All healthcare professionals are required to gain a patient's consent before proceeding with examination, investigation or treatment. Gone are the days when consent was about protecting the professional. Following a recent landmark Supreme Court case, 'informed' consent is now embedded in UK law. Patients have the right to high-quality information that allows them to be involved in making decisions about their care. Dentists have a duty of care to provide this information and guide their patients through the process. This paper reviews key ethical, legal, and professional guidance available to dentists about informed consent and concludes by discussing how shared decision-making is a model of healthcare delivery with much to offer dentist and patient alike.
The development and implementation of a biopsy safety strategy is described in this article. Analysis of previous adverse incidents relating to biopsies acted as a catalyst to review our biopsy pathway at Liverpool University Dental Hospital. Input from all staff involved enabled us to develop a biopsy safety strategy which was divided into five stages: preoperative assessment of patient and procedure, team briefings, biopsy surgical safety checklist, surgical removal and handling of biopsy specimens, and post-biopsy follow-up. It is hoped that other clinical teams will take the opportunity to review their own biopsy processes, in the light of our experience.
We report a rare case of intra‐oral Epithelioid Haemangioendothelioma (EHE) in a 68 year old Caucasian female. EHE is a rare, well‐differentiated, malignant vascular endothelial neoplasm of varying biologic behaviour. This tumour generally arises in soft tissue as a solitary lesion and has a predilection to the lower extremities but can be present elsewhere. Histological diagnosis of this entity has provided difficulties in the past especially with that of Epithelioid Haemangioma (EH).
Twenty‐five mixed‐breed clinically normal mature dogs were evaluated for respiratory disease by thoracic radiographs, complete blood counts, modified Knott's test, fluorescent antibody test for heartworms, bronchoscopy, tracheal washing, and bronchial brushing. Gross necropsies, cultures of lung parenchyma, and microscopic studies of lung at the site of and adjacent to the tracheal washing and bronchial brushing techniques were performed. The high prevalence of abnormal findings reflected subclinical disease in a confined population. The importance of a combination of complementary diagnostic tests was reinforced by the lack of specificity of individual tests.
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