Exam 1 - Research and Ethics Flashcards

1
Q

Basic research

A

Systematic study that aims to expand knowledge of a subject or phenomenon WITHOUT specific applications in mind (how, what why)

Ex. Biology, physiology, biochemistry, genetics

(Uses the basic topics [because those are classes we already took^^] for research)

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1
Q

Biomedical research

A

Research in biological and medical sciences to understand and improve the health of patients

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2
Q

Applied research

A

Systematic study to gain knowledge or understanding necessary to determine the means by which a recognized and specific need may be met (find solutions to problems; develop new med)

Ex. Pharmacology, medicinal chemistry

(Applying pharmacology and medicinal chem to find new solutions)

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3
Q

Clinical research

A

Involves humans as study subjects; useful for understanding products for prevention, diagnosis, treatment, and cure of diseases in humans

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3
Q

Pharmaceutical practice and policy research (clinical research)

A

Deals with issues related to:
- pharmaceuticals
- pharmacist services
- pharmacy systems

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4
Q

Translational research

A

Transferring knowledge across the research and practice continuum

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5
Q

3 ways translational research is accomplished

A
  • applying discoveries to clinical research
  • adoption of best practices
  • adopt evidence-based patient care practices
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5
Q

What diseases is translational research most essential for

A

Cancer
AIDS

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6
Q

Empiricism

A

Collection of info based on human experience

All aspects of science should be observed and measured to be considered scientific evidence

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7
Q

Objectivity

A

There is no subjectivity or bias in any aspect of research including:
- definition
- measurement
- design
- analysis

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8
Q

Theory

A

Provides an understanding or explanation of a natural phenomenon

Provides the rationale and logic for research questions and hypotheses

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9
Q

Ethics

A

Provides the moral societal standards for responsible research conduct, being:
- respect
- fairness
- wellbeing of research participants

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9
Q

Who governs ethics of research conduct

A

Institutional Review Board (IRB)

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10
Q

Steps in research/scientific inquiry

A

Research question & hypothesis
Research plan
Data collection & analysis
Research report

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11
Q

Evidence based medicine

A

Integration of best research evidence w/ clinical expertise & patient values (translate scientific evidence to pt care)

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12
Q

2 types of research plans

A

Experimental: RCTs

Observational: cohort or cross-sectional studies (weaker due to bias)

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13
Q

Phase I clinical trials

A

Testing drug in a small group of humans w/ intent of establishing the initial toxicity profile of the substance

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13
Q

Pre-clinical studies (drug development)

A

Drug candidates are tested in animal models of the disease for pharmacologic effects and toxicity

Promising candidates are selected for clinical testing in humans

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14
Q

Phase II clinical trials

A

Randomized trials involving ~100 participants & short term studies (<1 yr) are designed to provide the preliminary safety and efficacy

15
Q

Phase IV clinical trials

A

AKA post-marketing studies

Used to generate longer-term safety/toxicity data

16
Q

Phase III clinical trials

A

Randomized control trial often involving blinding and placebo

Hundreds of thousands of subjects

Can be long term (over 1 yr)

Safety/efficacy data obtained to see risk/benefit relationship

17
Q

What is the gold standard for conducting clinical research

A

Randomized controlled trials

18
Q

_____ oversees development of new drugs, governed by _____ regulations

19
Q

When a sponsor believes drug development data will sponsor drug approval, it is submitted as a ____ for FDA approval

20
Right to try act
Intended to allow patients to obtain investigational medications outside of clinical trials Makes drugs available to target pt after it has cleared phase I trials
21
Institutional review board (IRB)
Protects rights & welfare of human subjects of research and ensured everything is ethical
21
Numberg code
Participation in clinical research must be voluntary and should never cause deliberate harm
22
Belmont report
States that research w/ human subjects must follow the fundamental ethical principles: - respect for persons - beneficence - justice
22
What are the fundamental ethical principles
Respect for persons Beneficence Justice
23
Respect for persons
Individuals must be treated as autonomous agents *informed consent*
23
Beneficence
Secures the wellbeing of human subjects by maximizing possible benefits & minimizing possible harms
24
Components of a research report (IMRaD)
Introduction Methods Results Discussion
24
Justice
Sense of fairness in distributing the burdens & benefits of research
25
Necessary factors for an IRB to approve a protocol
Risk to subjects are minimized Risk to subjects are reasonable in terms of benefit Selection of subjects is equitable Informed consent obtained & appropriately documented Monitoring data collected to ensure safety of subjects Protect privacy of subjects and confidentiality of data
26
Case control
Compare people w/ and without disease to find common exposures
27
Cohort
A population group unified by a specific common characteristic
28
PICO
Framework to develop a good clinical research question
29
What does PICO stand for
Population Intervention Comparator Outcome
30
EBM components
Asking appropriate/answerable question Finding evidence Appraising evidence (validity & applicability) Applying evidence to practice (Ask, find, appraise, apply)
30
Membership of IRBs
- 5 members - at least 1 scientist & 1 non-scientist - 1 member who is NOT affiliated w/ institution - must be diverse - pharmacist for biomedical research
31
Internal validity
Findings are correct
32
Eternal validity
Findings are applicable/generalizable to population
33
3 types of IRB review
Full review Exemption Expedited
34
Expedited review by chair or designee
Minimal risk protocols that do not meet one of the exemptions
35
Exemption
Surveys/interviews Use of existing data Specimens without identifier
36
Full review by whole board
All protocols involving greater than minimal risk