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Economics of NHS Cost-Saving and its Morality on the ‘Living Dead’

References Biblia.com (n/d). Psalm 46: 1. Available at: https://biblia.com/bible/nlt/Ps46 . 1. (Accessed: 2nd April, 2018). Emmanuel, E.J and Emmanuel, L.L. (1994). The economics of dying--the illusion of cost savings at the end of life. New England Journal of medicine, Vol. 330(8): pp. 540-544. Gilbert BJ, Clarke E, Leaver L. (2014). Morality and markets in the NHS. International Journal of Health Policy Management, Vol. 3(7): pp. 371–376. DOI: 10.15171/ijhpm.2014.123. Health Knowledge (n/d). Health Economics. Available at: https

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Dinesh Bhugra: a personal history of Psychiatry

Training Scheme and the Academic Unit was run by two senior lecturers. It was a separate unit with active teaching. Academic teaching was in the academic department and research was left to individual trainees’ interest. I was interested in research and was well supported by academics. The rest of the postings were in the two asylums. The experience was extremely valuable. The wards were large with Victorian-style dormitories and huge grounds surrounded by accommodation for the staff. This was in 1981. Griffith reforms of the NHS had just been introduced. The doctors

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Evaluation of a shortened course of tranexamic acid for patients with inherited bleeding disorders following dental procedures

recommendations. Haemophilia 2009; 15(3): 639-58. 12. British National Formulary, 2017. Available from http://www.medicinescomplete.com (accessed: 9 May 2017). 13. Nuvvula S, Gaddam KR, Kamatham R. Efficacy of tranexamic acid mouthwash as an alternative for factor replacement in gingival bleeding during dental scaling in cases of hemophilia: a randomized clinical trial. Contemp Clin Dent 2014; 5(1): 49-53. doi 10.4103/0976-237X.128663. 14. NHS Health Research Authority. Defining research, 2013. Available from: www.hra.nhs

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A dental care pathway for children with inherited bleeding disorders

Abstract

Royal London Hospital is a major referral centre for children with inherited bleeding disorders (IBD). Dental caries and periodontal disease can be prevented, which is especially important in these children to avoid invasive treatment. For this reason a care pathway has been established, focusing on appropriate prevention advice and treatment A Paediatric Dental Specialist attends the monthly Paediatric Haematology clinics. Children are screened for untreated dental decay and preventive dental advice is given verbally along with a patient information leaflet. At the clinic, a letter is sent out to the patient’s general dental practitioner (GDP). Nonregistered patients are directed to NHS Choices website to find a local NHS GDP. Liaison of GDPs with both haematology and hospital paediatric dental services is actively encouraged to support the provision of dental care within the primary care setting, particularly routine preventive care. Depending on the severity of the bleeding diathesis and the degree of invasive dental treatment required, the GDP may undertake simple treatment or, in more complex cases, may arrange a referral to the Royal London Dental Hospital. A consultation process takes place between paediatric dentist, paediatric haematologist and specialist nurse to determine the most appropriate haematological cover for each patient. This will depend on the severity of the bleeding disorder, the complexity of dental treatment and the need for local anaesthesia. The date of the dental visits and the haemostatic cover are requested via the electronic patient record so that it is accessible to all clinicians involved in their care without the need to retrieve their paper notes. This pathway encourages active involvement of the patients’ GDP and allows the patient to be treated as safely as possible in a timely manner. The care pathway has helped to formalise dental treatment for children with IBD and to improve every health care professional’s understanding of their role in this care.

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Nurse-led telephone review service for mild inherited bleeding disorders improves attendance rates, frees hospital resources and is highly rated by patients

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Women with haemophilia: more than just carriers

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Management of severe haemophilia A during surgery: case report

REFERENCES 1. Coppola A, Windyga J, Tufano A, et al. Treatment for preventing bleeding in people with haemophilia or other congenital bleeding disorders undergoing surgery. Cochrane Database Syst Rev 2015; 2: CD009961. doi: 10.1002/14651858. CD009961.pub2. 2. Neufeld EJ, Solimeno L, Quon D, et al. Perioperative management of haemophilia B: a critical appraisal of the evidence and current practices. Haemophilia 2017; 23: 821–31. 3. Hampshire Hospital NHS Foundation Trust. Haemophilia treatment plan for abdominal surgery. Clinical guidelines

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Different Viewpoints: International Perspectives On Newborn Screening/Različita Gledišta: Međunarodne Perspektive U Vezi Sa Testiranjem Novorođenčadi

National Screening Committee. Criteria for appraising the viability, effectiveness and appropriateness of a screening programme. http://www.screening.nhs.uk /criteria (accessed 14th March 2014) 5. Oerton J, Khalid JM, Besley G, Dalton RN, Downing M, Green A, et al. Newborn screening for medium chain acyl-CoA dehydrogenase deficiency in England: prevalence, predictive value and test validity based on 1.5 million screened babies. J Med Screen 2011; 18: 173-81. 6. American College of Medical Genetics. Newborn screen ing: towards a uniform

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Caregiver burden in haemophilia: results from a single UK centre

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Living with mild haemophilia and care after a bleed – a qualitative study

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