Introduction and Background: Psychological stress is found to be increasing in the present era because of the number of factors. One of the causes of psychological stress is their concern and anxiety for their child, be it their study or health. Hemophilia is a blood genetic disease which not only carries stress to the patient, but a cause of psychological stress to parents owing to its severity and high-cost management. Stress coping and management becomes difficult for such parents. Therefore this study was undertaken to examine the role of homeopathic medicine in managing psychological stress in parents of people with hemophilia (PWH). Materials and Methods: 100 parents of PWH were selected by randomized sampling technique from the period 2014-2016 at homeopathy in hemophilia research centre, Nashik. FISC-MR scale was used to measure the levels of stress in 10 different aspects of the life of parents of PWH. Result: For each scale, the mean difference in before and after treatment was highly significant at P = 0.0001. Conclusion: Parents of PWH suffer from stress associated with children's health condition. It affects parental IPR and relationship with society. This study has shown that homeopathic medicines are effective in coping with psychological stress among parents of PWH. It has markedly increased the interpersonal relationship and social relationship.

Introduction and background:Haemophilia is an X-linked inherited genetic disorder that impairs the body's ability to make blood clots. It results in spontaneous uncontrolled bleeding. Maximum of its manifestation are acute and require immediate intervention. Therefore this study is aimed at focusing on impact of telemedicine in emergency management of haemophilia in remote areas. Materials and methods: At Multicentric HIH centres the patients are prescribed with homoeopathic medicines as per the symptom similarity which is the base for homoeopathic treatment, and given constitution medicines in Fleiss kappa manner, on monthly basis. Patients are provided with emergency kits which consist of around 30 medicines which have been formulated considering haemorrhagic diathesis, and articulation problems, oedema, ecchymosis, pain, inflammation, bleeding, tenderness etc. This tool employed in telemedicine in remote areas to manage acute conditions on the proper time.Result: Total number of interactions of these patients with a team of HIH is 22926, out of which 43.59% was telephonically managed emergencies. In Thane, Surat and Amravati, around 75% of interactions are dealt with the use of social media that is17722 emergencies have been managed telephonically. Conclusion:Telemedicine has efficiently helped to manage and control acute episodes of people with haemophilia and thereby increasing their quality of life as well as the quality of healthcare with homoeopathic medicines.

Background: Haemophilia imposes clinical as well as an economical burden on family and society. To assess the social and economic impact of healthcare in haemophilia from patients’ perspective a questionnaire was formed. Out of 900 patients treated at homoeopathy in haemophilia centers, 478 patients participated in the survey in the time period of January 2017 to June 2017. This questionnaire consisted of five categories. Part A included preliminary information, part B included the disease information, part C included direct cost incurred in terms of factor therapy, and part D included indirect cost incurred whereas part E included additional information regarding therapy satisfaction. Methods: It was a cross-sectional survey-based study. Simple random sampling was used for sample collection at the multicentres of homoeopathy in haemophilia. Study duration was 5 months. Selection criteria was patients diagnosed with haemophilia and patients willing to participate in the survey. Ethical approval was received from Institutional Ethics Committee of Motiwala (National) Homoeopathic Medical College, Nasik, Maharashtra, India. Average was calculated to summarize the data, mentioned in discussion. Results: 56% haemophilia patients benefitted with homoeopathy treatment with SOS use of factor, 28% patients experienced homoeopathy is beneficial therapy and 16% patients experienced conservative management. 95.6% patients experienced satisfaction with treatment. 95.2% patient said homoeopathy is most economic therapy, 1.3% patient said it is a conservative management and 3.6% did not acknowledge anything. Conclusions: According to patients’ perspective, homoeopathic therapy was found to reduce the cost of care and burden of high-cost management.

This article is an Evidence based case study of adjuvant Homoeopathic therapy of scrotal hematocele along with standard factor management. Add on Homoeopathic medicine substantially resolved the scrotal hematocele in the severe haemophilia patient.

Afibrinogenemia is an extremely rare inherited bleeding disorder. Less than 100 such cases have been described from India. Beta-thalassemia carrier status (trait) is common in many Indian casts and religious groups; hence, a rare combination of these two conditions can be expected. Here, we report one such case treated solely using homeopathic medicine. The male patient was borne out of a nonconsanguineous marriage. He had delayed separation of the umbilical cord after 14 days and bleeding from the site. In addition, he had multiple bleeding episodes treated successfully by homeopathy since 11 months of age. His thalassemia trait needed no treatment. As fibrinogen concentrate is not easily available, this line of management could also be considered if the concentrate or safe cryoprecipitate is not immediately available.