Guest guest Posted March 8, 2012 Report Share Posted March 8, 2012 THANK YOU FOR YOUR TIME!! From: Sajithakumari Sivaprem <ssajithakumari@...> " " < > Sent: Thursday, 8 March 2012, 13:39 Subject: Re: Ethics question patency preparation in endo is cleaning the whole length of the canal so as not to produce an apical blockage...done using a small file....so apical foramen is not widened... From: ARTHUR TADEVOSYAN <arthur_tadevosyan@...> " " < > Sent: Thursday, 8 March 2012 1:13 PM Subject: Re: Ethics question WHAT IS PATENCY OR POTENCY PREPARATION? THANK YOU. From: manochitra d <manochithradurairaju@...> To: Sent: Wednesday, 7 March 2012, 17:16 Subject: Re: Ethics question Hi,i think you should not disclose..this is from GMC regulationInforming sexual contacts of patients with a serious communicable disease 10 You may disclose information to a known sexual contact of a patient with a sexually transmitted serious communicable disease if you have reason to think that they are at risk of infection and that the patient has not informed them and cannot be persuaded to do so.in such circumstances, you should tell the patient before you make the disclosure, if it is practicable and safe to do so. You must be prepared to justify a decision to disclose personal information without consent.11 When you are tracing contacts and notifying partners, you should not disclose the identity of the patient, if practicable. but there is a clause there which is, The NHS (Venereal Diseases) Regulations 1974, The NHS Trusts (Venereal Diseases) Directions 1991 and The NHS Trusts and Primary Care Trusts (Sexually Transmitted Diseases)Directions 2000 state that various NHS bodies in England and Wales must ‘take all necessary steps to secure that any information capable of identifying an individual… with respect to persons examined or treated for any sexually transmitted disease shall not be disclosed except – (a) for the purpose of communicating that information to a medical practitioner, or to a person employed under the direction of a medical practitioner in connection with the treatment of persons suffering from such disease or the prevention of the spread thereof, and ( for the purpose of such treatment and prevention’. There are different interpretations of the Regulations and Directions, and concerns about their compatibility with the European Convention on Human Rights. In particular, there have been concerns that a strict interpretation would prevent the disclosure of relevant information, except to other doctors or those working under their supervision, even with the patient’s consent or to known sexual contacts in the public interest. Our view is that the Regulations and Directions do not preclude disclosure if it would otherwise be lawful at common law, for example with the patient’s consent or in the public interest without consent On Wed, Mar 7, 2012 at 3:23 PM, Shipra Bapna <bapnashipra@...> wrote: If patient is HIV positive..and does not want this information to be disclosed to anyone..is it the moral duty of the dentist to inform his/her spouse ? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 8, 2012 Report Share Posted March 8, 2012 The technique of patency filing involves passively inserting a small file, size 08 or 10, 2 mm beyond the established working length. No attempt is made to instrument the foramen, merely to keep it open or patent by deliberately extruding the debris into the periradicular tissues. flexible files are used to prevent apical blockage w/o enlarging apical foramen the disadvantes are longer appointments and inability to control exudateshope it helpsAnuOn Thu, Mar 8, 2012 at 7:09 PM, Sajithakumari Sivaprem <ssajithakumari@...> wrote: patency preparation in endo is cleaning the whole length of the canal so as not to produce an apical blockage...done using a small file....so apical foramen is not widened... From: ARTHUR TADEVOSYAN <arthur_tadevosyan@...> " " < > Sent: Thursday, 8 March 2012 1:13 PM Subject: Re: Ethics question WHAT IS PATENCY OR POTENCY PREPARATION? THANK YOU. From: manochitra d <manochithradurairaju@...