Ross Upshur
Dados Biográficos
| ID | 97959 |
|---|---|
| NOME | Ross Upshur |
| PRENOMES | Ross |
| SOBRENOME | Upshur |
| ASSINATURA | UPSHUR R |
| AFILIAÇÕES | University of Toronto |
| ORCID | 0000-0003-1128-0557 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 62 |
| TOTAL DE CITAÇÕES | 181 |
| TOTAL COMO AUTOR | 62 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1999 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 6 |
Knowing Otherwise”
The COVID-19 pandemic was a time of significant crisis for most Canadians. For those living with chronic pain, it was a disproportionately challenging time. There have been calls for researchers to address the experiences of chronic pain during the time of pandemic, including for those who also struggle with systemic and structural marginalization. The purpose of this study was to highlight the experiences of people living with chronic pain and p…
Machine learning used to study risk factors for chronic diseases
OBJECTIVES: Machine learning (ML) has received significant attention for its potential to process and learn from vast amounts of data. Our aim was to perform a scoping review to identify studies that used ML to study risk factors for chronic diseases at a population level, notably those that incorporated methods to mitigate algorithmic bias. We focused on ML applications for the most common risk factors for chronic disease: tobacco use, alcohol u…
Comparative analysis of tuberculosis management in Indigenous North Canada and Alaska, USA from 1950s to 2019
Digitally mediated relationships
Expediting approval for medical countermeasures to address high burden disease
Addressing global health crises requires a receptive and expedient policy environment to minimise delays in making available potentially life-saving technologies. Over time, the policy environment has adapted to ensure that communities have expedited access to promising technologies, such as vaccines, that can mitigate morbidity and mortality. Emergency authorisations are one such policy mechanism. While these have been employed successfully for …
Achieving holistic, quality-of-life focused care
The compassionate community movement as both a public health approach and a social model of care for various life stages is gaining traction in Canada and elsewhere. One example is the Windsor-Essex Compassion Care Community (WECCC), an evidence-based model and set of tools to improve the quality of life, health and wellness of vulnerable and aging populations by identifying and addressing upstream and downstream social and other risks to physica…
Challenges to evidence-informed decision-making in the context of pandemics
INTRODUCTION: The exceptional production of research evidence during the COVID-19 pandemic required deployment of scientists to act in advisory roles to aid policy-makers in making evidence-informed decisions. The unprecedented breadth, scale and duration of the pandemic provides an opportunity to understand how science advisors experience and mitigate challenges associated with insufficient, evolving and/or conflicting evidence to inform public …
R&D during public health emergencies
In January 2021, Dr Tedros Adhanom Ghebreyesus, director–general of the WHO, warned that the world was ‘on the brink of a catastrophic moral failure [that] will be paid with lives and livelihoods in the world’s poorest countries’. We are now past the brink. Many high-income countries have vaccinated their populations (which, in some cases, includes third and even fourth doses) and are loosening public health and social measures, while low-income …
How the more life discourse constrains end-of-life conversations in the primary care of medically frail older adults
There is growing emphasis for primary care clinicians to initiate and engage in end-of-life (EOL) conversations with medically frail older adults. However, EOL conversations happen most often when death is imminent or are avoided altogether. The objective of this study was to understand the socio-political forces shaping EOL conversations between clinicians, medically frail older adults and/or their care partners within an urban primary care sett…
Identifying priority challenges and solutions for Covid-19 vaccine delivery in low- and middle-income countries
Background The rapid implementation of global COVID-19 vaccination programs has surfaced many challenges and inequities, particularly in low- and middle-income countries (LMICs). However, there continues to be a lack of consensus on which challenges are global priorities for action, and how to best respond to them. This study uses consensus-based methods to identify and rank the most important challenges and solutions for implementation of COVID-…
You can’t report your feelings
Increasing job market demand for and availability of Canadian and U.S. global academic health programs in post-secondary education increases student demand to participate in internationally based fieldwork, while supportive resources remain weakly developed. Previous studies indicate provisions to protect the health, safety, and well-being of women students remain inadequately addressed during training, while more research to identify needs, expe…
