ResearchZachary M. Schrag, 11/30/2010Belmont's Ethical Malpractice(Research) Permanent link“The language of the biomedical model lends itself to ethical malpractice." With these words, Albert Reiss condemned the 1978 Belmont Report. The report, he complained in a 1979 essay, reduced "people" to "subjects" and required procedures – such as risk-benefit analysis – that were inapplicable to research that did not resemble medical experiments.Reiss was not a random critic. Rather, he was a prominent sociologist who himself had participated in the 1976 conference at Belmont House that would give the report its name, and who had been hired as a consultant by the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, the report's creator. But throughout the discussions that led to the report, the members of that commission ignored objections put forth by Reiss and other social scientists. The result was a report that is a notable achievement in the exploration of the ethical challenges raised by medical research, but which serves as a poor guide to research in the social sciences and humanities.There is nothing grossly wrong with the Belmont Report's "basic ethical principles": respect for persons, beneficence, and justice. But, as bioethicist Albert Jonsen – one of the authors of the report – told me in a 2007 interview in San Francisco those terms are "fairly vapid . . . [They] hardly rise above common sense notions." Rather, the problem lies in the meatier "Applications" section, which demands informed consent, an assessment of risk and benefits, and fair outcomes in the selection of research subjects. Drawn from the traditions of medical research, these terms are often inappropriate or simply inapplicable to much research in other areas. Yet the Belmont Report does not explicitly limit the application of those terms to medical and psychological experimentation.The reasons for this mismatch lies in the history of the National Commission, which I discuss in my book, Ethical Imperialism: Institutional Review Boards and the Social Sciences, 1965-2009. Congress established the commission with eleven members, five of them researchers. Of these five, three were physicians, two were psychologists, but none were scholars in the social sciences and humanities. As a result, the commissioners did not themselves explore the ethics of those fields, and they were slow to heed the advice of their own expert consultants who challenged the concepts that would eventually appear as the Belmont applications.In his report to the commission, Reiss warned that many of the assumptions of the "bio-medical model" did not apply to sociological work. For one thing, that model assumed that investigators were in full control, something much truer in a medical clinic than in a telephone survey, where the subject could always hang up. Second, it assumed that the investigator began with a fixed list of procedures, hardly the case in much of social science. Third, it assumed that all harms were to be minimized, not the case in "muckraking sociology or social criticism."Another consultant, law professor Charles Fried, insisted at the Belmont conference that "freedom of inquiry" should be a “very important, basic underlying principle” in any report. Other social scientists, not employed by the commission, offered their own warnings. For example, sociologist Carl Klockars described the writing of one of his books and noted, "I am not aware of any . . . weighing of risks and benefits ever occurring."The commissioners and their staff ignored such arguments throughout their monthly meetings in 1976 and 1977, while the Belmont Report was being drafted. Only in 1978, in the last months of the commission’s four-year existence, did they voice their own doubts about the universal applicability of their work. At the February 1978 meeting, Jonsen commented on a near-final draft: "There is nothing in here that tells us why we are about to make a great big step which we have made from the beginning. Namely, why ought the thing that we are calling research be subject to what we call review?"At the next month’s meeting, Chairman Kenneth Ryan, a physician, noted that the commission's September 1977 report on research involving children had been "worked out – largely in a biomedical model, if you will, biomedical and behavioral model," and now federal officials were unsure if it was supposed to apply to education research. Robert Cooke, another physician, confessed his own uncertainty: "I think that some things are applicable, and I suspect some are not." In the April meeting, Ryan lamented that "The Commission, over its