> To: Sent: Wednesday, 7 March 2012, 17:16 Subject: Re: Ethics question Hi,i think you should not disclose..this is from GMC regulationInforming sexual contacts of patients with a serious communicable disease 10 You may disclose information to a known sexual contact of a patient with a sexually transmitted serious communicable disease if you have reason to think that they are at risk of infection and that the patient has not informed them and cannot be persuaded to do so.in such circumstances, you should tell the patient before you make the disclosure, if it is practicable and safe to do so. You must be prepared to justify a decision to disclose personal information without consent.11 When you are tracing contacts and notifying partners, you should not disclose the identity of the patient, if practicable. but there is a clause there which is, The NHS (Venereal Diseases) Regulations 1974, The NHS Trusts (Venereal Diseases) Directions 1991 and The NHS Trusts and Primary Care Trusts (Sexually Transmitted Diseases)Directions 2000 state that various NHS bodies in England and Wales must ‘take all necessary steps to secure that any information capable of identifying an individual… with respect to persons examined or treated for any sexually transmitted disease shall not be disclosed except – (a) for the purpose of communicating that information to a medical practitioner, or to a person employed under the direction of a medical practitioner in connection with the treatment of persons suffering from such disease or the prevention of the spread thereof, and ( for the purpose of such treatment and prevention’. There are different interpretations of the Regulations and Directions, and concerns about their compatibility with the European Convention on Human Rights. In particular, there have been concerns that a strict interpretation would prevent the disclosure of relevant information, except to other doctors or those working under their supervision, even with the patient’s consent or to known sexual contacts in the public interest. Our view is that the Regulations and Directions do not preclude disclosure if it would otherwise be lawful at common law, for example with the patient’s consent or in the public interest without consent On Wed, Mar 7, 2012 at 3:23 PM, Shipra Bapna <bapnashipra@...> wrote: If patient is HIV positive..and does not want this information to be disclosed to anyone..is it the moral duty of the dentist to inform his/her spouse ? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 8, 2012 Report Share Posted March 8, 2012 Hi anu, I am bit in doubt about deliberatly extrudging debris into periradicular tissue.will that not cause further inflammation of periapical tissues.rest everything is correct I am still not sure about tht. ------------------------------ On Thu, Mar 8, 2012 16:31 GMT Anu Arora wrote: > The technique of patency filing involves passively inserting a small file, >size 08 or 10, 2 mm beyond the established working length. No attempt is >made to instrument the foramen, merely to keep it open or patent by >deliberately extruding the debris into the periradicular tissues. >*flexible files are used to prevent apical blockage w/o enlarging apical >foramen the disadvantes are longer appointments and inability to control >exudates* >hope it helps >Anu > > >On Thu, Mar 8, 2012 at 7:09 PM, Sajithakumari Sivaprem < >ssajithakumari@...> wrote: > >> ** >> >> >> patency preparation in endo is cleaning the whole length of the canal so >> as not to produce an apical blockage...done using a small file....so apical >> foramen is not widened... >> >> ------------------------------ >> *From:* ARTHUR TADEVOSYAN <arthur_tadevosyan@...> >> *To:* " " < > >> >> *Sent:* Thursday, 8 March 2012 1:13 PM >> >> *Subject:* Re: Ethics question >> >> >> >> >> WHAT IS PATENCY OR POTENCY PREPARATION? THANK YOU. >> >> ------------------------------ >> *From:* manochitra d <manochithradurairaju@...> >> *To:* >> *Sent:* Wednesday, 7 March 2012, 17:16 >> *Subject:* Re: Ethics question >> >> >> Hi, >> >> i think you should not disclose.. >> >> this is from GMC regulation >> >> Informing sexual contacts of patients with >> a serious communicable disease >> 10 You may disclose information to a known sexual >> contact of a patient with a sexually transmitted serious >> communicable disease if you have reason to think that >> they are at risk of infection and that the patient has not >> informed them and cannot be persuaded to do so. >> in such circumstances, you should tell the patient before >> you make the disclosure, if it is practicable and safe to >> do so. You must be prepared to justify a decision to >> disclose personal information without consent. >> 11 When you are tracing contacts and notifying partners, >> you should not disclose the identity of the patient, >> if practicable. >> but there is a clause there which is, >> The NHS (Venereal Diseases) Regulations 1974, The NHS >> Trusts (Venereal Diseases) Directions 1991 and The NHS >> Trusts and Primary Care Trusts (Sexually Transmitted Diseases) >> Directions 2000 state that various NHS bodies in England >> and Wales must ‘take all necessary steps to secure that any >> information capable of identifying an individual… with >> respect to persons examined or treated for any