Mal/adaptations
BACKGROUND: Opioid agonist therapy (OAT) has been severely disrupted by the COVID-19 pandemic. The risks of opioid withdrawal, overdose, and diversion have increased, so there is an urgent need to adapt OAT to best support people who use drugs (PWUD). This review examines the views and experiences of PWUD, health care providers, and health system administrators on OAT during major disruptions to medical care to inform appropriate health system re…
Time series-based bibliometric analysis of a systematic review of multidisciplinary care for opioid dose reduction
Bibliometric analyses of systematic reviews offer unique opportunities to explore the character of specific scientific fields. In this time series-based analysis, dynamics of multidisciplinary care for chronic pain and opioid prescribing are analyzed over a forty-four year time span. Three distinct periods are identified, each defined by distinct research areas, as well as priorities regarding the use of opioids and the appropriate management of …
Biomedicalization of end-of-life conversations with medically frail older adults - Malleable and senescent bodies
Fair Allocation of Scarce Medical Resources in the Time of Covid-19
Covid-19 is officially a pandemic. It is a novel infection with serious clinical manifestations, including death, and it has reached at least 124 countries and territories. Although the ultimate course and impact of Covid-19 are uncertain, it is not merely possible but likely that the disease will produce enough severe illness to overwhelm health care infrastructure. Emerging viral pandemics “can place extraordinary and sustained demands on publi…
Publication Ethics During Public Health Emergencies Such as the Covid-19 Pandemic
Published online ahead of print May 14, 2020: e1-e2. doi:10.2105/AJPH.2020.305686)
Countering medical nihilism by reconnecting facts and values
‘The Future is Probably Now’
BACKGROUND: Earlier end-of-life communication is critical for people with heart failure given the uncertainty and high-risk of mortality in illness. Despite this, end-of-life communication is uncommon in heart failure. Left unaddressed, lack of end-of-life discussions can lead to discordant care at the end of life. OBJECTIVE: This study explores patients' and caregivers' understanding of illness, experiences of uncertainty, and perceptions of end…
The mismeasurement of complexity
Defining patient complexity as morbidity alone is inadequate; such models neglect syndromes and conditions that are not included in formal disease classifications. Chronic pain should be included among the chronic conditions that are considered to constitute multimorbidity. In order to provide effective patient-centered care, discussions of patient complexity must also attend to the complex social and economic circumstances in which many patients…
Provider values in the adoption of goal-oriented care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Public Health as Social Justice? A Qualitative Study of Public Health Policy-Makers' Perspectives
Critical Reflections on Mental Well-being for Post-Secondary Students Participating in the Field of Global Health
Barriers to engaging in end-of-life communication in advanced illness management
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Is ‘health equity’ bad for our health? A qualitative empirical ethics study of public health policy-makers’ perspectives
Understanding the relationship between ethics, neoliberalism and power as a step towards improving the health of people and our planet
This article seeks to evaluate the ethical underpinnings of neoliberalism and its associated power relations, and to illustrate the influence of such relationships on the health of people and the planet in the so-called era of the Anthropocene. We seek to reveal the current ethical standing of neoliberalism, and to identify other ethical positions and power relations that could be more conducive to promoting peaceful progress in an era during whi…
Evidence-based health policy
Men on the margin
Principles for the Justification of Public Health Intervention
Governing through community-based research
The "general public" and specific "communities" are increasingly being integrated into scientific decision-making. This shift emphasizes "scientific citizenship" and collaboration between interdisciplinary scientists, lay people, and multi-sector stakeholders (universities, healthcare, and government). The objective of this paper is to problematize these developments through a theoretically informed reading of empirical data that describes the co…
A spatial analysis of the determinants of pneumonia and influenza hospitalizations in Ontario (1992-2001)
Impacts of an environmental disaster on psychosocial health and well-being in Karakalpakstan
Pandemic H1N1 in Canada and the use of evidence in developing public health policies - A policy analysis