long time, has not really had an opportunity to spend adequate time, on the social science research problem."Donald Seldin, the third physician-commissioner, argued at the March meeting that the Belmont Report should be a "document which deals with handling specific human beings from a medical point of view." He was supported at the same meeting by staffer Stephen Toulmin, who argued that "the basic idea that we are concerned with [is] the protection of individual research subjects, who, after all, are the people who are exposed to the experimentation," and by staffer Bradford Gray, who warned against forcing sociologists to "respect" noxious groups like the Ku Klux Klan. But by the time these debates took place – in the spring of 1978 – the commission was closing up shop, its staff departing. No one had the time or energy to rewrite the report.The result was a report that is maddeningly imprecise in its intended scope. True, the report offers a definition of research: "an activity designed to test an [sic] hypothesis, permit conclusions to be drawn, and thereby to develop or contribute to generalizable knowledge (expressed, for example, in theories, principles, and statements of relationships)." But that definition appears in a section devoted to allowing physicians to offer innovative therapies without running into regulatory requirements. It does not distinguish scholarly research from journalism (as Gray repeatedly begged the commission to do). Nor does it distinguish behavioral science from social experimentation; a hastily drafted footnote to the report concedes that the commissioners were stumped by that one.Indeed, the definition of research in the Belmont Report does not even match the definition in the commission's report on institutional review boards, which does not mention the testing of hypotheses. This latter version became the definition used by today's regulations.In the absence of an adequate definition, one must find the true meaning of the Belmont Report in the medical language it uses. It mentions Nazi biomedical experiments, "medical or behavioral practice," the Hippocratic Oath, childhood diseases, poor ward patients, the Tuskegee syphilis study, the withdrawal of health services, "populations dependent on public health care," and vaccination as areas of concern. It cites work in medical research ethics: a statement by Claude Bernard, the Nuremberg Code of 1947, and the Helsinki Declaration of 1964. It also cites the ethical code of the American Psychological Association. By contrast, the report makes no mention of the research or ethical standards of fields outside of the therapeutic areas of medicine and psychology, or any examples of ethical missteps in social science.In a 2007 interview with me in his Georgetown University office, Tom Beauchamp, a commission staffer and one of the key authors of the Belmont Report, conceded that the commission had failed to explore the ethics of research outside of medicine and psychology. "You cannot do good work in [professional ethics] unless you have a pretty good understanding of the area that you're concerned with,” he said. “For example, if you're into the ethics of genetics, if you don't understand genetics, you can't do it. And so on. Did we do that [good work] on the commission when it came to the social sciences? Absolutely not."Albert Jonsen concurred, telling me in San Francisco, "We really should have made much clearer distinctions between the various activities called research." He explained that "the principles of the medical model are beneficence – be of benefit and do no harm. I simply don't think that that applies to either the intent or the function of most people doing research."It is not surprising that the National Commission paid so little attention to such fields as sociology, anthropology, linguistics, political science, history, and journalism. Aside from a few brief remarks, Congress had not taken testimony about or expressed interest in these disciplines, nor had it required the commission to investigate them. It is surprising, and disheartening, that the commission did not acknowledge its lack of expertise in the problems of social science research and decline to make recommendations not grounded in careful investigation. Sound ethical advice requires some humility.Zachary M. Schrag is an associate professor in the Department of History and Art History at George Mason University and author of Ethical Imperialism: Institutional Review Boards and the Social Sciences, 1965-2009.http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=4999&blogid=140Because sharing is caring.
