Law & Ethics Chap 11

genetics

the science that accounts for natural differences and resemblances among organisms related by descent

heredity

the process by which organisms pass genetic traits on to their offspring

DNA

the combination of proteins, called nucleotides, that is arranged to make up an organism's chromosomes

chromosome

a microscopic structure found within the nucleus of all living cells that carries genes responsible for the organism's characteristics

gene

a tiny segment of DNA found on a chromosome within a cell's nucleus. Each gene holds the formula for making a specific enzyme or protein

genome

all the DNA in an organism, including its genes

Human Genome Project

A scientific project funded by the US government, begun in 1990 and successfully completed in 2000, for the purpose of mapping all of a human's genes

DNA tests

conducted on samples of solid tissues such as hair roots, skin, or bone, and from body fluids such as blood, semen, or saliva

predictive testing

used to see if genes are present that could lead to hereditary diseases or other harmful genetic conditions

carrier testing

used to determine if individuals carry harmful genes that could be passed on to offspring

prenatal testing

used to see, through a process called amniocentesis, if harmful genes are present in a fetus

amniocentesis

a test whereby the physician withdraws a sample of amniotic fluid from the uterus of a pregnant woman. The fluid is then tested for genetic or other conditions that may lead to abnormal development of the fetus

preimplantation testing

tests for harmful genes in embryos after artificial insemination but before implantation. Usually offered to couples who have a reasonable chance of passing on harmful genes

forensic testing

used in law enforcement to eliminate or designate suspects in a crime, identify homicide victims, or to otherwise analyse
DNA samples for law enforcement purposes

tracing linage

used in determining parentage or other relationships within families

newborn screening tests

usually performed routinely to check for treatable, harmful genetic conditions or diseases, such as PKU

diagnostic testing

if symptoms have appeared, doctors can order tests for patients to confirm or rule out certain genetic diseases

mutation

a permanent change in DNA

genetic counselor

an expert in human genetics who is qualified to counsel individuals who may have inherited genes for certain diseases or conditions

genetic discrimination

differential treatment of individuals based on their actual or presumed genetic differences

Lisa N Geller

of Harvard Medical School, conducted a comprehensive and still often-quoted study of genetic discrimination throughout the 1990s, which found that a number of institutions were reported to have engaged in genetic discrimination

Genetic Information Nondiscrimination Act

prohibits discrimination in health insurance and employment based on genetic information

HIPAA

prevents health insurers from denying coverage based on genetic information, but applies only to individuals moving between group health insurance plans

Americans with Disabilities Act

offers some protection against genetic discrimination in the workplace; protects those who have a genetic condition or disease, or are regarded as having a disability, against discrimination; a person with a disability cannot be denied insurance or be sub

genetic engineering

manipulation of DNA within the cells of plants, animals, and other organisms through synthesis, alteration, or repair to ensure that certain harmful traits will be eliminated in offspring and that desirable traits will appear and be passed on

clone

an organism produced asexually usually from a single cell of the parent

cloning

the process by which organisms are created asexually, usually from a single cell of the parent organism

xenotransplantation

transplanting of animal tissues and organs into humans

blastocysts

early-stage human embryos which consist of about 20 cells and are considered valuable for research because they are composed of stem cells

stem cells

cells that have the potential to become any type of body cell

Dickey Wicker Amendment

prohibits federal funding for "research in which a human embryo or embryos are destroyed, discarded, or knowingly subjected to risk of injury or death greater than that allowed for research on fetuses in utero

multipotent stem cells

stem cells that can become a limited number of types of tissues and cells in the body

pluripotent stem cells

stem cells that can become almost all types of tissues and cells in the body

gene therapy

treating harmful genetic diseases or traits by eliminating or modifying the harmful gene

somatic gene therapy

involves the insertion of normal copies of a gene into the cells of persons with a specific genetic disease

germ line gene therapy

involves the correction of an abnormality in the genes of sperm or egg but is presently considered an inappropriate way to deal with genetic diseases

infertility

the failure to conceive for a period of 12 months or longer due to a deviation from or interruption of the normal structure or function of any reproductive part, organ, or system

in vitro fertilization

in this process, eggs and sperm are brought together outside the body in a test tube or petri dish; when fertilization takes place, the resulting embryo can then be frozen in liquid nitrogen for future use or implanted in the female uterus for pregnancy t

artificial insemination

this process involves the mechanical injection of viable semen into the vagina

homologous artificial insemination

when the husband's sperm cells are used to fertilize the wife's eggs

heterologous artificial insemination

if the husband's sperm cells are not viable, a donor's sperm may be used to fertilize the wife's eggs

surrogate mother

a woman who agrees to carry a child to term for a couple, often for a fee

gestational surrogacy

a type of surrogacy where the surrogate is not genetically related to the embryo

traditional surrogacy

a type of surrogacy where the surrogate contributes eggs to produce the embryo or is related to either husband or wife

Indian Child Welfare Act

this act's provisions outline specific rules and procedures that must be followed if the adoption of a Native American child is to be approved

agency adoptions

adoptions when state-licensed and/or state-regulated public or private adoption agencies place children with adoptive parents; usually place those children who have been orphaned or whose parents have lost or relinquished parental rights through abuse, ab

independent or private adoptions

adoptions arranged without the involvement of adoption agencies; at some point an attorney must be involved to ensure the legality of the adoption

identified adoptions

adoptions in which adopting parents locate a birth mother, or vice versa, and then ask an agency to take over the adoption process; can bypass the long waiting lists that most agencies maintain for adoptions and can perhaps be better assured that the adop

international adoptions

adoptions which occur when couples adopt children who are citizens of foreign countries

relative adoptions

adoptions in which the child is related to the adoptive parent by blood or marriage

clone

comes from the Latin root meaning "to cut from

parens patriae

a legal doctrine that gives the state the authority to act in a child's best interest; means "father of the people

Child Abuse Amendments

federal law, regarding severely disabled newborns, says if the parents agree, physicians may legally withhold treatment, including food and water from infants who are chronically and irreversibly comatose, will most certainly die and for whom treatment is

safe haven laws

state laws that allow mothers to abandon newborns to designated safe facilities without penalty

mature minors

individuals in their mid- to late teens who, for health care purposes, are considered mature enough to comprehend a physician's recommendations and give informed consent; can seek medical treatment without the consent of a parent or guardian in certain cr

emancipated minors

individuals in their mid- to late teens who legally live outside parents' or guardians' control; can be at the request of the parents or a minor child

judicial bypass

when minors do not tell their parents about a pregnancy and either travel out of state or obtain approval from a judge to obtain an abortion

Huntington's disease

disease which is incurable, debilitating, and fatal, affecting the brain and the nervous system; symptoms typically do not develop until individuals reach middle age

Down syndrome

results from the extra copy of chromosome 21

Aarskog syndrome

linked to the X chromosome and found mostly in males, affects height, muscle and skeletal formation, and appearance of the face

Alzheimer's disease

the most frequent cause of dementia in older adults that eventually leads to organ breakdown and death; APOE gene is associated with its development

Duchenne muscular dystrophy

causes rapidly worsening muscle weakness, usually appears before age six

Elliptocytosis

red blood cells are abnormally shaped causing fatigue, shortness of breath, an enlarged spleen in adults, and jaundice in infants

phenylketonuria

a metabolic disorder for which all newborns are tested; it results in mental retardation if left untreated (PKU)

Sickle cell anemia

a malformation of the red blood cells most often diagnosed in African Americans

Tay Sachs disease

a lipid metabolism disorder that affects some people of Jewish descent; children with the disease seldom survive childhood