Evidence and Effectiveness in Decisionmaking for Quarantine
When public health decisionmakers turned to quarantine during the recent severe acute respiratory syndrome (SARS) epidemic, difficult questions were raised about the legitimacy and acceptability of restrictive measures to attain public health goals. SARS also brought to light how scientific uncertainty can permeate public health decisionmaking, leading us to think about the relationship between the adequacy of evidence of the effectiveness of an …
Disadvantaging the Disadvantaged
Understanding the relationship between ethics, neoliberalism and power as a step towards improving the health of people and our planet
This article seeks to evaluate the ethical underpinnings of neoliberalism and its associated power relations, and to illustrate the influence of such relationships on the health of people and the planet in the so-called era of the Anthropocene. We seek to reveal the current ethical standing of neoliberalism, and to identify other ethical positions and power relations that could be more conducive to promoting peaceful progress in an era during whi…
Disability, Technology, and Place
Medical technologies and assistive devices such as ventilators and power wheelchairs are designed to sustain life and/or improve functionality but they can also contribute to stigmatization and social exclusion. In this paper, drawing from a study of ten men with Duchenne muscular dystrophy, we explore the complex social processes that mediate the lives of persons who are dependent on multiple medical and assistive technologies. In doing so we co…
The Aral Sea disaster and self-rated health
Public Health as Social Justice? A Qualitative Study of Public Health Policy-Makers' Perspectives
Is ‘health equity’ bad for our health? A qualitative empirical ethics study of public health policy-makers’ perspectives
Restrictive Measures in an Influenza Pandemic
Dual Loyalty of Physicians in the Military and in Civilian Life
The concept of the dual loyalty physicians may have to both a patient and a third party is important in elucidating the obligations of physicians. The extent to which loyalty may be deflected from a patient to a third party (e.g., an insurance company or a prison commander) is greatly underestimated and has not attracted significant scholarly analysis. We examined dual loyalty in civilian and military contexts and used the principles of public he…
A qualitative study of the duty to care in communicable disease outbreaks
Measuring the Impact of Influenza on the Hospital Admission Rates of the Elderly in Ontario
Digitally mediated relationships
Biomedicalization of end-of-life conversations with medically frail older adults - Malleable and senescent bodies
Publication Ethics During Public Health Emergencies Such as the Covid-19 Pandemic
Published online ahead of print May 14, 2020: e1-e2. doi:10.2105/AJPH.2020.305686)
Countering medical nihilism by reconnecting facts and values
Provider values in the adoption of goal-oriented care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Perceived value of support for older adults coping with multi-morbidity
This study investigated the perceived value of informal and formal supports for older adults with multi-morbidity from the perspectives of patients, care-givers and family physicians. Semi-structured interviews were conducted with 27 patients, their informal care-givers and their family physicians in an urban academic family health team in Ontario. Analysis was conducted using a General Inductive Approach to facilitate identification of main them…
The duty to care in an influenza pandemic
The Effect of Tuberculosis and Tuberculosis Contact Tracing on School Function
Measuring the Impact of Influenza on the Hospital Admission Rates of the Elderly in Ontario
Applying Aristotle's Doctrine of Causation to Aboriginal and Biomedical Understandings of Diabetes
Fall-Related Hospitalizations
Principles for the Justification of Public Health Intervention
Global plagues and the Global Fund
BACKGROUND: Although a grossly disproportionate burden of disease from HIV/AIDS, TB and malaria remains in the Global South, these infectious diseases have finally risen to the top of the international agenda in recent years. Ideal strategies for combating these diseases must balance the advantages and disadvantages of 'vertical' disease control programs and 'horizontal' capacity-building approaches. DISCUSSION: The Global Fund to Fight AIDS, Tub…
The Ethics of Quarantine
The Ethics of QuarantineAlthough civil rights questions come into play, quarantine as an attempt to control an infectious disease can still be used when certain conditions
The Aral Sea disaster and self-rated health
The Seasonality of Total Hospitalizations in Ontario by Age and Gender
Impacts of an environmental disaster on psychosocial health and well-being in Karakalpakstan
Evidence-based health policy
Grand Challenges in Global Health
The authors argue that there have been few systematic attempts to determine the effectiveness of community engagement in research.
