology and medicine.

Moral vs. Legal

Moral principles are personal, while laws are rules established by society.

Moral Changes Over Time

Public views of right and wrong can evolve.

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Bioethics Topics

Bioethics examines research, euthanasia, cloning, genetic engineering, reproduction, consent, and life/death issues.

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Deontological Approach

An ethical framework focusing on duty and moral obligation, often associated with religious principles.

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Kantian Ethics

A type of deontological ethics, developed by Immanuel Kant, emphasizing the inherent rightness or wrongness of actions based on motives.

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Absolute Principles

Moral rules in deontological ethics that cannot be broken, regardless of the situation.

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Value of human life (Kant)

An absolute principle in Kantian ethics asserting the inherent worth of every human being.

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Virtue Ethics

An ethical approach focusing on the character traits of a person, rather than actions; emphasizes being a good person.

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Practical wisdom

Using common sense and judgment in ethical decision making.

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Subjective opinions (ethics)

Personal beliefs about what is 'virtuous' or good, making virtue ethics less universal.

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Motives (Kant)

Kant's view that the ethical quality of an action was determined by the person's motives, not consequences.

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Ethical Decision-Making

A process that involves gathering information, considering probabilities of negative events, and respecting diverse viewpoints.

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Utilitarian Approach

An ethical approach that focuses on maximizing overall good and minimizing harm; It balances the need with costs.

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Stealing Food

An ethical dilemma; evaluating whether it is morally justifiable to steal food when desperately hungry.

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Value of a Life

A moral dilemma where the value of one life (an elderly adult) is contrasted with the value of multiple young lives.

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Full Disclosure

The ethical concept of revealing all pertinent information; in contrast to withholding or not revealing.

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Statistical Probability

The likelihood of an undesired event occurring, used in ethical analysis.

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Ethical Trade-Off

A difficult situation where making one moral choice might negatively effect another.

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Recombinant DNA Technology

Using technology to combine DNA from different sources.

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Thalidomide Study

A drug trial where animals tested safe but humans suffered birth defects.

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Clinical Trial Data Sharing

Whether clinical trial results (especially early-phase ones) should be publicly available.

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Biosafety Containment Protocols

Rules and procedures to contain biological hazards.

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Asilomar Conference (1975)

A meeting where scientists called for a pause on recombinant DNA technology.

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Ethics of Animal Testing

Questions about the right use of animals in scientific research.

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ClinicalTrials.gov

A US government website containing information on clinical trials.

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Animal Research Transparency

Using registries to track animal experiments can improve research quality, reproducibility, and public trust.

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Animal Registries: Disadvantages

Animal registries can be burdensome for researchers and raise concerns about intellectual property theft and potential targeting by animal rights groups.

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Principlism in Bioethics

Using ethical principles like autonomy, non-maleficence, beneficence, and justice to guide decision-making in healthcare and research.

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Prima Facie Principles

Ethical principles that are binding, but can sometimes be overridden by other principles in specific situations.

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Consequentialist Approach

Ethical decisions based on outcomes and maximizing good consequences, often focusing on non-maleficence and beneficence.

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Autonomy in Bioethics

Respecting an individual's right to make their own choices and decisions, especially about healthcare.

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Informed Consent Elements

Key components of informed consent include competence, voluntariness, disclosure of information, recommendation of a plan, understanding of the information, and confirmation of consent.

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When Information Can Be Withheld

In some situations, full disclosure of information to patients may be withheld if it could cause harm.

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Somatic Death

Death defined by the cessation of bodily functions, specifically the heart beating and breathing.

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Whole-Brain Death

Death occurs when all brain functions, including the brainstem, cease irreversibly.

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Higher-Brain Death

Death defined by the irreversible cessation of higher brain functions, but some reflexes may persist due to brainstem activity.

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When Does Moral Standing Begin?

Determining when a being has full moral standing (entitled to rights and protections) is a complex issue, particularly when considering fetuses.

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Moral Standing & Fetal Development

Different views on moral standing for fetuses at various stages of development. Some believe it starts at conception, others at viability, others at birth.

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Moral Views on Embryo Manipulation

Manipulating sperm or eggs before fertilization generally has lower ethical concerns compared to manipulating fetuses or newborns.

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Whole-Brain Death & Moral Standing

Whole-brain death as a marker of death could also be used to determine the beginning of full moral standing, suggesting it starts earlier in gestation (8-12 weeks).

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Higher-Brain Death & Moral Standing

Using higher-brain death to define moral standing suggests full moral standing beings later (around 24 weeks of gestation).

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Study Notes

Biotechnology Regulations Course Information

  • Course offered: Biotech 4BS3/Sept 6BS3
  • Instructor: Dr. Rashid Abu-Ghazalah
  • Instructor Email: [email protected]
  • TA: Mr. Nicholas Damjanovic
  • TA Email: [email protected]
  • Office hours: Schedule meetings by email
  • Course materials: Refer to the course outline and Avenue to Learn for dates, expectations, and deadlines

Topics in Biotechnology Regulations

  • Topics to be covered include: Bioethics, Research & Development in Industry, Regulations (Canada, US, international), Documentation, Quality Systems, and Safety regulations.

Course Expectations

  • Read the course outline.
  • Attend online lectures.
  • Healthy and respectful debates are expected during discussions (no right or wrong answers).
  • Three assignments will be completed.
  • One project will be submitted.
  • One midterm exam.
  • One final exam.

