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Routine HIV testing in dental practice: can we cross the Rubicon?

Vernillo, Anthony T; Caplan, Arthur L
The latest Centers for Disease Control and Prevention (CDC) guidelines recommend routine HIV screening for a large segment of the population, given that the individual understands that an HIV test will be performed unless he or she declines testing (opt-out testing). The CDC recommendation calls for the elimination of formalized requirements for written consent and pretest counseling to encourage more Americans to voluntarily accept testing. Knowledge of HIV infection can increase early access to care and treatment and reduce further transmission. A rapid non-invasive test for HIV infection (OraQuick Advance) from oral fluid has recently become available. It offers two distinct advantages: 1) results are available within twenty minutes, thereby eliminating a long waiting period; and 2) it has high sensitivity and specificity comparable to blood testing. A preliminary positive test result must be confirmed with a Western Blot by an outside laboratory or physician. Important ethical and legal issues must be resolved before the successful implementation of HIV testing in the dental setting. An educational emphasis on broader coverage of HIV testing is also needed within the dental school curriculum. The integration of HIV testing into dental practice is discussed as well. A policy of screening patients in dental offices will contribute to a major advance in public health
PMID: 18096878
ISSN: 0022-0337
CID: 152967

Duty and 'euthanasia': the nurses of Meseritz-Obrawalde

Benedict, Susan; Caplan, Arthur; Lafrenz Page, Traute
This article examines the actions and testimonies of 14 nurses who killed psychiatric patients at the state hospital of Meseritz-Obrawalde in the Nazi 'euthanasia' program. The nurses provided various reasons for their decisions to participate in the killings. An ethical analysis of the testimonies demonstrates that a belief in the relief of suffering, the notion that the patients would 'benefit' from death, their selection by physicians for the 'treatment' of 'euthanasia', and a perceived duty to obey unquestioningly the orders of physicians were the primary ethical reasons that were stated for their behavior. However, 20 years had elapsed between the killings and the trial, thus giving ample opportunity for the defendants to develop comfortable rationales for their actions and for their attorneys to have observed successful defenses of others accused of euthanasia.
PMID: 17901188
ISSN: 0969-7330
CID: 163974

Needed: a modest proposal [Letter]

Caplan, Arthur L
PMID: 18179092
ISSN: 0093-0334
CID: 163969

Leveraging genetic resources or moral blackmail? Indonesia and avian flu virus sample sharing [Editorial]

Caplan, Arthur L; Curry, David R
PMID: 18027283
ISSN: 1526-5161
CID: 163972

Quotation of the Day [Newspaper Article]

Caplan, Arthur L
ARTHUR L
PROQUEST:433675269
ISSN: 0362-4331
CID: 1489682

Should physicians participate in capital punishment? [Comment]

Caplan, Arthur L
PMID: 17803869
ISSN: 0025-6196
CID: 163975

Bottled water isn't environmentally friendly [Newspaper Article]

Caplan, Arthur
PROQUEST:393270424
ISSN: 0884-5557
CID: 1489672

Do You Know the Mutton Man?

Caplan, Arthur
Caplan states that no animal has provoked more ethical hair-pulling than the sheep when it comes to genetic engineering. First, it was Dolly who provoked so much controversy about the morality of cloning. He further says that the mixing of sheep and human cells is certain to set off heated ethical debate
PROQUEST:230089290
ISSN: 0272-0701
CID: 1496032

Book Review [Book Review]

Caplan, Arthur L
[...]arguments like Glannon's are often made, but they quickly fail
PROQUEST:223920218
ISSN: 0028-4793
CID: 1489662

When "megamultiples' are more than miracles [Newspaper Article]

Caplan, Arthur
The "Today" show spent considerable time cooing about the births of two sets of sextuplets in such a short period of time. The show jumped right into the lives of the Phoenix family. Thirty seconds did not elapse during story promos or actual coverage without the word "miracle" being invoked. The NBC program was hardly alone in going weak-kneed over the births of so many babies. CNN chimed in with "good news" reports on its "American Morning" program. TV coverage in Phoenix described the births as "gifts" and "bundles of joy." Stations helped the family raise money and collect diapers and clothes. The Minnesota media did not miss a chance to refer to their local sextuplets as "blessings."
PROQUEST:393271835
ISSN: 0884-5557
CID: 1489652