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SCIENTIFIC PROGRAM <strong>•</strong> INTERACTIVE SESSIONS<br />

Tuesday, October 18, 2011 1:15 pm – 2:15 pm<br />

Interactive Session<br />

POSTHUMOUS MALE REPRODUCTION: THE BIRDS AND THE BEES<br />

DON’T DO IT - SHOULD WE? AN INTERACTIVE DEBATE.<br />

Presented by the <strong>Society</strong> <strong>for</strong> Male Reproduction and Urology<br />

Melissa B. Brisman, J.D. (Chair)<br />

Private Practice<br />

Larry I. Lipshultz, M.D.<br />

Baylor College of Medicine<br />

Peter N. Schlegel, M.D.<br />

The Weill Medical College of Cornell University<br />

Needs Assessment and Description<br />

In the event of a male’s sudden death, in what<br />

circumstances, if any, is it ethically and morally justifiable<br />

to extract sperm and cryopreserve it <strong>for</strong> posthumous<br />

reproductive purposes? What might be the biological<br />

limitations to doing so? In addition, widows and children<br />

conceived posthumously have experienced difficulties<br />

when seeking inheritance rights or Social Security benefits <strong>for</strong><br />

the child through the deceased male parent.<br />

NON-INVASIVE PRENATAL DIAGNOSIS OF GENETIC DISEASE<br />

BY GENETIC ANALYSIS OF TROPHOBLASTIC CELL ENRICHED<br />

FROM BLOOD.<br />

Presented by the Genetic Counseling Special Interest Group<br />

Jodie L. Asher, M.S. (Chair)<br />

Genzyme Genetics<br />

Patrizia Paterlini, M.D., Ph.D.<br />

University of Paris Descartes<br />

Needs Assessment and Description<br />

Reports of new approaches to per<strong>for</strong>m noninvasive<br />

prenatal diagnosis (NI-PND) of genetic disorders appear with<br />

increasing frequency in the literature. The application of<br />

this testing option requires knowledge of molecular biology<br />

specific to this particular field. Due to the potential changes<br />

in clinical practice brought on by advances in NI-PND, there<br />

is a need to educate practitioners about technical and<br />

clinical aspects related to this emerging technology.<br />

Room 224 C/D<br />

89<br />

Learning Objectives<br />

At the conclusion of this session, participants should be able<br />

to:<br />

1. Summarize the ethical, moral and legal challenges faced<br />

in posthumous male reproduction situations.<br />

2. Discuss pros and cons of a practice agreeing to<br />

posthumous harvesting and propose ways to establish a<br />

protocol should the request arise <strong>for</strong> posthumous<br />

harvesting.<br />

ACGME COMPETENCY<br />

Patient Care<br />

Interpersonal and Communication Skills<br />

TEST QUESTION:<br />

After participating in this session, I will do the following in my<br />

practice:<br />

A. Recommend posthumous sperm extraction as the best<br />

legal method <strong>for</strong> a wife to obtain and use her deceased<br />

husband’s sperm.<br />

B. Encourage male patients to provide written evidence of<br />

their intentions regarding posthumous use of their sperm.<br />

C. Counsel patients that posthumously conceived children<br />

are always entitled to Social Security benefits through the<br />

deceased parent.<br />

D. Always deny girlfriends any access to a deceased<br />

boyfriend’s sperm.<br />

E. Not applicable to my area of practice.<br />

Tuesday, October 18, 2011 1:15 pm – 2:15 pm<br />

Interactive Session<br />

Room 224 A/B<br />

Learning Objectives<br />

At the conclusion of this session, participants should be able<br />

to:<br />

1. Outline the advantages of the different approaches<br />

aiming to per<strong>for</strong>m reliable NI-PND.<br />

2. Identify the pitfalls of the different approaches <strong>for</strong> NI-NPD.<br />

3. Summarize the potential changes that the different<br />

methodological approaches of NI-PND will have on<br />

clinical practice.<br />

ACGME COMPETENCY<br />

Medical Knowledge<br />

TEST QUESTION:<br />

What is the advantage of testing circulating trophoblastic<br />

cells versus free fetal DNA (ffDNA)?<br />

A. The DNA in trophoblastic cells is not mixed with maternal<br />

DNA.<br />

B. Circulating trophoblastic cells are easy to recognize.<br />

C. Hundreds of circulating trophoblastic cells per mL are<br />

found in maternal blood.<br />

D. Circulating trophoblastic cells can be isolated from<br />

maternal cells by density gradient.

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