Dentistry and the ethics of infection.

Abstract:

:Currently, any dentist in the UK who is HIV-seropositive must stop treating patients. This is despite the fact that hepatitis B-infected dentists with a low viral load can continue to practise, and the fact that HIV is 100 times less infectious than hepatitis B. Dentists are obliged to treat HIV-positive patients, but are obliged not to treat any patients if they themselves are HIV-positive. Furthermore, prospective dental students are now screened for hepatitis B and C and HIV, and are not allowed to enrol on Bachelor of Dental Surgery degrees if they are infectious carriers of these diseases. This paper will argue that: (i) the current restriction on HIV-positive dentists is unethical, and unfair; (ii) dentists are more likely to contract HIV from patients than vice versa, and this is not reflected by the current system; (iii) the screening of dental students for HIV is also unethical; (iv) the fact that dentists can continue to practise despite hepatitis B infection, but infected prospective students are denied matriculation, is unethical; and (v) that the current Department of Health protocols, as well as being intrinsically unfair, have further unethical effects, such as the waste of valuable resources on 'lookback' exercises and the even more damaging loss of present and future dentists. Regulation in this area seems to have been driven by institutional fear of public fear of infection, rather than any scientific evidence or ethical reasoning.

journal_name

J Med Ethics

authors

Shaw D

doi

10.1136/jme.2007.021972

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

184-7

issue

3

eissn

0306-6800

issn

1473-4257

pii

34/3/184

journal_volume

34

pub_type

杂志文章
  • Value judgements in the decision-making process for the elderly patient.

    abstract::The question of whether old age should or should not play a role in medical decision-making for the elderly patient is regularly debated in ethics and medicine. In this paper we investigate exactly how age influences the decision-making process. To explore the normative argumentation in the decisions regarding an elde...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2008.025247

    authors: Ubachs-Moust J,Houtepen R,Vos R,ter Meulen R

    更新日期:2008-12-01 00:00:00

  • The multiple self objection to the prudential lifespan account.

    abstract::Multiple self approaches purport that to have equal concern about all stages of one's life is not a requirement of rationality. This poses a challenge to the prudential lifespan account which Norman Daniels advocates in Just health: meeting health needs fairly. Daniels has criticised the multiple self approach in earl...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2008.024380

    authors: Schefczyk M

    更新日期:2009-01-01 00:00:00

  • A comparison of journal instructions regarding institutional review board approval and conflict-of-interest disclosure between 1995 and 2005.

    abstract:OBJECTIVES:To compare 2005 and 1995 ethics guidelines from journal editors to authors regarding requirements for institutional review board (IRB) approval and conflict-of-interest (COI) disclosure. DESIGN:A descriptive study of the ethics guidelines published in 103 English-language biomedical journals listed in the A...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2008.024299

    authors: Rowan-Legg A,Weijer C,Gao J,Fernandez C

    更新日期:2009-01-01 00:00:00

  • Placebo: the lie that comes true?

    abstract::Over the decades of experimentation on the placebo effect, it has become clear that it is driven largely by expectation, and that strong expectations of efficacy are more likely to give rise to the experience of benefit. No wonder the placebo effect has come to resemble a self-fulfilling prophecy. However, this resemb...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2012-101057

    authors: Justman S

    更新日期:2013-04-01 00:00:00

  • Acceptability of compulsory powers in the community: the ethical considerations of mental health service users on Supervised Discharge and Guardianship.

    abstract:OBJECTIVES:To explore mental health service users' views of existing and proposed compulsory powers. DESIGN:A qualitative study employing in-depth interviews. Participants were asked to respond to hypothetical questions regarding the application of compulsory powers under the Mental Health Act 1983 for people other th...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/jme.2003.004861

    authors: Canvin K,Bartlett A,Pinfold V

    更新日期:2005-08-01 00:00:00

  • A reply to Joseph Bernstein.

    abstract::Dr. Bernstein suggests that anti-vivisectionists should be able to fill in a directive requesting that they receive no medical treatment developed through work on animals. It is replied that this would only be reasonable if research not using animals had long been funded as adequately and its results were currently av...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.22.5.302

    authors: Sprigge T

    更新日期:1996-10-01 00:00:00

  • Autonomy in medical ethics after O'Neill.

    abstract::Following the influential Gifford and Reith lectures by Onora O'Neill, this paper explores further the paradigm of individual autonomy which has been so dominant in bioethics until recently and concurs that it is an aberrant application and that conceptions of individual autonomy cannot provide a sufficient and convin...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2004.008292

    authors: Stirrat GM,Gill R

    更新日期:2005-03-01 00:00:00

  • Teaching, learning and assessment of medical ethics at the UK medical schools.

    abstract:OBJECTIVES:To evaluate the UK undergraduate medical ethics curricula against the Institute of Medical Ethics (IME) recommendations; to identify barriers to teaching and assessment of medical ethics and to evaluate perceptions of ethics faculties on the preparation of tomorrow's doctors for clinical practice. DESIGN:Qu...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2015-103189

    authors: Brooks L,Bell D

    更新日期:2017-09-01 00:00:00

  • Professional ethics.

