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Discuss what potential health ethical issues relate to a research topic that you would like to investigate. What are the ethical issues, and how would you approach them? What are your plans for taking formal research ethics training?

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A research topic that I would like to investigate more is why inflammation that is caused due to HIV has an impact on a person developing heart disease. People who are HIV positive are 2-3 times as likely to develop heart disease than a person who is HIV negative. Researchers at first thought that that was a side effect of the anti-retroviral therapies (ART) that are given to HIV patients, but soon found out that the ART therapy continuously actually decreases the risk of a cardiovascular event. Inflammation is caused from HIV due to the increased stimulation of the immune system and this occurs whether the virus is controlled or uncontrolled.

Some ethical issues that arise with Heart Disease and HIV is the standard of care, informed consent across different cultures and languages, privacy and confidentiality, stigma and discrimination, ethical review mechanisms, and protection of vulnerable groups. All of these are extremely important in any research study, but especially when working with HIV patients. I would approach these by explaining the standard of care and letting the patients know that we are not going to do anything that would be detrimental to their health, and if they feel uneasy or unsure that they are more than welcome to ask any questions they feel as being necessary at any point in time. Informed consent across cultures and languages is important in case someone does not understand a document due to the literature not being in their first language. Privacy and confidentiality and sigma and discrimination, I feel like go hand in hand. Do you work and keep your mouth closed about private matters that are going on in people’s lives that happen at work in the research field? Those who work in the medical field know how tight HIPPA is and how a lot of places do not play when it comes to HIPPA violations.

I honestly had no plans of formal ethics research training because my goal has never quite been to go into a research-based field. Though, I do not think it would be a bad idea to increase my knowledge and be able to help with research if it was needed.

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