The UK Department of Health (DoH) became responsible for healthcare in prisons in 2003, taking over from the Home Office. Dental Care in prisons is commissioned from the DoH specification,2 introduced...

Multiple myeloma (MM) is a cancer of plasma cells in the bone marrow. It is the second most common bone marrow cancer, yet it only accounts for 2% of all cancers.1 Plasma cells are a type of white...

Capacity is the ability of an individual to make a particular decision.1 Capacity is decision and time specific, and is determined by the type of decision, understanding of consequences, and ability...

Consent is a continuous process,1 often reinforced by written documentation, but reaches far beyond a signature on a form. For decisions to accept or decline treatment, valid consent is required....

One hundred patients with severe LD and behaviour that challenges attended Barts Health Dental Hospital, referred from North and East London between February 2014 and August 2015 for an initial dental...

Dementia is going to affect us all: either in the patients we treat, as sufferers ourselves or as carers for our loved ones. The dental team needs to be aware of the early signs and how to manage...

All four of the following cases were treated in primary care facilities by clinicians who were experienced in both sedation and in the treatment of patients with special needs. All of the patients...

Swallowing is a process by which food and liquid move from the mouth, down through the back of the throat, through the oesophagus and into the stomach. It is estimated that each individual swallows...

The liver plays a major role in haemostasis as:.

As discussed in part 1, primary haemostasis is achieved by a platelet plug occluding the wound after blood vessel damage, and is mediated by interactions between platelets, coagulation factors and the...

As set out in GDC guidelines, there are three main principles4 which are essential in order to gain valid consent from a patient:.

The phrase ‘Movement disorders’ describes a wide range of conditions which are neurological in origin and are manifest in individuals as problems with the control of body movement.1 Movement involves...

Sickle cell disease is found in many populations and parts of the world historically associated with malarial endemicity. People of Afro-Caribbean, West African, Asian and Northern Greek descent are...