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Looking for Trouble

December 20, 2016
Advances in genomics have led to calls for developing population-based preventive genomic sequencing (PGS) programs with the goal of identifying genetic health risks in adults without known risk factors. One critical issue for minimizing the harms and maximizing the benefits of PGS is determining the kind and degree of control...

The Translational Potential of Research on the Ethical, Legal, and Social Implications of Genomics

December 20, 2016
Federally funded research on the ethical, legal, and social implications (ELSI) of genomics includes a programmatic charge to consider policy-relevant questions and to communicate findings in venues that help inform the policy-making process. In addressing this goal, investigators must consider the range of policies that are relevant to human genetics;...

Challenges for Implementing a PTSD Preventive Genomic Sequencing Program in the U.S. Military

December 20, 2016
There is growing interest in using the quickly developing field of genomics to contribute to military readiness and effectiveness. Specifically, influential military advisory panels have recommended that the U.S. military apply genomics to help treat, prevent, or minimize the risk for post-traumatic stress disorder (PTSD) among service members. This article...

Response to Open Peer Commentaries On

December 20, 2016

Integrating Genomics Into Clinical Oncology

December 20, 2016
INTRODUCTION: The use of molecular tools to individualize health care, predict appropriate therapies, and prevent adverse health outcomes has gained significant traction in the field of oncology under the banner of “personalized medicine” (PM). Enthusiasm for PM in oncology has been fueled by success stories of targeted treatments for a...

Genomic Research With the Newly Dead

December 20, 2016
Recent advances in next generation sequencing along with high hopes for genomic medicine have inspired interest in genomic research with the newly dead. However, applicable law does not adequately determine ethical or policy responses to such research. In this paper we propose that such research stands at a crossroads between...

Gatekeepers or Intermediaries? The Role of Clinicians in Commercial Genomic Testing

December 20, 2016
BACKGROUND: Many commentators on “direct-to-consumer” genetic risk information have raised concerns that giving results to individuals with insufficient knowledge and training in genomics may harm consumers, the health care system, and society. In response, several commercial laboratories offering genomic risk profiling have shifted to more traditional “direct-to-provider” (DTP) marketing strategies,...

Big Data, Open Science and the Brain

December 20, 2016
The BRAIN Initiative aims to break new ground in the scale and speed of data collection in neuroscience, requiring tools to handle data in the magnitude of yottabytes (10(24)). The scale, investment and organization of it are being compared to the Human Genome Project (HGP), which has exemplified “big science”...

Guidelines for Return of Research Results From Pediatric Genomic Studies

December 20, 2016
PURPOSE: Approaches to return individual results to participants in genomic research variably focus on actionability, duty to share, or participants’ preferences. Our group at Boston Children’s Hospital has prioritized participants’ preferences by implementing the Gene Partnership, a genomic research repository, based on the “Informed Cohort” model that offers return of...

TMI!

December 20, 2016
The advent and expansion of electronic medical record systems and open-access databases are creating a “data tsunami.” As this wave descends, we must anticipate and address several ethical and social risks: threats to patient privacy, threats to the reputations of various social groups, and threats to public trust in biomedical...