Ethics and Morals

  • Ethics is derived from the Greek word "ethos" meaning custom or habit.
  • Ethics is the study of principles in making moral decisions.
  • Ethics deals with big questions using logic, reflection, and critical reasoning.
  • Morals are internal and less likely to change over time, while ethics are external principles that can change over time.

Defining Ethics and Bioethics

  • Ethics is the theory driving right and wrong, whereas morality is personal.
  • Ethics is distinct from morality; one is theory the other is personal beliefs.
  • Bioethics is specifically concerned with pertinent issues in modern times, such as research (including animal research), euthanasia, human cloning, genetic engineering, assisted reproduction, consent and the confidentiality of patients, life, and death.

What is Ethics?

  • Major ethical doctrines/theories include: Altruism, Asceticism, Cognitivism, Consequentialism (Utilitarianism), Cynicism, Deontology (Kantian), Egoism, Epicureanism, Ethical Naturalism, Ethical Non-Naturalism, Ethical Subjectivism, Eudaimonism, Hedonism, Humanism, Individualism, Moral Absolutism, Moral Anti-Realism, Moral Nihilism, Moral Realism, Moral Relativism, Moral Skepticism, Moral Universalism, Non-cognitivism, Utilitarianism, and Virtue Ethics.
  • Three main ways of making ethical decisions are consequentialism, utilitarianism, deontological, and virtue ethics.

Utilitarian Approach

  • Developed by Jeremy Bentham and John Stuart Mill
  • Focuses on producing the greatest good for the greatest number of people.
  • The ends justify the means.
  • Quantifies every outcome.
  • Considers net benefits and costs to all stakeholders.
  • Emphasizes consequences, not actions
  • Quantitative approach to decision-making

Deontological Approach

  • Derived from the Greek word "deon" meaning obligation or duty.
  • Focuses on absolute principles that cannot be broken
  • Developed primarily by Immanuel Kant
  • Emphasis is on duty and the motives of the person performing the action, not the consequences.
  • One absolute: The value of human life.

Virtue Ethics

  • Originates from Aristotle.
  • Focuses on the character traits of an individual rather than consequences.
  • Focuses on moral agents.
  • Emphasizes practical wisdom or common sense in decision-making.

Ethical Decision Making - Blending Approaches

  • A mixture of the presented ethical approaches exists in many situations.
  • Key objective: Gather information and consider the statistical probability of negative events, and their impacts.
  • Respect other people's decisions.

Ethical Decision-Making - Examples

  • Example 1: A hungry person stealing food is scrutinized using Utilitarian and Deontological approaches..
  • Example 2: The firefighter chooses who to save. The question asks whether one life can be traded for another's.
  • Example 3: A biotech company merger, where the CEO must decide whether or not to reveal potential issues to the larger company.
  • Discussion, what do YOU think?
  • Consider whether or not benefits outweigh the risks.

Moving Into Bioethics

  • Bioethics is a subspecialty of ethics concerned with the implications of biological research and applications in medicine.
  • The term was first coined in 1926, but the field emerged in the 1970s.
  • Bioethics often considers social and moral aspects and potential outcomes resulting from the use of biological and medical technologies.
  • The question is, should this be done instead of can this be done?

Why Bioethics?

  • Rapid advancement in biomedical science.
  • Perceived inadequacy of traditional ethics.
  • Nuremberg war trials.
  • Decreasing paternalism and deference.

Areas of Focus in Bioethics

  • Access to medicines and healthcare devices.
  • Genetically modified organisms.
  • Assisted reproduction, human cloning, and the environment.
  • End of life, organ trafficking, and protection of participants in therapeutic trials.

Ethics and Biotechnology

  • Development of new technologies in biology and medicine.
  • Questions concerning the need for guidelines and evaluation of existing policies.
  • Debate on ethical issues even before development of specific technology.
  • Historical examples such as the development of the smallpox vaccine and pre-clinical animal studies are discussed.
  • Discussions of the need for public availability of clinical data for better access and clinical trial transparency.

Moral Principles of Bioethics

  • Principlism: The use of principles that guide ethical decision-making.
  • Includes autonomy, non-maleficence, beneficence, and justice.
  • Drawbacks: These approaches are not always helpful in specific situations.

Principle: Autonomy

  • Individuals have the right to make their own autonomous choices.
  • Informed consent requires competence, disclosure of information, and recommendations.

Principle: Nonmaleficence

  • Avoiding harm to others.
  • Not subjecting patients to unnecessary risks.

Principle: Beneficence

  • Doing good to others.
  • Taking action to help others, rescue those in trouble, etc.

Principle: Justice

  • Treating people fairly.

Moral Standing

  • Addressing the question of who moral norms apply to.
  • Identifying factors that determine a person (with a moral standing), humans including fetuses, adults, infants.

Defining Death

  • Importance of defining death (complete loss of moral standing).
  • Understanding different viewpoints and the concept of a person's moral standing.
  • Defining death through the views of death: somatic, whole-brain, and higher-brain.

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Description

Explore the essential components of the Biotechnology Regulations course, including topics like bioethics, quality systems, and safety regulations. This course, led by Dr. Rashid Abu-Ghazalah, will emphasize practical applications through assignments, a project, and exams. Engage in respectful discussions while enhancing your understanding of regulations in the biotech field.

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