14 found
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  1.  3
    Attending to Scalar Ethical Issues in Emerging Approaches to Environmental Health Research and Practice.Diego S. Silva, Maxwell Smith & Chris G. Buse - 2019 - Monash Bioethics Review 37 (1-2):4-21.
    Accelerated changes to the planet have created novel spaces to re-imagine the boundaries and foci of environmental health research. Climate change, mass species extinction, ocean acidification, biogeochemical disturbance, and other emergent environmental issues have precipitated new population health perspectives, including, but not limited to, one health, ecohealth, and planetary health. These perspectives, while nuanced, all attempt to reconcile broad global challenges with localized health impacts by attending to the reciprocal relationships between the health of ecosystems, animals, and humans. While such (...)
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  2.  18
    Reciprocity and Ethical Tuberculosis Treatment and Control.Diego S. Silva, Angus Dawson & Ross E. G. Upshur - 2016 - Journal of Bioethical Inquiry 13 (1):75-86.
    This paper explores the notion of reciprocity in the context of active pulmonary and laryngeal tuberculosis treatment and related control policies and practices. We seek to do three things: First, we sketch the background to contemporary global TB care and suggest that poverty is a key feature when considering the treatment of TB patients. We use two examples from TB care to explore the role of reciprocity: isolation and the use of novel TB drugs. Second, we explore alternative means of (...)
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  3.  1
    Systems Thinking and Ethics in Public Health: A Necessary and Mutually Beneficial Partnership.Cameron D. Norman, Maxwell J. Smith & Diego S. Silva - 2018 - Monash Bioethics Review 36 (1-4):54-67.
    Systems thinking has emerged as a means of conceptualizing and addressing complex public health problems, thereby challenging more commonplace understanding of problems and corresponding solutions as straightforward explanations of cause and effect. Systems thinking tries to address the complexity of problems through qualitative and quantitative modeling based on a variety of systems theories, each with their own assumptions and, more importantly, implicit and unexamined values. To date, however, there has been little engagement between systems scientists and those working in bioethics (...)
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  4.  4
    Developing and Implementing New TB Technologies: Key Informants’ Perspectives on the Ethical Challenges.Renaud F. Boulanger, Ana Komparic, Angus Dawson, Ross E. G. Upshur & Diego S. Silva - 2020 - Journal of Bioethical Inquiry 17 (1):65-73.
    ObjectiveTo identify the ethical challenges associated with the development and implementation of new tuberculosis drugs and diagnostics.MethodsTwenty-three semi-structured qualitative interviews conducted between December 2015 and September 2016 with programme administrators, healthcare workers, advocates, policymakers, and funders based in the Americas, Europe, and Africa. Interviews were analysed using thematic analysis.ResultsDivergent interests and responsibilities, coupled with power imbalances, are a primary source of ethical challenges; the uncertain risk profiles of new drugs present an additional one. Although this challenge can be partially mitigated (...)
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  5.  9
    Trust and the Ethical Challenges in the Use of Whole Genome Sequencing for Tuberculosis Surveillance: A Qualitative Study of Stakeholder Perspectives.Carly Jackson, Jennifer L. Gardy, Hedieh C. Shadiloo & Diego S. Silva - 2019 - BMC Medical Ethics 20 (1):43.
    Emerging genomic technologies promise more efficient infectious disease control. Whole genome sequencing is increasingly being used in tuberculosis diagnosis, surveillance, and epidemiology. However, while the use of WGS by public health agencies may raise ethical, legal, and socio-political concerns, these challenges are poorly understood. Between November 2017 and April 2018, we conducted semi-structured interviews with 22 key stakeholders across the fields of governance and policy, public health, and laboratory sciences representing the major jurisdictions currently using WGS in national TB programs. (...)
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  6.  14
    Infection Control Measures and Debts of Gratitude.Diego S. Silva & A. M. Viens - 2015 - American Journal of Bioethics 15 (4):55-57.
  7.  7
    A Failure in Solidarity: Ethical Challenges in the Development and Implementation of New Tuberculosis Technologies.Ana Komparic, Angus Dawson, Renaud F. Boulanger, Ross E. G. Upshur & Diego S. Silva - 2019 - Bioethics 33 (5):557-567.
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  8.  13
    Public Mental Health Ethics: Helping Improve Mental Health for Individuals and Communities.Diego S. Silva, Cynthia Forlini & Carla Meurk - 2018 - Public Health Ethics 11 (2):121-125.
    The burdens of mental illnesses and substance use disorders do not lie merely with the individuals who suffer from these conditions but affect, and are affected by, their families, communities, cities and countries. The ethical and political challenges that arise in the treatment of mental illnesses and substance abuse disorders are, therefore, challenges that affect both individuals and communities.
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  9.  15
    Much Ado About Omics: Welcome to ‘the Permutome’.Spencer G. Livingstone, Maxwell J. Smith, Diego S. Silva & Ross E. G. Upshur - 2015 - Journal of Evaluation in Clinical Practice 21 (6):1018-1021.
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  10.  30
    Betwixt & Between: Peer Recruiter Proximity in Community-Based Research.Sally Bean & Diego S. Silva - 2010 - American Journal of Bioethics 10 (3):18-19.
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  11.  16
    Ethics for Pandemics Beyond Influenza: Ebola, Drug-Resistant Tuberculosis, and Anticipating Future Ethical Challenges in Pandemic Preparedness and Response.Maxwell J. Smith & Diego S. Silva - 2015 - Monash Bioethics Review 33 (2-3):130-147.
    The unprecedented outbreak of Ebola virus disease in West Africa has raised several novel ethical issues for global outbreak preparedness. It has also illustrated that familiar ethical issues in infectious disease management endure despite considerable efforts to understand and mitigate such issues in the wake of past outbreaks. To improve future global outbreak preparedness and response, we must examine these shortcomings and reflect upon the current state of ethical preparedness. To this end, we focus our efforts in this article on (...)
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  12. Dignity Promotion and Beneficence.Diego S. Silva - 2010 - Journal of Bioethical Inquiry 7 (4):365-372.
    The concept of dignity has occasioned a robust conversation in recent healthcare scholarship. When viewed as a whole, research on dignity in healthcare has engaged each of the four bioethical principles popularized by Beauchamp and Childress, but has paid the least attention to beneficence. In this paper, we look at dignity and beneficence. We focus on the dignity promotion component of a model of dignity derived from a grounded theory study. After describing the study and presenting a précis of the (...)
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  13.  11
    Motivation? Meh ….Diego S. Silva - 2015 - American Journal of Bioethics Neuroscience 6 (1):28-29.
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  14.  16
    Ethics of Health Research with Prisoners in Canada.Diego S. Silva, Flora I. Matheson & James V. Lavery - 2017 - BMC Medical Ethics 18 (1):31.
    Despite the growing recognition for the need to improve the health of prisoners in Canada and the need for health research, there has been little discussion of the ethical issues with regards to health research with prisoners in Canada. The purpose of this paper is to encourage a national conversation about what it means to conduct ethically sound health research with prisoners given the current realities of the Canadian system. Lessons from the Canadian system could presumably apply in other jurisdictions. (...)
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