Exception from Informed Consent (EFIC) regulations detail specific circumstances in which Institutional Review Boards (IRB) can approve studies where obtaining informed consent is not possible prior to subject enrollment.To better understand how IRB members evaluate community consultation (CC) and public disclosure (PD) processes and results, semi-structured interviews of EFIC-experienced IRB members were conducted and analyzed using thematic analysis.Interviews with 11 IRB members revealed similar approaches to reviewing EFIC studies. Most use summaries of CC activities to determine community members’ attitudes; none (...) reported using specific criteria nor recalled any CC reviews that resulted in modifications to or denials of EFIC studies. Most interviewees thought metrics based on Community VOICES’s domains (feasibility, participant selection, quality of communication, community perceptions, investigator/IRB perceptions) would be helpful.IRB members had similar experiences and concerns about reviewing EFIC studies. Development of metrics to assess CC processes may be useful to IRBs reviewing EFIC studies. (shrink)

American literary realism burgeoned during a period of tremendous technological innovation. Because the realists evinced not only a fascination with this new technology but also an ethos that seems to align itself with science, many have paired the two fields rather unproblematically. But this book demonstrates that many realist writers, from Mark Twain to Stephen Crane, Charles W. Chesnutt to Edith Wharton, felt a great deal of anxiety about the advent of new technologies – precisely at the crucial intersection of (...) ethics and language. For these writers, the communication revolution was a troubling phenomenon, not only because of the ways in which the new machines had changed and increased the circulation of language but, more pointedly, because of the ways in which language itself had effectively become a machine: a vehicle perpetuating some of society’s most pernicious clichés and stereotypes – particularly stereotypes of race – in unthinking iteration. This work takes a close look at how the realists tried to forge an ethical position between the two poles of science and sentimentality, attempting to create an alternative mode of speech that, avoiding the trap of codifying iteration, could enable ethical action. (shrink)