sexually >> transmitted disease shall not be disclosed except – (a) for >> the purpose of communicating that information to a >> medical practitioner, or to a person employed under the >> direction of a medical practitioner in connection with the >> treatment of persons suffering from such disease or the >> prevention of the spread thereof, and ( for the purpose of >> such treatment and prevention’. There are different interpretations of >> the Regulations and Directions, and >> concerns about their compatibility with the European >> Convention on Human Rights. In particular, there have been >> concerns that a strict interpretation would prevent the >> disclosure of relevant information, except to other doctors >> or those working under their supervision, even with the >> patient’s consent or to known sexual contacts in the public >> interest. Our view is that the Regulations and Directions do >> not preclude disclosure if it would otherwise be lawful at >> common law, for example with the patient’s consent or in >> the public interest without consent >> >> On Wed, Mar 7, 2012 at 3:23 PM, Shipra Bapna <bapnashipra@...>wrote: >> >> ** >> >> If patient is HIV positive..and does not want this information to be >> disclosed to anyone..is it the moral duty of the dentist to inform his/her >> spouse ? >> >> >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 8, 2012 Report Share Posted March 8, 2012 Hi anu, I am bit in doubt about deliberatly extrudging debris into periradicular tissue.will that not cause further inflammation of periapical tissues.rest everything is correct I am still not sure about tht. ------------------------------ On Thu, Mar 8, 2012 16:31 GMT Anu Arora wrote: > The technique of patency filing involves passively inserting a small file, >size 08 or 10, 2 mm beyond the established working length. No attempt is >made to instrument the foramen, merely to keep it open or patent by >deliberately extruding the debris into the periradicular tissues. >*flexible files are used to prevent apical blockage w/o enlarging apical >foramen the disadvantes are longer appointments and inability to control >exudates* >hope it helps >Anu > > >On Thu, Mar 8, 2012 at 7:09 PM, Sajithakumari Sivaprem < >ssajithakumari@...> wrote: > >> ** >> >> >> patency preparation in endo is cleaning the whole length of the canal so >> as not to produce an apical blockage...done using a small file....so apical >> foramen is not widened... >> >> ------------------------------ >> *From:* ARTHUR TADEVOSYAN <arthur_tadevosyan@...> >> *To:* " " < > >> >> *Sent:* Thursday, 8 March 2012 1:13 PM >> >> *Subject:* Re: Ethics question >> >> >> >> >> WHAT IS PATENCY OR POTENCY PREPARATION? THANK YOU. >> >> ------------------------------ >> *From:* manochitra d <manochithradurairaju@...> >> *To:* >> *Sent:* Wednesday, 7 March 2012, 17:16 >> *Subject:* Re: Ethics question >> >> >> Hi, >> >> i think you should not disclose.. >> >> this is from GMC regulation >> >> Informing sexual contacts of patients with >> a serious communicable disease >> 10 You may disclose information to a known sexual >> contact of a patient with a sexually transmitted serious >> communicable disease if you have reason to think that >> they are at risk of infection and that the patient has not >> informed them and cannot be persuaded to do so. >> in such circumstances, you should tell the patient before >> you make the disclosure, if it is practicable and safe to >> do so. You must be prepared to justify a decision to >> disclose personal information without consent. >> 11 When you are tracing contacts and notifying partners, >> you should not disclose the identity of the patient, >> if practicable. >> but there is a clause there which is, >> The NHS (Venereal Diseases) Regulations 1974, The NHS >> Trusts (Venereal Diseases) Directions 1991 and The NHS >> Trusts and Primary Care Trusts (Sexually Transmitted Diseases) >> Directions 2000 state that various NHS bodies in England >> and Wales must ‘take all necessary steps to secure that any >> information capable of identifying an individual… with >> respect to persons examined or treated for any sexually >> transmitted disease shall not be disclosed except – (a) for >> the purpose of communicating that information to a >> medical practitioner, or to a person employed under the >> direction of a medical practitioner in connection with the >> treatment of persons suffering from such disease or the >> prevention of the spread thereof, and ( for the purpose of >> such treatment and prevention’. There are different interpretations of >> the Regulations and Directions, and >> concerns about their compatibility with the European >> Convention on Human Rights. In particular, there have been >> concerns that a strict interpretation would prevent the >> disclosure of relevant information, except to other doctors >> or those working under their supervision, even with the >> patient’s consent or to known sexual contacts in the public >> interest. Our view is that the Regulations and Directions do >> not preclude disclosure if it would otherwise be lawful at >> common law, for example with the patient’s consent or in >> the public interest without consent >> >> On Wed, Mar 7, 2012 at 3:23 PM, Shipra Bapna <bapnashipra@...