https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(10)60672-1.pdf

What are the consequences of deployment to Iraq and Afghanistan on the mental health of the UK armed forces? A cohort study

The health of UK military personnel who deployed to the 2003 Iraq war : a cohort study. Commentary

1 Consent: Nuremburg, Helsinki and beyond 2 Information and communication: the drift from agency 3 Informing and communicating: back to agency 4 How to rethink informed consent 5 Informational privacy and data protection 6 Genetic information and genetic exceptionalism 7 Trust, accountability and transparency Some conclusions and proposals

/pdf/rethinking-informed-consent-in-bioethics-4zlw5t7xj3.pdf

Rethinking Informed Consent in Bioethics

https://www.kcl.ac.uk/kcmhr/publications/assetfiles/iraqafghan/Hotopf2006-thehealthofUKmilitarypersonnel.pdf

The health of UK military personnel who deployed to the 2003 Iraq war: a cohort study

BackgroundThere is considerable interest in understanding further the factors that increase the risk of post-traumatic stress disorder (PTSD) for military personnel. This study aimed to investigate the relative contribution of demographic variables; childhood adversity; the nature of exposure to traumatic events during deployment; appraisal of these experiences; and home-coming experiences in relation to the prevalence of PTSD ‘caseness’ as measured by a score of ⩾50 on the PTSD Checklist (PCL) in UK Armed Forces personnel who have been deployed in Iraq since 2003.MethodData were drawn from the first stage of a retrospective cohort study comparing UK military personnel who were deployed to the 2003 Iraq War with personnel serving in the UK Armed Forces on 31 March 2003 but who were not deployed to the initial phase of war fighting. Participants were randomly selected and invited to participate. The response rate was 61%. We have limited these analyses to 4762 regular service individuals who responded to the survey and who have been deployed in Iraq since 2003.ResultsPost-traumatic stress symptoms were associated with lower rank, being unmarried, having low educational attainment and a history of childhood adversity. Exposure to potentially traumatizing events, in particular being deployed to a ‘forward’ area in close contact with the enemy, was associated with post-traumatic stress symptoms. Appraisals of the experience as involving threat to one's own life and a perception that work in theatre was above an individual's trade and experience were strongly associated with post-traumatic stress symptoms. Low morale and poor social support within the unit and non-receipt of a home-coming brief (psycho-education) were associated with greater risk of post-traumatic stress symptoms.ConclusionsPersonal appraisal of threat to life during the trauma emerged as the most important predictor of post-traumatic stress symptoms. These results also raise the possibility that there are important modifiable occupational factors such as unit morale, leadership, preparing combatants for their role in theatre which may influence an individual's risk of post-traumatic stress symptoms. Therefore interventions focused on systematic preparation of personnel for the extreme stress of combat may help to lessen the psychological impact of deployment.

/pdf/risk-factors-for-post-traumatic-stress-disorder-among-uk-4n8xk8pad9.pdf

Risk factors for post-traumatic stress disorder among UK Armed Forces personnel.

Overly strict interpretation of the law is hampering epidemiological research. Here, one research team shows why regulators and organisations holding data should adjust their approach

/pdf/consent-confidentiality-and-the-data-protection-act-512or33fpj.pdf

Consent, confidentiality, and the Data Protection Act

Digital surveillance has played a key role in containing the COVID-19 outbreak in China, Singapore, Israel, and South Korea. Google and Apple recently announced the intention to build interfaces to allow Bluetooth contact tracking using Android and iPhone devices. In this article, we look at the compatibility of the proposed Apple/Google Bluetooth exposure notification system with Western privacy and data protection regimes and principles, including the General Data Protection Regulation (GDPR). Somewhat counter-intuitively, the GDPR's expansive scope is not a hindrance, but rather an advantage in conditions of uncertainty such as a pandemic. Its principle-based approach offers a functional blueprint for system design that is compatible with fundamental rights. By contrast, narrower, sector-specific rules such as the US Health Insurance Portability and Accountability Act (HIPAA), and even the new California Consumer Privacy Act (CCPA), leave gaps that may prove difficult to bridge in the middle of an emergency.

/pdf/covid-19-contact-tracing-apps-a-stress-test-for-privacy-the-15sv97lrqa.pdf

COVID-19 Contact Tracing Apps: A Stress Test for Privacy, the GDPR and Data Protection Regimes

Beyond Bristol And Alder Hey: The Future Regulation Of Human Tissue

Introduction 1. Informed consent in medical research - a procedure stretched beyond breaking point? 2. Beyond consent: the trust-based obligations of physicians to patients in clinical research 3. Consent and private liability in clinical research 4. The decision to refuse consent to participation in a clinical trial: does a double standard exist? 5. Beyond a rebarbative commitment to consent 6. The normative status of the requirement to gain an informed consent in clinical trials: comprehension, obligations and empirical evidence 7. Is there an obligation to participate in medical research? 8. Consent with older people: research as a virtuous relationship 9. Towards supported decision-making in biomedical research with cognitively vulnerable adults 10. Is consent sufficient? - a case study of qualitative research with men with intellectual disabilities 11. Consent to genetic testing: a family affair? 12. Cultural authority of informed consent: indigenous participation in biobanking and salmon genomics focus groups Conclusion

The Limits of Consent: A Socio-ethical Approach to Human Subject Research in Medicine

http://ethikkommission.meduniwien.ac.at/fileadmin/ethik/media/dokumente/publikationen/6-Visear_recommendations.pdf

Kathleen Liddell

Papers

Consent, confidentiality, and the Data Protection Act

COVID-19 Contact Tracing Apps: A Stress Test for Privacy, the GDPR and Data Protection Regimes

Beyond Bristol And Alder Hey: The Future Regulation Of Human Tissue

The Limits of Consent: A Socio-ethical Approach to Human Subject Research in Medicine

The European Clinical Trials Directive revisited: the VISEAR recommendations.