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"There has been much discussion at TreeHugger about the danger of Electromagnetic Fields (EMF) generated by cellphones, routers, power lines and microwave ovens. Some people think it is a serious issue; WIFI is banned at Lakehead University, and in Scandinavia there are cellphone-free beaches for people with electro-hypersensitivity. Clarins even makes a spray to protect your skin from it. Other people feel that it is not a problem.Treehugger Labs wanted to determine this once and for all, and has spent the past year studying the issue. We wanted to pick a life form that would not move around a lot so that we could ensure that there were no other factors, and we are, of course, against animal testing, so we chose trees as our subject. We searched for trees that grew near power lines to see what the effect of the EMF was on the form of the tree.We were surprised to find that maple trees growing up under power lines were profoundly influenced by the lines. They tended to develop a bifurcated "Y" formation as the limbs seemed to grow away from the lines themselves. We call this effect "electrobonsai" because it looks like it might have been shaped by humans.tree3.jpgIn tree after tree, we saw the electrobonsai effect. The limbs clearly are trying to move away from the power lines. They appear healthy and have been around for a long time, but definitely try to keep a safe distance away from the EMF.treebig2.jpgThe wires are rated at 22 KV, 60 Cycle. Most of the city was rewired from 4Kv over the last few years so it appears that there is no relationship between the voltage and the electrobonsai effect.treecontrol.jpgAs you can see from our control group, normal maple trees do not take the bifurcated Y shape but branch randomly.The team concluded that there is no question, tree limbs are distorted by the power lines, and the only thing that could be emanating from the lines is the EMF. Sometimes we have seen that where they could not grow away from the lines, limbs are sheared off as if by a chainsaw, and then exude a brown protective coating to seal the wound. Who knew that plants could develop such sophisticated mechanisms for dealing with EMF.Judging from the average distance of limbs from power lines,(2.4 metres or 8 feet) we have concluded that it is probably prudent to keep transformers, routers, cell phones and hair dryers eight feet from your head at all times."by Lloyd Alterhttp://www.treehugger.com/files/2007/04/new_study_prove.phpOne of the many tangilble things you can measure concerning EMF.Source: http://www.treehugger.com/files/2007/04/new_study_prove.phpAnd remember you too can measure EMF by tuning a portable transister radio to AM 530 to pick up on EMF. Or better yet start doing some study of this on the internet. Don't forget to learn about electrosensitivty.
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Posted by Jay Sinn on November 30, 2010 at 12:28pm
"Posted by LBAShareThe Alaska Supreme Court (Court) upheld the decision of the Alaska Workers’ Compensation Board (Board) awarding an AT&T equipment installer 100% disability as a result of his workplace electromagnetic field exposure to radiofrequency (RF) radiation at levels slightly above the FCC RF limit. The award was based on the psychological and cognitive effects of RF radiation and over-exposure. This decision is significant because the FCC RF limit is designed to keep people from being heated and ignores evidence of other adverse biological effects at much lower levels.The RF radiation exposure level in question was well below the FCC’s recognized level of “thermal” harm. The FCC contends that there are no scientifically established harmful health effects below the thermal threshold. The Board decision agrees with the medical experts who found adverse health effects from this RF radiation exposure which occurred above the FCC safety limit but below the thermal threshold. This decision could have a very significant financial impact on the wireless industry going forward.The Alaska Supreme Court found that:Because substantial evidence supports the board’s findings and because the board’s procedural decisions did not deprive AT&T of due process, we affirm the superior court’s judgment that affirmed the board’s ruling.This precedent-setting case opens the door for any wireless industry or maintenance worker who has been exposed to antenna arrays on the job site that have not been shut off to file disability claims should they suffer similar cognitive and neurological symptoms. US wireless service providers are not required to document compliance with FCC RF safety limits by on-site radiation measurements. Millions of workers occupy worksites on a daily basis where operating antenna arrays are camouflaged and where no workplace RF safety program is carried out.BACKGROUNDAT&T worker John Orchitt suffered a slightly elevated RF exposure while installing new computer equipment at a job site where he believed that the amplifier had been turned off before he and his co-worker entered the job site. When the co-worker’s safety meter registered its highest level of RF exposure the two workers realized that there was a problem. They discovered that the engineer who had provided the specifications