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140410P - ETHICAL REVIEW IN MEDICAL RESEARCH: CASE STUDIES

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Presentation at the Ethics Workshop held at Jizan University on April 10, 2014 by Professor Omar Hasan Kasule Sr. MB ChB (MUK), MPH (Harvard), DrPH (Harvard)


CASE STUDIES 1 (what type of form do you use? /what type of review?)

STUDY #1
Our objective is to compare the efficacy of adding repetitive sequential doses of xx versus placebo to yy in the management of acute cough in children. We hypothesize that the addition of xx to yy in the management of acute asthma is superior to the addition of placebo.

STUDY #2
The objective of the study is to study the learning methods of nursing students using a standard questionnaire. The students will be advised that the survey is voluntary and that the results of the survey will be used to improve teaching methods in the future. 

STUDY#3
Multicentre Epidemiological study to identify the types of gene mutations observed in lung cancer and relate them to their degree of histological differentiation anatomical site, age, and gender. Data will be from medical records.


STUDY #4:
The purpose of the study is to demonstrate the feasibility of pacing as a therapy to prevent future MI. This is a multi-center, prospective, randomized, controlled study.

STUDY #5:
The aim of the study is to discuss the impacts of combining the 2 techniques in thyroid surgery. The study will be based on review of records.

STUDY #6
Objectives (a) Measuring serum xxx level in type 2 diabetic patients with or without other risk factor e.g., hypertension, hyperlipidemia and central obesity (b) To explore if there is a relation between the serum xxx level with blood cholesterol level.

STUDY #7
The hypothesis is that iron supplementation has positive impact on patients with chronic respiratory failure. The objective was to investigate the role of administration of Iron supplementation on respiratory function.


CASE STUDIES 2: Adequacy of the informed consent (several slides)

STUDY #8
You are being asked to voluntarily participate in this research study. The purpose of the study is to understand the relationship of xxx levels in different cancer patients and at different stages. You are eligible to participate because you fulfill the criteria to be included in this study.  We expect at least 200 subjects will participate in the study for an approximate period of 6 months.

If you agree to participate, your participation will involve obtaining a blood sample that may produce minimal discomfort.  It should take no more than ten minutes. A part of the tissue sample sent to the laboratory for diagnosis will be used for research. Your name will not appear, and no identifying information is being collected as part of this study.

Any questions you have will be answered.  You may leave the study at any time before completing it.  Whether you complete the study or not will not affect your health care.  There are no known risks from your participation.  No direct benefit from your participation is expected.  The information may help provide a biochemical for different types of cancers at different stages. There is no cost to you except for your time.  You will not be paid for participation in this study. Only the study team will have access to the information that you provide, which will remain anonymous.  Data from all respondents will be summarized in reports.

You can obtain further information from the principal investigator, Dr.xxxx at phone xxx.  If you have questions concerning your rights as a research subject, you may call the KFMC Institutional Review Board office at xxxx.

Completing this study indicates your voluntary agreement to participate.  By participating in the study, you are giving permission for the investigator to use your information for research purposes.

STUDY #9 (several slides)

Why Is This Study Being Done?

You are being asked to participate in a research study that will try to learn if     
Iron supplementation lung function.

How Many People Will Take Part in This Study?

10 patients

What is involved in the Study?
    
You will be "randomized" into one of the study groups below.  Randomization means that you are put into a group by chance.  A computer program will place you in one of the groups.  Neither you nor your doctor can choose the group you will be in.  You will have an equal chance of being placed in any of the 2 groups. About one spoonsful of blood will be taken from your vein for analysis. You will be asked to breath into a machine to assess your lung function

Study location:                   

All study procedures will be done at the General Hospital

What is expected of me during the Study?

You will be expected to (a) take the medication regularly (b) keep a diary about your health and activities (c) visit the clinic for lung function tests

How Long Will I Be in This Study?

            6 months

Can I Stop Being in This Study?

You can decide to stop at any time.  Taking part is purely voluntary.

What are the Benefits of This Study?
:
There will be no direct benefit to you from taking part in this study.  Study results may be useful to the  patients in the future.

What are the Risks of This Study?

There can be some minor discomfort from having blood drawn, and there is a chance you might get a bruise where the needle was stuck.  Very rarely, an infection may occur.


What if I am Injured Because I Took Part in This Study?

If you are injured as a result of being in this study, treatment will be provided by the hospital at no cost to you.

What are the Costs of This Study?

There are no costs to you if you take part in this study.

What are the Alternatives?

The alternative is to not take part in this study.  Your care will not be affected if you do or do not take part.

Will I Be Paid for Taking Part in This Study?

You are a volunteer and will not be paid anything

Will My Information Be Kept Private?

Your personal information will be kept private.  It will be given out only if required by law.  Your personal information will not be used in any reports.

What are My Rights if I Take Part in This Study?

Taking part in this study is your choice.  You may choose to take part or not to take part.  If you decide to take part in the study, you can quit at any time.  There will be no penalty to you for your decision.  Your medical care will not change.

Who Do I Call if I Have Questions or Problems?

If you have questions about the study, you can call PI at xxxx.  If you have any questions about “rights of human subjects,” you may call the Chairman of the IRB at (     ).  If you have an emergency, call  (     ).

Subject consent:
The research and procedures have been explained to me.  I have been allowed to ask any questions I have at this time.  I can ask any additional questions I may think of later.  I may quit being in the study at any time without affecting my health care.

I will receive a signed copy of this consent form.


Subject Signature
Date:   /       /                                         
Time (AM    PM    )