scholarly journals Case files of the medical toxicology fellowship at the university of Massachusetts Medical Center in Worcester, Massachusetts: Stumbling through a blue haze

2009 ◽  
Vol 5 (1) ◽  
pp. 40-45
Author(s):  
Richard J. Church ◽  
Edward W. Boyer
2012 ◽  
Vol 8 (3) ◽  
pp. 304-309 ◽  
Author(s):  
Matthew D. Zuckerman ◽  
Katherine L. Boyle ◽  
Christopher D. Rosenbaum

1977 ◽  
Author(s):  
Seymour Zimbler

The result of followup evaluation on the treatment of 110 Hemophiliacs followed within a comprehensive Hemophilia Clinic through the Tufts New England Medical Center and Memorial Hospital in Worcester, as well as the University of Massachusetts in Worcester, Massachusetts. A larger total of 300 Hemophiliac patients of all types have been followed.40 patients or more have undergone surgical procedures on various joints during the past 7 years. The results of these operations have been reviewed and guidelines are presented regarding their treatment. Breakdown of operative procedures include synovectomy of the knee 7, total knee arthroplasty, 5. Also included are arthrodeses of the knee, ankle, and subtalar joints as well as the elbow. Soft tissue procedures such as heel cord lengthening, decompression of carpal tunnel syndrome, excision of pseudo tumor are also included. Arthroplasty and synovectomy require 3 weeks or more of active treatment with levels of Factor VIII maintained at 50% for the entire treatment period. Those individuals treated by arthrodesis or simpler procedures require infusions for 10 days to 2 weeks. Factor IX deficiency patients require levels of 30-50% for their entire treatment program.


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