    abstract::Downie comments on Sieghart's article, "Professions as the conscience of society" (Journal of Medical Ethics 1985 Sep; 11(3): 117-122). He charges that Sieghart is blurring empirical, conceptual, and moral claims when he contends that the professional relationship is unique in that "altruism is paramount and self-int...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.12.2.64

    authors: Downie RS

    更新日期:1986-06-01 00:00:00

  • Preventive misconception and adolescents' knowledge about HIV vaccine trials.

    abstract:OBJECTIVE:Adolescents have had very limited access to research on biomedical prevention interventions despite high rates of HIV acquisition. One concern is that adolescents are a vulnerable population, and trials carry a possibility of harm, requiring investigators to take additional precautions. Of particular concern ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2012-100821

    authors: Ott MA,Alexander AB,Lally M,Steever JB,Zimet GD,Adolescent Medicine Trials Network (ATN) for HIV\/AIDS Interventions.

    更新日期:2013-12-01 00:00:00

  • Holding personal information in a disease-specific register: the perspectives of people with multiple sclerosis and professionals on consent and access.

    abstract:OBJECTIVE:To determine the views of people with multiple sclerosis (MS) and professionals in relation to confidentiality, consent and access to data within a proposed MS register in the UK. DESIGN:Qualitative study using focus groups (10) and interviews (13). SETTING:England and Northern Ireland. PARTICIPANTS:68 peo...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2008.025304

    authors: Baird W,Jackson R,Ford H,Evangelou N,Busby M,Bull P,Zajicek J

    更新日期:2009-02-01 00:00:00

  • Participants' responsibilities in clinical research.

    abstract::Discussions on the ethics and regulation of clinical research have a great deal to say about the responsibilities of investigators, sponsors, research institutions and institutional review boards, but very little about the responsibilities of research participants. In this article, we discuss the responsibilities of p...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2011-100319

    authors: Resnik DB,Ness E

    更新日期:2012-12-01 00:00:00

  • The convention on human rights and biomedicine and the use of coercion in psychiatry.

    abstract::According to a recent convention on human rights and biomedicine, coercive treatment of psychiatric patients may only be given if, without such treatment, serious harm is likely to result to the health of the patient; it must not be given in the interest of other people. In the present article a discussion is undertak...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2002.000703

    authors: Tannsjo T

    更新日期:2004-10-01 00:00:00

  • Understanding respect: learning from patients.

    abstract:BACKGROUND:The importance of respecting patients and participants in clinical research is widely recognised. However, what it means to respect persons beyond recognising them as autonomous is unclear, and little is known about what patients find to be respectful. OBJECTIVE:To understand patients' conceptions of respec...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2008.027235

    authors: Dickert NW,Kass NE

    更新日期:2009-07-01 00:00:00

  • Public healthcare resource allocation and the Rule of Rescue.

    abstract::In healthcare, a tension sometimes arises between the injunction to do as much good as possible with scarce resources and the injunction to rescue identifiable individuals in immediate peril, regardless of cost (the "Rule of Rescue"). This tension can generate serious ethical and political difficulties for public poli...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/jme.2007.021790

    authors: Cookson R,McCabe C,Tsuchiya A

    更新日期:2008-07-01 00:00:00

  • Advance directives for non-therapeutic dementia research: some ethical and policy considerations.

    abstract::This paper explores the use of advance directives in clinical dementia research. The focus is on advance consent to participation of demented patients in non-therapeutic research involving more than minimal risks and/or burdens. First, morally relevant differences between advance directives for treatment and care, and...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/jme.24.1.32

    authors: Berghmans RL

    更新日期:1998-02-01 00:00:00

  • Predictive genetic testing of children for adult-onset diseases and psychological harm.

    abstract::One of the central arguments given to resist testing currently healthy, asymptomatic children for adult-onset diseases is that they may be psychologically harmed by the knowledge gained from such tests. In this discussion I examine two of the most serious arguments: children who are tested may face limited futures, an...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2006.019802

    authors: Malpas PJ

    更新日期:2008-04-01 00:00:00

  • The retention of forensic DNA samples: a socio-ethical evaluation of current practices in the EU.

    abstract::Since the mid-1990s most EU Member States have established a national forensic DNA database. These mass repositories of DNA profiles enable the police to identify DNA stains which are found at crime scenes and are invaluable in criminal investigation. Governments have always brushed aside privacy objections by stressi...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2007.022012

    authors: Van Camp N,Dierickx K

    更新日期:2008-08-01 00:00:00

  • Blameworthy bumping? Investigating nudge's neglected cousin.

    abstract::The realm of non-rational influence, which includes nudging, is home to many other morally interesting phenomena. In this paper, I introduce the term bumping, to discuss the category of unintentional non-rational influence. Bumping happens constantly, wherever people make choices in environments where they are affecte...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2018-105179

    authors: Miyata-Sturm A

    更新日期:2019-04-01 00:00:00

  • Training healthcare professionals as moral case deliberation facilitators: evaluation of a Dutch training programme.

