6 found
  1.  48
    Healing Without Waging War: Beyond Military Metaphors in Medicine and HIV Cure Research.Jing-Bao Nie, Adam Gilbertson, Malcolm de Roubaix, Ciara Staunton, Anton van Niekerk, Joseph D. Tucker & Stuart Rennie - 2016 - American Journal of Bioethics 16 (10):3-11.
    Military metaphors are pervasive in biomedicine, including HIV research. Rooted in the mind set that regards pathogens as enemies to be defeated, terms such as “shock and kill” have become widely accepted idioms within HIV cure research. Such language and symbolism must be critically examined as they may be especially problematic when used to express scientific ideas within emerging health-related fields. In this article, philosophical analysis and an interdisciplinary literature review utilizing key texts from sociology, anthropology, history, and Chinese and (...)
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  2.  55
    No More Militaristic and Violent Language in Medicine: Response to Open Peer Commentaries on “Healing Without Waging War: Beyond Military Metaphors in Medicine and HIV Cure Research”.Jing-Bao Nie, Stuart Rennie, Adam Gilbertson & Joseph D. Tucker - 2016 - American Journal of Bioethics 16 (12):9-11.
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  3.  47
    Ethics of treatment interruption trials in HIV cure research: addressing the conundrum of risk/benefit assessment.Gail E. Henderson, Holly L. Peay, Eugene Kroon, Rosemary Jean Cadigan, Karen Meagher, Thidarat Jupimai, Adam Gilbertson, Jill Fisher, Nuchanart Q. Ormsby, Nitiya Chomchey, Nittaya Phanuphak, Jintanat Ananworanich & Stuart Rennie - 2017 - Journal of Medical Ethics:medethics-2017-104433.
    Though antiretroviral therapy is the standard of care for people living with HIV, its treatment limitations, burdens, stigma and costs lead to continued interest in HIV cure research. Early-phase cure trials, particularly those that include analytic treatment interruption, involve uncertain and potentially high risk, with minimal chance of clinical benefit. Some question whether such trials should be offered, given the risk/benefit imbalance, and whether those who choose to participate are acting rationally. We address these questions through a longitudinal decision-making study (...)
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  4.  13
    Ethics of pursuing targets in public health: the case of voluntary medical male circumcision for HIV-prevention programs in Kenya.Stuart Rennie, Adam Gilbertson, Denise Hallfors & Winnie K. Luseno - 2021 - Journal of Medical Ethics 47 (12):e51-e51.
    The use of targets to direct public health programmes, particularly in global initiatives, has become widely accepted and commonplace. This paper is an ethical analysis of the utilisation of targets in global public health using our fieldwork on and experiences with voluntary medical male circumcision initiatives in Kenya. Among the many countries involved in VMMC for HIV prevention, Kenya is considered a success story, its programmes having medically circumcised nearly 2 million men since 2007. We describe ethically problematic practices in (...)
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  5.  10
    Ethical considerations for HIV remission clinical research involving participants diagnosed during acute HIV infection.Stuart Rennie, Maartje Dijkstra, Karine Dubé, Joseph D. Tucker & Adam Gilbertson - 2021 - BMC Medical Ethics 22 (1):1-12.
    HIV remission clinical researchers are increasingly seeking study participants who are diagnosed and treated during acute HIV infection—the brief period between infection and the point when the body creates detectable HIV antibodies. This earliest stage of infection is often marked by flu-like illness and may be an especially tumultuous period of confusion, guilt, anger, and uncertainty. Such experiences may present added ethical challenges for HIV research recruitment, participation, and retention. The purpose of this paper is to identify potential ethical challenges (...)
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    The Ethics of Stigma in Medical Male Circumcision Initiatives Involving Adolescents in Sub-Saharan Africa.Stuart Rennie, Adam Gilbertson, Denise Hallfors & Winnie K. Luseno - 2021 - Public Health Ethics 14 (1):79-89.
    Ongoing global efforts to circumcise adolescent and adult males to reduce their risk of acquiring HIV constitute the largest public health prevention initiative, using surgical means, in human history. Voluntary medical male circumcision (VMMC) programs in Africa have significantly altered social norms related to male circumcision among previously non-circumcising groups and groups that have practiced traditional (non-medical) circumcision. One consequence of this change is the stigmatization of males who, for whatever reason, remain uncircumcised. This paper discusses the ethics of stigma (...)
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