>wrote: >> >> ** >> >> If patient is HIV positive..and does not want this information to be >> disclosed to anyone..is it the moral duty of the dentist to inform his/her >> spouse ? >> >> >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 8, 2012 Report Share Posted March 8, 2012 hi actually i read abt it on internet on the following sitehttp://allendodontics.blogspot.com/2011/12/patency-filing.html check it offOn Thu, Mar 8, 2012 at 11:50 PM, ARTHUR TADEVOSYAN <arthur_tadevosyan@...> wrote: THANK YOU! From: Anu Arora <dr.anuarora@...> Sent: Thursday, 8 March 2012, 16:31 Subject: Re: Ethics question The technique of patency filing involves passively inserting a small file, size 08 or 10, 2 mm beyond the established working length. No attempt is made to instrument the foramen, merely to keep it open or patent by deliberately extruding the debris into the periradicular tissues. flexible files are used to prevent apical blockage w/o enlarging apical foramen the disadvantes are longer appointments and inability to control exudateshope it helpsAnuOn Thu, Mar 8, 2012 at 7:09 PM, Sajithakumari Sivaprem <ssajithakumari@...> wrote: patency preparation in endo is cleaning the whole length of the canal so as not to produce an apical blockage...done using a small file....so apical foramen is not widened... From: ARTHUR TADEVOSYAN <arthur_tadevosyan@...> " " < > Sent: Thursday, 8 March 2012 1:13 PM Subject: Re: Ethics question WHAT IS PATENCY OR POTENCY PREPARATION? THANK YOU. From: manochitra d <manochithradurairaju@...> To: Sent: Wednesday, 7 March 2012, 17:16 Subject: Re: Ethics question Hi,i think you should not disclose..this is from GMC regulationInforming sexual contacts of patients with a serious communicable disease 10 You may disclose information to a known sexual contact of a patient with a sexually transmitted serious communicable disease if you have reason to think that they are at risk of infection and that the patient has not informed them and cannot be persuaded to do so.in such circumstances, you should tell the patient before you make the disclosure, if it is practicable and safe to do so. You must be prepared to justify a decision to disclose personal information without consent.11 When you are tracing contacts and notifying partners, you should not disclose the identity of the patient, if practicable. but there is a clause there which is, The NHS (Venereal Diseases) Regulations 1974, The NHS Trusts (Venereal Diseases) Directions 1991 and The NHS Trusts and Primary Care Trusts (Sexually Transmitted Diseases)Directions 2000 state that various NHS bodies in England and Wales must ‘take all necessary steps to secure that any information capable of identifying an individual… with respect to persons examined or treated for any sexually transmitted disease shall not be disclosed except – (a) for the purpose of communicating that information to a medical practitioner, or to a person employed under the direction of a medical practitioner in connection with the treatment of persons suffering from such disease or the prevention of the spread thereof, and ( for the purpose of such treatment and prevention’. There are different interpretations of the Regulations and Directions, and concerns about their compatibility with the European Convention on Human Rights. In particular, there have been concerns that a strict interpretation would prevent the disclosure of relevant information, except to other doctors or those working under their supervision, even with the patient’s consent or to known sexual contacts in the public interest. Our view is that the Regulations and Directions do not preclude disclosure if it would otherwise be lawful at common law, for example with the patient’s consent or in the public interest without consent On Wed, Mar 7, 2012 at 3:23 PM, Shipra Bapna <bapnashipra@...> wrote: If patient is HIV positive..and does not want this information to be disclosed to anyone..is it the moral duty of the dentist to inform his/her spouse ? Quote Link to comment Share on other sites More sharing options...
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