Indeed, psychological interventions have been proven to be effective in a broad range of disorders and illnesses.15 — 18 Although a few former works have focused on psychological interventions in
haemophilia, showing positive and promising results, 19 — 25 the lack of recent papers exploring this issue is somewhat surprising, despite the recommendations and guidelines that emphasise their relevance.
This is an innovative investigation, applying two empirically sound interventions (cognitive - behavioural therapy and hypnosis) to people with
haemophilia.
A36Hemofilia - Qol71: this is
an haemophilia - specific self - report questionnaire assessing health - related QoL.
Another noteworthy issue is that psychological or psychiatric conditions are reported by 47 % of PWH, with 29 % relating these symptoms to
haemophilia.4 This is even more relevant considering that psychological factors can influence both pain experience and QoL in PWH.12 Interestingly, Cassis et al 6 state that variations in QoL are better explained by psychosocial, rather than clinical predictors.
The current study protocol points to an innovative research that can contribute to better understand the impact and potential benefits of psychological interventions in
haemophilia care setting.
Psychosocial health and effective pain management are considered essential end points for optimal
haemophilia care, but there is a significant gap in evidence - based treatments targeting these outcomes in people with
haemophilia (PWH).
For questions regarding breed survey, hip and elbow dysplasia, tattooing, tooth certificates or
haemophilia see the Breed Matters Section: Breed Survey, Hip & Elbow Dysplasia, Tattoo, Tooth Certificates,
Haemophilia
Check with your breeder whether their dogs have been screened for
haemophilia and hip dysplasia and ask your vet to regularly check your dog's hips.
They can also suffer from a disease called Von Willebrand's Disease, which is similar to
haemophilia in humans.
Similar to
haemophilia in humans, von Willebrand's disease can result in life - threatening bleeding.
Most of us have heard of
haemophilia.
Dogs, and other animals can suffer from
haemophilia too.
The Kennel Club also recommends testing for
haemophilia and hip dysplasia, other common problems with the breed.
The results from the first human trials for a gene therapy to treat
haemophilia A have just been published.
iPS cells have been employed to generate cells for the treatment of various diseases including diabetes, cardiovascular disease, sickle cell anaemia, Parkinson's disease and
haemophilia [19]--[23].
The treatment of
haemophilia, dialysis and the medical applications of ultrasound are just a few historical examples.
Spark Therapeutics» gene therapy for patients with
haemophilia has seen some early success in clinical trials, according to a report published yesterday.
Spark Therapeutics» gene therapy for patients with
haemophilia has seen some early success in clinical trials, after being tested in 10 male patients
The results, published in the New England Journal of Medicine, demonstrate the therapy being used to treat 10 male
haemophilia patients without significant side effects.
Some concerns had been raised that by infusing patients with such a high activity gene, the treatment would overcorrect for
haemophilia and give rise to thrombosis.
The therapy hoped to resolve some of the problems surrounding
haemophilia treatment by exchanging the continual infusions for a single vector infusion that could permanently boost Factor IX expression.
«People who live with
haemophilia today face a lifelong need for vigilant monitoring and recurrent factor concentrate infusions to prevent spontaneous, potentially life - threatening bleeds and to protect their joints,» said Katherine High, President and Head of Research and Development at Spark Therapeutics.
Almost exactly a year ago, we reported on a gene therapy for
haemophilia that was in development by the Children's Hospital of Philadelphia (and subsequently the CHOP spinout Spark Therapeutics).
Ohmori, Tsukasa, et al. «CRISPR / Cas9 - mediated genome editing via postnatal administration of AAV vector cures
haemophilia B mice.»
Cellectis, the French genome engineering specialist, and VIB together conduct research into new approaches to cure
haemophilia.
Professor Pasi continued: «Incredibly exciting is the potential for a significant change in how
haemophilia is treated globally.
A hereditary genetic condition dominantly affecting men, people with severe
haemophilia A have virtually none of the protein factor VIII which is essential for blood to clot.
There are around 2000 people with severe
haemophilia A in the UK.
The «transformational» results have particular significance as the first successful gene therapy trial for
the haemophilia A.
A «cure» for
haemophilia is one step closer, following results published in the New England Journal of Medcine of a groundbreaking gene therapy trial led by the NHS in London.
We really now have the potential to transform care for people with
haemophilia using a single treatment for people who at the moment must inject themselves as often as every other day.
Those short half - lives mean that most people with
haemophilia must transfuse themselves every two or three days.
Only about 4 % of people with
haemophilia B develop inhibitors to factor IX.
Replacing the clotting ability lacking in
haemophilia has been the treatment since the 1840s, when attempts were made to treat people with the disease by transfusion with whole blood from people with normal clotting.
Eloctate, for
haemophilia A, was approved in June and is recommended for an initial infusion once every four days, with a physician adjusting that up to five days or down to three as appropriate.
For all the advantages of these extended - life molecules, the researchers predict that they will be supplanted in perhaps a decade by advances in gene therapy, which will enable people with
haemophilia to produce their own clotting factors.
Factor IX — which people with
haemophilia B lack — lasts longer, 18 — 24 hours.
One 2001 study suggested that up to 40 % of people with severe
haemophilia do not follow the prophylactic schedule.
One barrier to
haemophilia therapy is the tendency of factor VIII to prompt the body into producing anti-factor VIII antibodies, known as inhibitors.
For the parents of a child born with
haemophilia, the diagnosis comes with both good and bad news.
Repairing the faulty genes that cause
haemophilia could ultimately cure the disease, but it will be a tough challenge
Disorders like
haemophilia that are caused by faults on the X chromosome are therefore more common in males.
Unfortunately,
haemophilia A, which is caused by factor VIII deficiency, is about four times as common as
haemophilia B.
«We think we can change the whole concept of
haemophilia treatment,» Shima says.
The hunt is on for ways to diagnose and treat the joint problems that are now the main chronic problem in
haemophilia
As these therapies emerge, dealing with
haemophilia will become less troublesome (see below).
Depending on the person, the amount of factor VIII — the protein missing in
haemophilia A — in the bloodstream drops by half in a mere 8 — 12 hours.
About 30 % of people with
haemophilia A develop inhibitors, and once they do, treating their bleeding becomes much more difficult.
In Madrid last week, Amit Nathwani of the Royal Free NHS Trust in London announced that six people treated for
haemophilia using AAV in early 2011 are still producing the blood clotting factor they previously lacked.
2011 Six people with clotting disorder
haemophilia B see a reduction in symptoms after gene therapy on liver cells.