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神经科学领域不道德的人类研究:历史回顾。

Unethical human research in the field of neuroscience: a historical review.

机构信息

King Abdulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, P.O. Box: 12723, Jeddah, 21483, Saudi Arabia.

King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.

出版信息

Neurol Sci. 2018 May;39(5):829-834. doi: 10.1007/s10072-018-3245-1. Epub 2018 Feb 19.

Abstract

Understanding the historical foundations of ethics in human research are key to illuminating future human research and clinical trials. This paper gives an overview of the most remarkable unethical human research and how past misconducts helped develop ethical guidelines on human experimentation such as The Nuremberg Code 1947 following WWII. Unethical research in the field of neuroscience also proved to be incredibly distressing. Participants were often left with life-long cognitive disabilities. This emphasizes the importance of implicating strict rules and ethical guidelines in neuroscience research that protect participants and respects their dignity. The experiments conducted by German Nazi in the concentration camps during WWII are probably the most inhumane and brutal ever conducted. The Nuremberg Code of 1947, one of the few positive outcomes of the Nazi experiments, is often considered the first document to set out ethical regulations of human research. It consists of numerous necessary criteria, to highlight a few, the subject must give informed consent, there must be a concrete scientific basis for the experiment, and the experiment should yield positive results that cannot be obtained in any other way. In the end, we must remember, the interest of the patient must always prevail over the interest of science or society.

摘要

了解人类研究中伦理学的历史基础对于阐明未来的人类研究和临床试验至关重要。本文概述了最显著的不道德人类研究,以及过去的不当行为如何帮助制定了人类实验的伦理准则,例如二战后 1947 年的《纽伦堡法典》。神经科学领域的不道德研究也被证明是令人难以置信的痛苦。参与者经常留下终身认知障碍。这强调了在神经科学研究中纳入严格的规则和伦理准则的重要性,这些准则保护参与者并尊重他们的尊严。二战期间德国纳粹在集中营进行的实验可能是有史以来最不人道和最残酷的实验。1947 年的《纽伦堡法典》是纳粹实验为数不多的积极成果之一,通常被认为是第一个制定人类研究伦理规范的文件。它包含许多必要的标准,仅举几例,受试者必须给予知情同意,实验必须有具体的科学依据,并且实验应该产生无法以其他方式获得的积极结果。最后,我们必须记住,患者的利益必须始终优先于科学或社会的利益。

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