The dose needed IWR-1 clinical trial to achieve hemostasis varies widely and choice of dose needs to be calculated taking into account a number of parameters: severity of the bleeding episode; and the pharmacologic properties of the clotting factors, which include the half-life, and the in-vivo recovery based on the volume of distribution within the vascular compartments. Replacement factor should be administered as early as possible in an attempt to prevent permanent damage to joints and soft tissues, and should continue until adequate hemostasis has been achieved or wound healing is complete. “
“Summary. Total knee arthroplasty
(TKA) is a major orthopaedic surgery intervention, indicated for severe haemophilic arthropathy. The aim of our study was to analyse rehabilitation outcome in haemophilic patients after TKA. A consecutive series of 21 patients
(23 knees) was retrospectively evaluated. The mean age was 37 ± 8 years selleck (range 22–55). Physiotherapy treatment was performed twice a day for 5 days week−1, for 3 h day−1. Assessment included knee range of motion (ROM), Visual Analogue Scale (VAS) for pain evaluation, Western Ontario and McMaster University (WOMAC) Score for functional outcome, Medical Research Council Scale (MRC) for quadriceps muscle strength evaluation, incidence of adverse events and a self-reported questionnaire. The patients’data were recorded before surgery (t0), at Rehabilitation Unit admission (t1), before discharge (t2) and at follow-up (t3), 11–48 months after rehabilitation. Western Ontario and McMaster University Score (ref. score: 0–96)
was 56.7 ± 12 at t0 and 6.2 ± 6 at t3 see more (t3 vs. t0: P < 0.001). Visual Analogue Scale (ref. score: 0–10) decreased from 5.0 ± 2 at t1 to 2.1 ± 2 at t2 (t2 vs. t1: P < 0.05) and to 0.1 ± 0 at t3 (t3 vs. t2: P < 0.05). Flexion degrees increased from 43.4 ± 21° at t1 to 80.2 ± 15° at t2 (t2 vs. t1: P < 0.001) and to 95.0 ± 15° at t3 (t3 vs t2: P < 0.05). According to MRC (ref. score: 0–5), quadriceps muscle strength increased from 2.3 ± 0.6 at t1 to 3.6 ± 0.5 at t2 (t2 vs. t1: P < 0.05). Adverse events were found in four patients. Patients’ satisfaction on their outcome at follow-up was referred as good by 72% of patients or excellent by 28% of patients. Postsurgical intensive rehabilitation in haemophilic patients resulted effective, safe and feasible. "
“Health economics is the application of economic theory and method in the analysis of questions concerning people’s health. This chapter presents an overview of economic concepts and methods for evaluating health programs with special reference to hemophilia treatment. It gives examples from published health economic evaluations of alternative replacement treatment strategies and the treatment of hemophilia with inhibitors. The chapter concludes by discussing issues concerning the design of health economic analyses of hemophilia treatment. “