Treatment is specific to the type of hemolytic anemia. For example, corticosteroids are usually the first line of treatment in autoimmune hemolytic anemia (AIHA) but are seldom effective in pediatric cold agglutinin disease. Rituximab has been used and can be effective in steroid-resistant AIHA.or example, corticosteroids are usually the first line of treatment in autoimmune hemolytic anemia (AIHA) but are seldom effective in pediatric cold agglutinin disease.
Definition of demurrage. 1 : the detention of a ship by the freighter beyond the time allowed for loading, unloading, or sailing. 2 : a charge for detaining a ship, freight car, or truck.
By extension, demurrage refers to the charges that the charterer pays to the shipowner for its extra use of the vessel. Officially, demurrage is a form of liquidated damages for breaching the laytime as it is stated in the governing contract (the charter party).The demurrage sometimes causes a loss to the seller as it increases cost of the total freight. Today, however, demurrage has a slightly differen meaning.he reverse of demurrage is despatch. If the charterer requires the use of the vessel for less time than the laytime allowed, the charter party may require the shipowner to pay despatch for the time saved. The term demurrage has been incorrectly extended to use in the hire or rental of assets other than ships.