Disability, Technology, and Place
Medical technologies and assistive devices such as ventilators and power wheelchairs are designed to sustain life and/or improve functionality but they can also contribute to stigmatization and social exclusion. In this paper, drawing from a study of ten men with Duchenne muscular dystrophy, we explore the complex social processes that mediate the lives of persons who are dependent on multiple medical and assistive technologies. In doing so we co…
Evidence and Effectiveness in Decisionmaking for Quarantine
When public health decisionmakers turned to quarantine during the recent severe acute respiratory syndrome (SARS) epidemic, difficult questions were raised about the legitimacy and acceptability of restrictive measures to attain public health goals. SARS also brought to light how scientific uncertainty can permeate public health decisionmaking, leading us to think about the relationship between the adequacy of evidence of the effectiveness of an …
A qualitative study of the duty to care in communicable disease outbreaks
Men on the margin
A spatial analysis of the determinants of pneumonia and influenza hospitalizations in Ontario (1992-2001)
Dual Loyalty of Physicians in the Military and in Civilian Life
The concept of the dual loyalty physicians may have to both a patient and a third party is important in elucidating the obligations of physicians. The extent to which loyalty may be deflected from a patient to a third party (e.g., an insurance company or a prison commander) is greatly underestimated and has not attracted significant scholarly analysis. We examined dual loyalty in civilian and military contexts and used the principles of public he…
Global Health Ethics for Students
As a result of increased interest in global health, more and more medical students and trainees from the ‘developed world’ are working and studying in the ‘developing world’. However, while opportunities to do this important work increase, there has been insufficient development of ethical guidelines for students. It is often assumed that ethics training in developed world situations is applicable to health experiences globally. However, fundamen…
Reporting of Informed Consent, Standard of Care and Post‐trial Obligations in Global Randomized Intervention Trials
Objective: Ethical guidelines are designed to ensure benefits, protection and respect of participants in clinical research. Clinical trials must now be registered on open‐access databases and provide details on ethical considerations. This systematic survey aimed to determine the extent to which recently registered clinical trials report the use of standard of care and post‐trial obligations in trial registries, and whether trial characteristics …
Ethics of conducting research in conflict settings
Humanitarian agencies are increasingly engaged in research in conflict and post-conflict settings. This is justified by the need to improve the quality of assistance provided in these settings and to collect evidence of the highest standard to inform advocacy and policy change. The instability of conflict-affected areas, and the heightened vulnerability of populations caught in conflict, calls for careful consideration of the research methods emp…
Public perceptions of quarantine
To engender strong public support for quarantine and other restrictive measures, government officials and public health policy-makers would do well to implement a comprehensive system of supports and safeguards, to educate and inform frontline public health workers, and to engage the public at large in an open dialogue on the ethical use of restrictive measures during infectious disease outbreaks
Relief of oppression
The over-arching aim of relief of oppression is that, within the range of benefits negotiated over time with the local communities and organizations, an increasing proportion reflects a shared interest in improving participants' fundamental freedoms. We describe how harm reduction serves as a useful analogy for how we envision relief of oppression functioning in international research
Canadian survey on pandemic flu preparations
Results suggest trust in public health officials to make difficult decisions, providing emphasis on reciprocity and respect for individual rights
End-of-Life Decision-Making in Canada
Medicine (49 obras) · Political science (38 obras) · Nursing (30 obras) · Sociology (28 obras) · Psychology (27 obras) · Public health (24 obras) · Law (23 obras) · Public relations (20 obras) · Health care (13 obras) · Law (13 obras)