Publications by authors named "J Maahs"

Introduction: Haemophilia nursing practice has experienced a shift in the past decade, as the historic chief focus on factor infusions shifted to extended half-life products, bispecific antibody therapies and other non-replacement therapies. This evolution has driven a need for changes in nursing practice in many haemophilia treatment centres.

Aim: This article intends to provide insights to the haemophilia nurse to champion practice changes at their haemophilia treatment centres.

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Background: As the overdose epidemic continues to worsen, nonfatal overdose calls for service represent a critical touchpoint for intervention. While most studies have focused on law enforcement led post-overdose follow-up, the current study describes the programmatic characteristics and outcomes of a non-law enforcement post overdose program comprised of peer specialists embedded within a local police department.

Methods: We examined information on 341 follow-up responses occurring over a 16-month study period using administrative data.

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Article Synopsis
  • The Indiana Hemophilia and Thrombosis Center (IHTC) developed a surgical database to analyze surgeries performed on patients with bleeding disorders from 1998 to 2019.
  • A total of 3,246 procedures were conducted on 1,413 patients, primarily involving minor surgeries, with a 90.9% success rate in achieving proper blood clotting before and during surgery.
  • The study highlighted that while complications occurred in 13.6% of surgeries, the effectiveness of hemostasis improved over the years, indicating the database's potential to enhance surgical management and inform future patient care practices.
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Introduction: Surgery is frequently required in persons with haemophilia A (PwHA). Emicizumab, a bispecific, humanized monoclonal antibody, bridges activated factor (F) IX and FX. Management of patients undergoing surgery while receiving emicizumab is of clinical interest due to paucity of data.

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Obesity affects more than 35% of Americans, increasing the risk of more than 200 comorbid conditions, impaired quality of life and premature mortality. This review aimed to summarize literature published over the past 15 years regarding the prevalence and impact of obesity in people with haemophilia (PWH) and to discuss implementing general guidelines for weight management in the context of the haemophilia comprehensive care team. Although few studies have assessed the effects of obesity on haemophilia-specific outcomes, existing evidence indicates an important impact of weight status on lower extremity joint range of motion and functional disability, with potentially important effects on overall quality of life.

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