HESI CYSTIC FIBROSIS CASE STUDY

Debbie is able to say her first and last names, and to state her age while holding up 3 fingers. Mutated CFTR protein results in a buildup of thick, viscous mucus in the lungs, digestive tract, and reproductive system. Discuss the importance of playing games that require Debbie to do physical activity such as running, jumping, or skipping. The final therapeutic patent is exclusively controlled by Vertex with a royalty agreement to CFF , but if the CFTR DNA sequence, method, and mutation patents had been exclusively licensed, developing and using ivacaftor would have been contingent on clearing diagnostic rights, making the situation more complex. It begins with a brief overview of CF and the science exploring the genetic basis of a devastating disease. Gene patents and licensing:

The successful nonexclusive licensing structure developed for the CFTR gene has made CF genetic testing widespread, thus enabling newborn screening to help diagnose CF early in life. Support Center Support Center. Three or four licenses had lapsed because research on gene therapy failed to progress to market. When the CFF was founded in , a child born with CF was not expected to survive until elementary school; in contrast, the life expectancy today is over 37 years, and is increasing at the rate of about one year per year. Which statement indicates a correct understanding of the etiology of CF?

CF is caused by mutations in the cystic fibrosis transmembrane conductance regulator CFTR gene on chromosome 7, which encodes a chloride ion channel. What response reflects that the nurse values the principle of beneficence?

Cystic Fibrosis Case Study by Teresa Vasquez on Prezi

The final therapeutic patent is exclusively controlled by Vertex with a royalty agreement to CFFbut if the CFTR DNA sequence, method, and mutation patents had been exclusively licensed, developing and using ivacaftor would have been contingent on clearing diagnostic rights, making the situation more complex.

Identification of the cystic fibrosis gene: Which nursing diagnosis has the highest priority? It is a simple, painless, reliable test that measures the chloride in sweat.

DiSante recalls that they only had 2—3 days to complete the patent application so that it could be filed before they could publicly confirm that the gene had been identified. The child will be able to remove mucus from the airway by coughing.

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Cystic Fibrosis Patents: A Case Study of Successful Licensing

After ten years of working with the CFTR licensing strategy, Ritchie thinks that there is very little, if anything, that he would change about it, and that this strategy would be suitable for other universities and institutions to use: FDA approves Kalydeco to treat rare form of cystic fibrosis. No notification letter was sent, and apparently the laboratory quietly withdrew from the market, or at least stopped advertising its CF testing service so publicly. The patents did not therefore produce a single-source testing service, the business model adopted by Athena Diagnostics, Myriad Genetics, and others that has been accompanied by intense controversy see case studies on genetic testing for long-QT and other cardiac channelopathies 1breast and ovarian vs.

The inclusion and active participation of the CFF patient advocacy organization was another important factor in the initial patenting and licensing discussions.

Pediatric Cystic Fibrosis Case Study

Exclusive licensing is quite common as an incentive to startups, and in this case a particular vector system was covered. Three or four licenses had lapsed because research on gene therapy failed to progress to market.

hesi cystic fibrosis case study

Had CF diagnostic testing not become as accessible as it was, these life expectancy improvements may have been less impressive or happened later. Which rationale best supports this referral?

The U of M developed two license agreements for diagnostic purposes, one for hospitals, clinics, and diagnostic companies for in-house genetic testing, and the other for companies to manufacture and sell diagnostic kits.

One case study focused on genetic testing for cystic fibrosis CF 2. Glucose level After surgical clipping of a ruptured cerebral aneurysm, a client develops the syndrome of inappropriate secretion ….

As genetic mapping technologies improved, especially in the s with the discovery and implementation of restriction fragment length polymorphisms, the pace of discovery rapidly increased.

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Eight case studies covering ten clinical conditions were published in the April Supplement to Genetics in Medicine 1 — 8. What are standards of care? Since the licensing of these patents has not impeded clinical access to genetic testing, we sought to understand how this successful licensing model was developed and whether it might be applicable to other gene patents.

Mutated CFTR protein results in a buildup of thick, viscous mucus in the lungs, digestive tract, and reproductive system. Although this model may not be successful when applied to patents that cover genetic mutations that influence rare diseases or diseases without a stable and savvy patient advocacy organization, it has held up well over the past two decades through negotiations with a variety of companies.

Pediatric Cystic Fibrosis Case Study

Companies wanting to develop CF therapeutics would face a long slog. The precise molecular definition of CF led to genetic subtyping; to earlier and much more precise diagnosis, and thus improved medical management; and to the first genotype-specific treatment. DiSante was flooded with phone calls from companies interested in securing an exclusive license from the U of M.

hesi cystic fibrosis case study

In that instance, the U of M was informed that a laboratory was advertising CF testing, while not adhering to quality control standards or the professional medical guidelines for testing and counseling.

The Hopkins patent expired in April What action by the nurse is warranted? A child, age fibrlsis, is hospitalized for xystic management and drug therapy after experiencing an acute episode of ulcerative colitis.

From — it was also co-funded by the US Department of Energy. Therefore, patenting made sense to the scientists, their nonprofit institutions, and disease advocacy groups.

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