1. Genomics: Two faces of a giant. Myriam Borque 2015 Master in Advanced Genetics

2. INDEX Genomics: quick introduction. From genotype to phenotype. Genomics for the society and the ERH: Famous Advantages and the Dark Side. Future opportunities.

3. Genomics: Quick Introduction History: >Mendel’s laws of heredity >Recognition of DNA as genetic material >DNA Structure >Genetic code >Recombinant DNA technologies >Automatic methods of DNA seq. HUMAN GENOME PROJECT

4. Genomics: Quick Introduction CellGENOME What is it? How does it work? GENOMICS DATA

6. From Genotype to Phenotype DATA prediction comprehension management GENOTYPE - PHENOTYPE

7. Famous Advantages I)Understanding the human being (HGP) II)Role of the genome in health/disease. * Mendelian disorders * Ind. treatments * Other disorders * Diagnosis and Characterization III)Personalized genome integration in healthcare - EHR IV)Economic benefit Cost effective processes

8. Famous Advantages EHR (Electronic Health Record) John S Mattick et al. (2014) The impact of genomics on the future of medicine and healt, MJA 201.

9. Famous Advantages Σ Personal genomes + Population data set ↑↑ Health System Quality GLOBAL ALLIANCE FOR GENOMICS AND HEALTH

10. The Dark Side EHR: – Personal Data Storage? Microchip, in the cloud, function as a biometric? – Access Only professionals? Governments? Private industries? Other sectors like insurance companies? – Personal genome When should we sequence? New borns  stigmatization? Consent? Adults  Too late for prognosis or early diagnosis?

11. Future opportunities Right conditions for EHR stablishment ↑genotype-phenotype knowledge Create interdisciplinary professionals Improve accuracy of actual seq. methods

12. References John S Mattick et al. (2014) The impact of genomics on the future of medicine and healt. MJA 201. Graeme N.Forrest et al.(2015) Use of Electronic Health Records and Clinica Decision Support Systems for antimicrobial Stewardship. Oxford Journals. David S carrell et al. (2013) Respond to “Observational Research and the EHR”.American Journal of Epidemiology. Brendam Delaney (2009) Evidence-based diagnosis in general practice: needs both robust evidence and sophisticated electronic health record systems. Family Practice from Oxford Journals. Adele Caldarella et al. (2012) Feasibility of evaluating quality cancer care using registry data and electronic health records: a population- based study. International Journal for Quality in Health Care. Jonathan P. Weiner et al. (2012) New paradigm for measuring clinical performance using electronic health records. International Journal for Quality in Health Care. Other web sites.

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