PubMed · 567018
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G B Crawford. 1978. APRO update.. https://pubmed.ncbi.nlm.nih.gov/567018/
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Remote, rural populations need at least some inpatient services to be provided within their communities. Replacement of an obsolete small, rural hospital in Alaska shows how planning can ensure provision of hospital services locally and through referral.
Factor IX deficiency, consistent with hemophilia B, was detected in a 6-month old male Alaskan Malamute with a 2-week history of persistent oozing from an oral wound. Laboratory studies disclosed an intrinsic coagulation defect. Hemophilia A was initially suspected. Further evaluation demonstrated normal factor VIII activity and factor VIII-related antigen, but factor IX activity was only 1.3% of normal.