    abstract::Until recently, moral case deliberation (MCD) sessions have mostly been facilitated by external experts, mainly professional ethicists. We have developed a train the facilitator programme for healthcare professionals aimed at providing them with the competences needed for being an MCD facilitator. In this paper, we pr...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,多中心研究

    doi:10.1136/medethics-2012-100546

    authors: Plantinga M,Molewijk B,de Bree M,Moraal M,Verkerk M,Widdershoven GA

    更新日期:2012-10-01 00:00:00

  • Case method.

    abstract::Teaching medical ethics by the case method may be enriched by adding to the principles-and-rules approach to practical reasoning modes of inquiry and interpretation that engage the moral imagination. :Carson and Higgs are strong advocates of the use of case studies in the teaching of medical ethics. Carson maintains...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.12.1.36

    authors: Carson RA

    更新日期:1986-03-01 00:00:00

  • Towards a bioethics of innovation.

    abstract::In recent years, it has become almost axiomatic that biomedical research and clinical practice should be 'innovative'-that is, that they should be always evolving and directed towards the production, translation and implementation of new technologies and practices. While this drive towards innovation in biomedicine mi...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2015-103048

    authors: Lipworth W,Axler R

    更新日期:2016-07-01 00:00:00

  • Meaningful futility: requests for resuscitation against medical recommendation.

    abstract::'Futility' is a contentious term that has eluded clear definition, with proposed descriptions either too strict or too vague to encompass the many facets of medical care. Requests for futile care are often surrogates for requests of a more existential character, covering the whole range of personal, emotional, cultura...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2020-106232

    authors: Vivas L,Carpenter T

    更新日期:2020-04-24 00:00:00

  • The teaching of medical ethics in the Federal Republic of Germany.

    abstract::Eduard Seidler sets his discussion of the teaching of medical ethics in the Federal Republic of Germany against an historical background. Immediately after the Second World War the freshness of the memory of the 'Nuremberg Medical Trials' influenced the way in which moral dilemmas were treated in Germany. At the prese...

    journal_title:Journal of medical ethics

    pub_type: 历史文章,杂志文章

    doi:10.1136/jme.5.2.76

    authors: Seidler E

    更新日期:1979-06-01 00:00:00

  • Moral duties and euthanasia: why to kill is not necessarily the same as to let die.

    abstract::David Shaw's response to Hugh McLachlan's criticism of his proposed new perspective on euthanasia is ineffectual, mistaken and unfair. It is false to say that the latter does not present an argument to support his claim that there is a moral difference between killing and letting die. It is not the consequences alone ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2011.044966

    authors: McLachlan H

    更新日期:2011-12-01 00:00:00

  • "Allow natural death" versus "do not resuscitate": three words that can change a life.

    abstract::Physician-written "do not resuscitate" DNR orders elicit negative reactions from stakeholders that may decrease appropriate end-of-life care. The semantic significance of the phrase has led to a proposed replacement of DNR with "allow natural death" (AND). Prior to this investigation, no scientific papers address the ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2006.018317

    authors: Venneman SS,Narnor-Harris P,Perish M,Hamilton M

    更新日期:2008-01-01 00:00:00

  • Resuscitation and senility: a study of patients' opinions.

    abstract::In the context of 'Do-not-resuscitate' (DNR) decisions, there is a lack of information in the UK on the opinions of patients and prospective patients. Written anonymous responses to questionnaires issued to 322 out-patient subjects showed that 97 per cent would opt for cardiopulmonary resuscitation (CPR) in their curr...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.19.2.104

    authors: Robertson GS

    更新日期:1993-06-01 00:00:00

  • A plea for end-of-life discussions with patients suffering from Huntington's disease: the role of the physician.

    abstract::Euthanasia and physician-assisted suicide (PAS) by request and/or based on an advance directive are legal in The Netherlands under strict conditions, thus providing options for patients with Huntington's disease (HD) and other neurodegenerative diseases to stay in control and choose their end of life. HD is an inherit...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2011-100369

    authors: Booij SJ,Engberts DP,Rödig V,Tibben A,Roos RA

    更新日期:2013-10-01 00:00:00

  • Unit 731 and moral repair.

    abstract::Unit 731, a biological warfare research organisation that operated under the authority of the Imperial Japanese Army in the 1930s and 1940s, conducted brutal experiments on thousands of unconsenting subjects. Because of the US interest in the data from these experiments, the perpetrators were not prosecuted and the at...

    journal_title:Journal of medical ethics

    pub_type: 历史文章,杂志文章

    doi:10.1136/medethics-2015-103177

    authors: Hickey D,Li SS,Morrison C,Schulz R,Thiry M,Sorensen K

    更新日期:2017-04-01 00:00:00

  • Communication with the seriously ill: physicians' attitudes in Saudi Arabia.

    abstract:OBJECTIVES:To study some ethical problems created by accession of a previously nomadic and traditional society to modern invasive medicine, by assessment of physicians' attitudes towards sharing information and decision-making with patients in the setting of a serious illness. DESIGN:Self-completion questionnaire admi...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.22.5.282

    authors: Mobeireek AF,al-Kassimi FA,al-Majid SA,al-Shimemry A

    更新日期:1996-10-01 00:00:00