for their job had misidentified which amplifier needed to be turned off. Orchitt was exposed to a six gigahertz signal operating at approximately 90 watts.Immediately after the accident, Orchitt experienced headaches and eye pain. Later he reported complaints of “mental slowing.” His neurologist ordered an MRI examination which showed “tiny areas of hypersensitivity in the frontal lobes.” The neurologist referred Orchitt to Dr. Marvin Ziskin, professor of radiology and medical physics at Temple University. Dr. Ziskin is also a member of the IEEE”S International Committee on Electromagnetic Safety (ICES). Using information that Orchitt provided, Dr. Ziskin concluded that Orchitt had been overexposed to RF radiation.Orchitt sought treatment at the Brain Injury Association of Alaska. His care provider there issued an opinion stating that he was suffering from a cognitive disorder due to his RF radiation exposure. She provided him with ongoing rehabilitation therapy to address his continuing complaints of mental slowing and mood changes. She also referred him to Dr. Daniel Amen, psychiatrist, who performed a SPECT scan with measures blood flow in the brain to identify functional changes. Dr. Amen concluded that Orchitt had some decreased brain activity as well as depression, and given the history, attributed these neurological impairments to Orchitt’s RF radiation exposure.Numerous subsequent examinations were carried out by the panel of doctors retained by AT&T and also by independent experts retained by the Board, including computer modeling of Orchitt’s RF exposure by Dr. Arthur Guy, professor emeritus of electrical engineering at the University of Washington. Guy has done extensive work in the area of the biological effects of RF radiation. Guy’s comprehensive calculations of the “worst case scenario” produced an exposure that was approximately 9.5% over the FCC’s exposure limits, but “not enough to cause biological effects.”At the conclusion of the hearing process the Board’s decision and order found that Orchitt had been exposed to excessive amounts of RF radiation. The Board decided that Orchitt’s mental deficits and depression were the result of the overexposure. He was awarded temporary total disability and medical benefits.AT&T appealed to the superior court which affirmed the Board’s decision, finding that the decision was supported by substantial evidence and that AT&T’s due process rights had not been violated.AT&T appealed the superior court’s decision to the Alaska Supreme Court. Along with arguing that it was not accorded its due process, AT&T argued that none of the experts upon which the Board relied had sufficient expertise in RF radiation exposure to be able to connect Orchitt’s overexposure to RF radiation.The Alaska Supreme Court decision cites previous case law and states: The board has the sole power to determine witness credibility and assign weight to medical testimony. When medical experts disagree about the cause of an employee’s injury, we have held that as a general rule “it is undeniably the province of the Board and not this court to decide who to believe and who to distrust.’The Court concluded that: The board did not abuse its discretion in its procedural rulings; it therefore did not deny AT&T due process. Because substantial evidence exists in the record to support the board’s findings, we AFFIRM the superior court judgment that affirmed the board’s rulings.*Source: EMR Policy Institute press release (August 20, 2007)NOTE: The EMR Policy Institute has been and advocate for recognition of non-thermal effects of RF radiation, effects not generally accepted by regulatory agencies or “mainstream” RF safety scientists and engineers. This article is provided for information, and does not necessarily reflect the views of the LBA Group companies. "http://rfblog.lbagroup.com/alaska-supreme-court-upholds-award-for-rf-radiation-injury-below-thermal-exposure-level/If you could establish that EMF causes harm IE radiation sickness in the long term, anyone who would contribute to your EMF, RF exposure could be held to at least account for this. This could include people directly involved with say ...faulty wiring.
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"Building wiring can be, and often is, responsible for high electromagnetic fields (EMFs) in the home, school and workplace. High levels of EMFs can aggravate, or even cause, a number of chronic health problems.""llnesses such as cancer and depression, are associated with living in electromagnetic fields above 0.2 microtesla (magnetic field) and ME has also been linked with high electric fields (measured in volts per metre)."http://www.powerwatch.org.uk/elf/wiring.aspThe Russians call this "microwave sickness". The faulty wiring part, I think, is crossing the hot wire with a neutral. This can induce many of the health problems many TIs experience. This could be a large part of the "crazy making" part of the program. What it really is is an induced electromagnetic sensitivty.The way to test for heavy elctromagnetic fields is to use a transistor radio set at AM 530 with the volume set high, this will give you an audio representation of the potential EMF found in your living space.
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